RN Clinical Case Manager

MGA Homecare•Phoenix, AZ

22h•Hybrid

About The Position

The RN Clinical Case Manager is responsible for the supervision of home care personnel and the coordination of patient care, ensuring compliance with State and Federal regulations. Key duties include instructing and training staff on clinical skills, providing support and education to patients and their families, and communicating pertinent information to clinical supervisors. The role also encompasses significant office responsibilities such as developing and implementing patient treatment plans, completing and reviewing clinical documentation for accuracy and reimbursement, and evaluating potential clinical field staff. The company, MGA Homecare, focuses on providing tailored, quality homecare by fostering strong bonds between patients and highly skilled, responsible, and caring healthcare professionals, including RNs, LPNs, LVNs, and various therapists.

Requirements

Current state license as a Registered Nurse
Minimum of two years of nursing experience in a Home Health or Acute setting
Demonstrate leadership capabilities with strong supervisory and interpersonal skills
Detail oriented, flexible, 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
Automobile insurance

Nice To Haves

BSN preferred

Responsibilities

Ensures supervision of all home care personnel, as assigned
Enforces/ demonstrates compliance with State/ Federal regulations
Ensures effective communication to coordinate the implementation of each patient’s Plan of Care
Instruct, train, and re-educate on clinical skills/procedures when necessary
Responsible for direct supervision of field LVNs/LPNs/RNs per State guidelines
Provides support, guidance, and education to patients/patient families and or caregivers to maintain optimal physical and emotional wellbeing
Communicates all occurrences and other pertinent information to the Clinical Supervisor/Director of Clinical Services
Ensures any observed or suspected child/adult abuse, neglect, or exploitation is reported to proper authorities as mandated as a health professional
Collaborates with Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner
Develops and implements the treatment plan for each patient under the direction of physician
Completes all clinical documentation in timely manner, including admissions, recertification’s, resumptions of care, accurately and ensures that documentation meets all requirements per agency policies and State regulations
Reviews clinical documentation to ensure it is complete and reflects skilled services to meet payer source requirements for reimbursement
Interviews and evaluates potential clinical field staff to ensure competency in order to promote appropriate/safe patient care
Complies and participates in the continuing quality improvement by appropriately reporting of incidents, injuries, infection and all components of the risk management program
Participates in agency sponsored continuing education in-services and conferences to maintain own clinical competency
Supports and executes the mission, ethics, and goals of the company effectively
Represents themselves in a positive and professional manner in the company and community
Adheres to dress code with a clean and neat professional appearance
Reports on time and as scheduled in order to complete work within designated time
Adheres to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team
Making patient and personnel assignments
Coordinating patient care
Coordinating referrals
Assuring that patient needs are continually assessed
Assuring the development, implementation, and updates of the individualized plan of care