HCBA RN Intake Case Manager

About the role

The Intake RN Case Manager is responsible for completing assessments for applicant clients waiting to be enrolled in the HCBA waiver. This includes communication with physicians and organizing services needed for the applicant.

Responsibilities

• Use the nursing process to assess the patient’s medical needs.
• Provide and maintain proper licensure and provide it to the Agency.
• Provide nursing services as part of the Intake Team for each assigned client.
• Ensure proper tracking, charting, progress notes, and case records for each applicant client within time guidelines and assure completion according to Agency’s policies and procedures.
• Document patient intervention and response for accurate intervention using established guidelines.
• Ensure proper timekeeping and scheduling, as discussed with supervisor.
• Work collaboratively with the Social Worker on intake team.
• Complete assessments based on the timeline determined upon a participant’s waitlist status.
• Follow up with the participant after emergency and inpatient facility admission.
• Report all incidents and issues that arise before, after or during an assessment to the lead RN.
• Maintain all scheduled visits on the calendar.
• Review all documents associated with the applicant in order to be prepared before completing assessment.
• Complete all assessments within the outlined timeframe which is stated in the HCBA policy and procedure handbook.
• Manage complaints from clients, families and friends.
• Report all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in an RCFE) or DHCS and APS (if abuse or neglect occurs in PH).
• Report fraud.
• Review the Significant Incident Reports (SIRs) with client and staff, as necessary.
• Participate in Education, Training and Quality Improvement Activities.
• Monitor compliance and assist Agency in maintaining compliance with Federal, State, Local, and HIPAA Regulations, as well as Joint Commission Standards and Labor Laws.
• Screens applications/applicants for HCBA Waiver to determine if the applicant meets the minimum HCBA Waiver LOC eligibility requirements.
• Schedule and conduct comprehensive health and psychosocial Intake assessments of participants’ medical needs, diagnosis, functional and cognitive abilities, and environmental and social needs, to determine which service(s) are required to meet participants’ needs and preferences in the community.
• Works with MSW to perform initial evaluations and works with applicant, his or her legal representative, circle of support, physician and providers to develop a Plan of Treatment in order to:
  • Develop goals associated with the participant’s assessed needs, individual circumstances, and preferences.
  • Mitigate risk and minimize disruptions in services.
  • Identify when services outlined in POT are available through friends, family, and/or publicly funded programs.
  • Implement the POT, which includes identifying service providers and community resources to help assure the timely, effective, and efficient mobilization and allocation of services.
  • Identify (and train, if necessary), backup caregivers who are willing and able to provide unpaid support if and when waiver service providers are not available.
  • Provide information, education, counseling, and advocacy to, and on behalf of, participants.
  • Provide information, education, counseling, and advocacy to, and on behalf of participants.
• Respects the patient's and family's rights and property as defined by the federal and state laws. Always maintains and conserves confidentiality of patient and agency information conforming to HIPAA regulations.
• Regularly attends and participates in scheduled case conferences, staff meetings and Agency in-services (in person, by phone, or by web).
• Participates in appropriate continuing education as may be requested and/or required by immediate supervisor.
• Regulates nursing skills and educational needs to meet the nursing care requirements of patients assigned for care.

Qualifications

• Current, unsuspended, un-revoked license to practice as a Registered Nurse in California.
• Knowledge of current Nursing Practice Act.
• CPR certification.
• Proficient in the use of computers.
• Minimum two (2) years’ experience in a home health organization, primary care clinic, or a health facility preferred.
• Minimum of one (1) year experience in healthcare quality management preferred.
• Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures.
• Free from signs of infection and illness.
• Exercises excellent judgment and possesses knowledge of current nursing practices, with demonstrated exemplary clinical, analytical, and documentation skills.
• Possesses good written and verbal communication skills. Fluent in English.
• Licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements.

Skills

• Excellent judgment and knowledge of current nursing practices.
• Good written and verbal communication skills.
• Fluent in English.
• Exercises excellent judgment and possesses knowledge of current nursing practices, with demonstrated exemplary clinical, analytical, and documentation skills.

Benefits

N/A

Pay

$90,000 - $105,000 PER YR

Schedule

Field (Must be based in California)