RN CASE MANAGER

Company: Critical Nurse Staffing, LLC
Location: Oak Ridge
Posted on: September 17, 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, Healthcare , Oak Ridge, Tennessee