RN Case Manager - Home Healthcare

CNSCares•Lenoir City, TN

6d•$80,000•Onsite

About The Position

The RN Case Manager oversees coordinated care for an individual patient or assigned group of patients and manages and supervises day-to-day clinical care activities in the area served. The role delivers services in the field or away from the assigned office 50% of the time, including scheduled in-home RN visits and attendance at physician appointments. It also includes supervisory visits as needed and direct supervisory responsibilities. The position supports implementation and amendment of patients’ Plans of Care, ensures timely and complete nursing documentation, reviews charts, and provides follow-up and guidance to staff on documentation. The RN Case Manager helps onboard and train new staff, coordinates their starts in patients’ homes, and serves as a resource after training. The role works collaboratively with patients, physicians, payers, and other healthcare team members; supports payer authorization and reauthorization; contributes to quality and process improvement; participates in committees and interdepartmental projects; and assists with state survey preparation. The position may act as backup administrator as assigned. The role is full-time, Monday through Friday, based in Lenoir City, Tennessee, and participates in an on-call rotation. Salary is $80,000 per year or more depending on experience.

Requirements

Associate’s or bachelor’s degree in a related field.
Current, active Registered Nurse (RN) license and current state licensure.
Current Basic Cardiac Life Support and CPR certification.
At least three years of experience as a Registered Nurse.
At least one year of case management experience.
Valid driver’s license.
Maintain current liability and malpractice insurance, if applicable.
Regular attendance and punctuality, ability to work with people at all company levels, exceptional customer service, and comprehensive in-home clinical knowledge.
Background checks include criminal background, driving record, OIG Exclusion List, and Sex Offender Registry.

Nice To Haves

Home health experience strongly preferred.
Department of Labor / EEOICPA experience preferred.
Supervisory experience preferred.

Responsibilities

Oversee coordinated care for a patient or assigned group of patients.
Manage and supervise day-to-day clinical care activities in the service area.
Provide services in the field or away from the assigned office 50% of the time, including scheduled in-home RN visits and physician appointments.
Assist with implementation of the Plan of Care and amendments as needed.
Conduct orientation of new staff and coordinate their starts in patients’ homes.
Train and support new staff after training to promote staff satisfaction and retention.
Submit nursing documentation on time and provide accurate, complete documentation to support patient reauthorization.
Complete assigned chart reviews within established time frames and follow up with and counsel staff on documentation issues.
Build collaborative relationships with patients, physicians, payers, and other healthcare team members.
Assist the authorization team by collecting and communicating timely, relevant information to payers for reauthorization of home health services.
Participate in process-improvement activities to support clinical, financial, operational, and satisfaction outcomes.
Participate in assigned quality assurance committees and interdepartmental projects as needed or requested.
Maintain current knowledge of payer policies and procedures.
Assist with state survey preparation and implementation and act as backup administrator as assigned.
Perform supervisory visits as needed.
Perform other duties as assigned.