Description:
Salary: $80,000 per year or more depending on experience
Location: Lenoir City, TN
Full-Time, Monday-Friday
- Participates in On-Call Rotation
Benefits Summary:
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Medical, dental, vision, and 401K
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Health Savings Account
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Matching 401k
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Unlimited Paid Time Off (PTO)
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Mileage reimbursement
SUMMARY
The RN Case Manager is responsible for overseeing the delivery of coordinated care for a patient and/or an assigned group of patients. Additionally, this position is responsible for the day-to-day management and supervision of the related clinical care activities within the area the Case Manager services.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company, have exceptional customer service, and demonstrate a comprehensive in-home clinical knowledge base. Other assigned duties include:
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Provides accurate and complete documentation with rationale to ensure reauthorization of patients.
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Delivers services in the field or away from assigned office 50% of the time. Field activities include tasks such as: in-home RN scheduled visits, attending physician appointments.
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Assists in the implementation of the Plan of Care (‘POC’) and any amendments to the POC as needed.
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Conducts the orientation of new staff and coordinates them starting in patients’ homes.
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Serves as a resource to new staff for training and follow up after training to ensure staff satisfaction and retention.
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Submits all nursing documentation timely per company policy
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Completes assigned chart reviews as assigned within established time frames and follows up and councils’ staff on documentation issues as necessary and ensure documentation is turned in on time.
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Establish and promote a collaborative relationship with patient, physicians, payers, and other members of the healthcare team.
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Assist authorization team to collect and communicate pertinent, timely information to payers to ensure reauthorization of patient’s home health care services.
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Actively involved in the process improvement activities to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
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Participates in assigned quality assurance committee(s) and interdepartmental projects when needed or requested.
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Demonstrates current knowledge of Payor policy and procedure(s).
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Assist with state survey preparation and implementation and act as the back up administrator as assigned.
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Other duties as assigned.
SUPERVISORY RESPONSIBILITIES
This position has direct supervisory responsibilities. This position will perform supervisory visits as needed.
Requirements:
EDUCATION and/or EXPERIENCE
Required:
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Associate's or Bachelor’s degree in a related field,
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Current Registered Nurse (RN) license to practice professional nursing in each state where patient care is supervised,
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Current Basic Cardiac Life Support and CPR certification
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At least three (3) years of experience as a Registered Nurse
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At least one (1) year of case management experience
Preferred:
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Home health experience strongly preferred
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Department of Labor / EEOICPA experience preferred
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Supervisory experience preferred
Other Requirements: Maintain current state licensure. Maintain current liability and malpractice insurance, if applicable.
CERTIFICATES, LICENSES, REGISTRATIONS, & MEDICAL REQUIREMENTS
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Valid Driver’s License
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Active RN License
CLEARANCES
The following background checks are conducted:
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Criminal background
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Driving Record
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OIG Exclusion List
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Sex Offender Registry
#TFIND
