RN Case Manager - Full Time

About the role

The Clinical Manager will oversee all patient/client care services and personnel, ensuring quality of patient/client care in the home. The Clinical Manager will coordinate care with the interdisciplinary team, patient/client, family, and referring agency.

Qualifications

• Licensure: Must have an active RN license for the state of Texas
• Experience: One year of experience in home health care preferred. Management experience preferred.
• Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and the ability to communicate effectively. Demonstrates proven decision-making skills. If required to make visits, proof of current CPR certification.

Responsibilities

• Coordinates patient/client care.
• Coordinates and integrates care provided by Agency staff, including contractual providers
• Ensures communication with all physicians involved in patient's/clients plan of care and other healthcare practitioners
• Integrates orders from all relevant physicians involved into the plan of care and ensures the orders are approved by the responsible physician
• Coordinates referrals
• Participates in activities relevant to professional services including development of qualifications.
• Recommends resources needed to provide care.
• Makes patient/client and personnel assignments
• Assures that patient/client needs are continually assessed.
• Assures reassessment of the patient's client's needs is performed by the appropriate healthcare professional when there is significant health status change in the patient/client's condition, at the physician's request, and after hospital discharge.
• Assures the development, implementation, and updates of the individualized plan of care in partnership with the patient/client, representative (if any) and caregiver(s)
• Ensures provision of services as ordered by the physician as indicated in the plan of care, including patient/client and caregiver education and patient/client, caregiver, and family counseling.
• Prepares clinical notes as appropriate
• Assumes responsibility for continuity, quality, and safety of services delivered in compliance with state and federal regulations
• Collaborates on development and implementation of policies and procedures which guide and support the provision of care.
• Collaborates with Agency leadership and appropriate staff to develop the organizational plan as it pertains to patient/client care
• Monitors and participates in the QAPI program and assures appropriate corrective measures are performed
• Promotes compliance with all fiscal intermediary and/or other third-party payors, through education, coaching, and other assistance, as necessary
• Monitors systems and identifiers problems areas to Administrator both verbally and through written reports
• Meets mandatory continuing education requirements of the Agency and licensing board
• Promotes and educates regarding the concepts of the infection control and standard precautions in coordinating or performing patient/client care activities to prevent contamination and transmission of disease
• Uses effective interpersonal relations and communication skills; facilitates the use of the skills by other members to achieve desirable outcomes
• Participates in the Agency sponsored in-service trainings
• Ensures that care offered by the Agency, including any branches, is consistently available to all patients/clients