Registered Nurse (RN) Care Manager

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

Schedule

8:15am - 5:00pm Monday - Friday, weekend rotation, 1 holiday per year

Pay

$70,000/annually

Responsibilities

• Plan of Care (POC) review and revision to reflect accuracy and regulatory standards
• Recertification/Discharge review and recommendation
• Utilization/Calendar Management
• Adhere to Utilization Management Guidelines
• Participate in Interdisciplinary Team Meetings and Agency Townhall Meetings
• Seek opportunities to contain cost
• Review Charts to monitor compliance with regulatory and governmental regulations
• Meets productivity standards and workflow expectations
• Functions as a resource for clinicians, agency staff, and internal staff
• Collaborates with clinicians as necessary for documentation clarification or educational opportunities
• Attends in-service trainings and mandatory agency meetings
• Stays current with CMS guidelines and Oasis Guidelines
• Read and adhere to all Agency Policies and Procedures and follow Employee Handbook Guidelines
• Completes and submits all required documentation within specified company requirements
• Other duties as assigned

Requirements

• Registered Nurse licensure required
• Two years home care field experience preferred
• One-year clinical review preferred
• Two years case management and/or utilization management experience preferred
• Demonstrates exceptional collaboration skills
• Self-starter and innovative problem solver
• Proficiency in HCHB preferred
• Knowledge of Medicare, Medicaid and all State/Federal guidelines for compliance of patient clinical care
• Strong clinical acumen to thoroughly understand the patient’s health and functional status and foster effective communication
• Able to create positive impressions and communicate effectively with a variety of people and personalities
• Is an active listener and demonstrates ability to engage care team in the patient plan of care
• Must project a professional image during virtual communication
• Ability to set up work systems and engage in flexible problem-solving behavior
• Observant and detail oriented
• Proficient in Microsoft Office including Excel, Outlook, Power Point and Word

Location: Fully Remote with Equipment Provided