The Clinical Case Manager will play a key role in reviewing incoming referrals, triaging cases appropriately, helping determine eligibility and service needs, coordinating with intake and clinical staff, and ensuring smooth case flow from referral through admission readiness.
Provides oversight of all patient care services and personnel including but not limited to making patient and personnel assignments, coordinating patient care, coordinating referrals, assuring patient needs are continually assessed, and assuring the development, implementation, and updates to the individualized patient plan of care
Serve as the first line for resolution of concerns and issues for the staff
Plans, directs, and participates in delivery of home health services to provide diagnosis-specific patient care, including coordination of services with providers, vendors, facilities.
Coordinate with hospitals, physicians, discharge planners, visiting clinicians, patient/caregiver, and internal teams for patient care coordination
Provide employees with continuous training and education and perform employee reviews, exits, counseling, and meetings
Communicate regularly with support staff to assess current needs, determine level of accountability, and provide supportive discussion related to areas of responsibility and job duties
Develop staff to meet quality, safety, and competency requirements by assisting with training and professional development of new and current staff, and annual joint visits
Communicate with leadership regarding continuous quality improvement, problem solving, and other issues related to the overall effectiveness of the Home Health program
Collaborate with the Director of Nursing / Clinical, Intake team, QA team, and branch staff to support efficient case management workflow
Develop staff to meet quality, safety, and competency requirements by assisting with training and professional development of new and current staff, annual joint visits, and setting up vacation coverage
Help prioritize urgent and high acuity cases for timely response
Ensure compliance with company policies and applicable home health regulations
Support both Lombard and Chicago branch operations as needed
Active RN license in good standing
Prior experience in home health, intake, referral management, case coordination, or clinical triage preferred
Strong understanding of home health services, documentation, and care coordination processes
Excellent communication, organizational, and multitasking skills
Ability to work efficiently in an office-based, team-oriented environment
Strong attention to detail and ability to manage multiple cases simultaneously
Experience with Kinnser is a plus
