Pediatric Clinical Case Manager - RN

Duties and Responsibilities

• Ensures supervision of all home care personnel, as assigned
• Enforces/ demonstrates compliance with State/ Federal regulations
• Ensures effective communication to coordinate the implementation of each patient’s Plan of Care
• Instruct, train, and re-educate on clinical skills/procedures when necessary
• Responsible for direct supervision of field LVNs/LPNs/RNs per State guidelines
• Provides support, guidance, and education to patients/patient families and or caregivers to maintain optimal physical and emotional wellbeing
• Communicates all occurrences and other pertinent information to the Clinical Supervisor/Director of Clinical Services
• Safeguards against and reports any observed or suspected child/adult abuse, neglect, or exploitation to proper authorities as mandated as a health professional
• Collaborates with Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner

Office Responsibilities

• To Ensure And/or Facilitate The Following:
  • Develops and implements the treatment plan for each patient under the direction of physician
  • Completes all clinical documentation in timely manner, including admissions, recertification’s, resumptions of care, accurately and ensures that documentation meets all requirements per agency policies and State regulations
  • Reviews clinical documentation to ensure it is complete and reflects skilled services to meet payer source requirements for reimbursement
  • Interviews and evaluates potential clinical field staff to ensure competency in order to promote appropriate/safe patient care
  • Complies and participates in the continuing quality improvement by appropriately reporting of incidents, injuries, infection and all components of the risk management program
  • Participates in agency sponsored continuing education in-services and conferences to maintain own clinical competency
  • Supports and executes the mission, ethics, and goals of the company effectively
  • Represents themselves in a positive and professional manner in the company and community
  • Adheres to dress code with a clean and neat professional appearance
  • Reports on time and as scheduled in order to complete work within designated time
  • Adheres to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team

Clinical Manager Oversight

• Making patient and personnel assignments
• Coinciding patient care
• Coinciding referrals
• Affirming that patient needs are continually assessed
• Affirming the development, implementation, and updates of the individualized plan of care

Qualifications

• Current state license as a Registered Nurse, BSN preferred
• Minimum of two years of nursing experience in a Home Health or Acute setting preferred
• Demonstrate leadership capabilities with strong supervisory and interpersonal skills
• Detail oriented, flexible, good organizational and time management skills
• Knowledge of cost management for clinical services
• Current CPR card and Current health certificate as applicable
• Current state driver’s license and automobile insurance