Clinical Case Manager

MGA Homecare•Raleigh, NC

23h

About The Position

The Clinical Case Manager supervises home care personnel and supports the coordination and delivery of patient care. The role ensures compliance with state and federal regulations, communicates to support implementation of each patient’s Plan of Care, and provides clinical instruction, training, and re-education as needed. It includes direct supervision of field LVNs/LPNs/RNs in accordance with state guidelines, as well as education and support for patients, families, and caregivers. The Clinical Case Manager communicates occurrences and pertinent information to the Clinical Supervisor or Director of Clinical Services and collaborates with them to resolve client and clinical concerns. The role also reports suspected abuse, neglect, or exploitation to the appropriate authorities as mandated.

Requirements

Current state license as a Registered Nurse.
Demonstrated leadership capabilities with strong supervisory and interpersonal skills.
Detail-oriented, flexible, and possessing good organizational and time-management skills.
Knowledge of cost management for clinical services.
Current CPR card.
Current health certificate, as applicable.
Current state driver’s license and automobile insurance.

Nice To Haves

BSN preferred.
Minimum of two years of nursing experience in a Home Health or Acute setting preferred.

Responsibilities

Supervise assigned home care personnel and demonstrate and enforce compliance with state and federal regulations.
Communicate effectively to coordinate implementation of each patient’s Plan of Care.
Instruct, train, and re-educate personnel on clinical skills and procedures when necessary.
Directly supervise field LVNs/LPNs/RNs in accordance with state guidelines.
Provide support, guidance, and education to patients, patient families, and caregivers to maintain physical and emotional wellbeing.
Communicate occurrences and other pertinent information to the Clinical Supervisor or Director of Clinical Services.
Report observed or suspected child or adult abuse, neglect, or exploitation to the proper authorities as mandated.
Collaborate with the Clinical Supervisor and Director of Clinical Services to resolve client and clinical concerns in a timely manner.
Develop and implement each patient’s treatment plan under the direction of a physician.
Complete clinical documentation, including admissions, recertifications, and resumptions of care, accurately and promptly in accordance with agency policies and state regulations.
Review clinical documentation for completeness and evidence of skilled services meeting payer-source reimbursement requirements.
Interview and evaluate potential clinical field staff for competency to promote appropriate and safe patient care.
Participate in continuing quality improvement and report incidents, injuries, infections, and other risk-management matters appropriately.
Participate in agency-sponsored continuing education, in-services, and conferences to maintain clinical competency.
Support and execute the company’s mission, ethics, and goals.
Represent the company positively and professionally in the company and community.
Maintain a clean, neat, professional appearance and adhere to the dress code.
Report on time and as scheduled to complete work within designated time.
Follow company policies and procedures stated in the Employee Handbook, Employee Agreement, or communicated by the executive team.
Make patient and personnel assignments.
Coordinate patient care and referrals.
Ensure patient needs are continually assessed.
Ensure the development, implementation, and updating of individualized plans of care.