Clinical Care Manager - Home Health Care - Full Time

Virtua Health

12d • $89,574 - $139,253 • Onsite

About The Position

At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Virtua Health is seeking a Clinical Care Manager to support high-quality patient care through strong documentation, education, and collaboration. Summary: A professional registered nurse who has clinical accountability for the coordination, monitoring and management of patient care resources to promote efficient delivery of patient care services at the appropriate level while maintaining the Virtua standard of quality of care to all patients. Coordinates patient care and communicates extensively with members of the interdisciplinary team. Acts as a resource to staff in defining/educating/implementing and evaluating patient care and nursing practice standards utilizing clinical expertise, nursing process, concepts/principles of case management/utilization management/disease management, quality improvement, and education. Adheres to all standards, policies and State and Federal Regulations.

Requirements

• Minimum of 2 years experience in specialty area.
• 3-5 years experience in home care.
• Excellent verbal and written communication skills.
• Graduate of accredited School of Nursing.
• BSN required.
• Current NJ RN License.
• Oasis coding.
• BLS certification.

Responsibilities

• Review documentation and care plans during orientation and 90-day probation
• Educate clinicians on documentation and care plan improvements
• Conduct recertification care plan reviews and identify episode changes
• Teach care planning classes during orientation
• Review Problems, Interventions, Goals, Smart Text, Pick Lists, and dropdowns
• Partner with the Epic User Group and IT on care plan functionality
• Participate in interdisciplinary team committee meetings
• Address clinician challenges, recommend updates, and implement changes
• Review and correct clinical documentation, focusing on patient medical data base, assessments and plan of care. Ensure documentation meets compliance requirements for regulatory bodies. Resource to staff in defining/education/implementing and evaluating patient care.
• Manage utilization of services by coordinating care and communicating extensively with members of the interdisciplinary team. This is to ensure appropriate utilization of services and prevent lower utilization of services.
• Ensure all clinicians involved in case are aware of case management/utilization management/disease management, quality improvement and education that is clinically appropriate within reimbursement guidelines for each episode.
• Ensures a high level of customer satisfaction and works with others to improve customer satisfaction over a period of time. Maintains a safe environment.

Benefits

• Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions.
• Eligibility for benefits is governed by the applicable plan documents and policies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees