RN CASE MANAGER
Company: Critical Nurse Staffing, LLC
Location: Oak Ridge
Posted on: October 3, 2024
Job Description:
Salary: $75,000 per year or more depending on experience
Location: Oak Ridge, TN
Full-Time, Monday-Friday
Here's Why Our Team Likes Working with Us:.
- Medical, dental, vision, and 401K
- Supplemental insurance available
- Matching 401k
- Unlimited Paid Time Off (PTO) 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:
- Provides accurate and complete documentation with rationale to
ensure reauthorization of patients.
- 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.
- Assists in the implementation of the Plan of Care ('POC') and
any amendments to the POC as needed.
- Conducts the orientation of new staff and coordinates them
starting in patients' homes.
- Serves as a resource to new staff for training and follow up
after training to ensure staff satisfaction and retention.
- Submits all nursing documentation timely per company
policy
- 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.
- Establish and promote a collaborative relationship with
patient, physicians, payers, and other members of the healthcare
team.
- Assist authorization team to collect and communicate pertinent,
timely information to payers to ensure reauthorization of patient's
home health care services.
- Actively involved in the process improvement activities to
achieve the optimal clinical, financial, operational, and
satisfaction outcomes.
- Participates in assigned quality assurance committee(s) and
interdepartmental projects when needed or requested.
- Demonstrates current knowledge of Payor policy and
procedure(s).
- Assist with state survey preparation and implementation and act
as the back up administrator as assigned.
- Other duties as assigned.
SUPERVISORY RESPONSIBILITIES
This position has direct supervisory responsibilities. This
position will perform supervisory visits as needed.
#TFIND
Requirements
QUALIFICATIONS: To perform this job successfully, an individual
must be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge,
skill, and /or ability required.
EDUCATION and/or EXPERIENCE
Required
- Bachelor's degree in a related field
- Current Registered Nurse (RN) license to practice professional
nursing in each state where patient care is supervised
- Current Basic Cardiac Life Support certification
- At least one (1) year of case management experience
- At least one (1) year of staff scheduling experience Preferred:
- Three (3) or more years of experience as a Registered Nurse
preferred
- Nurse management or supervisory experience preferred
- Home health or Department of Labor (DOL) experience strongly
preferred Other Requirements: Maintain current state licensure.
Maintain current liability and malpractice insurance, if
applicable.
CERTIFICATES, LICENSES, REGISTRATIONS, & MEDICAL REQUIREMENTS---
- Valid Driver's License
- Active RN License CLEARANCES
The following background checks are conducted:
- Criminal background
- Driving Record
- OIG Exclusion List
- Sex Offender Registry
Keywords: Critical Nurse Staffing, LLC, Knoxville , RN CASE MANAGER, Executive , Oak Ridge, Tennessee
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