RN Case Manager
Valence Care - HCS - Girling NY - Extended Home Care - A&J Staffing - A Better Life - Direct Care · NY, US
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About the Role
Extended Home Care is seeking an experienced and qualified RN Case Manager to manage and oversee the delivery of home care services to our patients.
Responsibilities
- Competent to apply age specific criteria as appropriate for patients of all ages.
- Plans, implements, manages and evaluates home health services to ensure quality care.
- Establishes and updates care plans with input from patients, caregivers, physicians, and healthcare team members.
- Completes all required documentation, including interdisciplinary referral forms, 485s, OASIS, interim physician orders, and coordination notes.
- Manages the multidisciplinary team and ensures scheduled visits are authorized and covered by a physician order.
- Reviews reports, evaluates patient care needs, and communicates with physicians.
- Contacts physicians and other patient care providers for care coordination.
- Participates in staff/team meetings.
- Maintains ongoing responsibility for assigned caseload.
- Maintains proficiency in clinical and administrative skills.
- Demonstrates sound judgment and problem-solving skills for patient intervention.
- Facilitates patient care in the home setting by utilizing community resources, counseling, teaching, and advocating.
- Communicates caseload and patient care issues to the Clinical Manager.
- Updates the Home Health Aide plan of care and communicates with the Home Health Aide Coordinator.
- Develops, implements, and carries out discharge plans.
- Ensures all visits have prior authorization from managed care insurance companies.
- Works collaboratively with managed care insurance companies.
- Monitors the quality of therapeutic services through communication with all disciplines.
- Participates in performance improvement activities, team meetings, and orientation.
- Participates in case conferences and/or clinical rounds to provide guidance on care.
- Participates in the agency’s Quality Assurance Performance Improvement Program/PIP.
- Works with the Interdisciplinary Team to develop interventions for patient goals.
- Documents accurately, timely, and completely in patient’s clinical record.
- Writes accurate and concise clinical/progress notes.
- Demonstrates sound judgment regarding corporate compliance regulations.
- Reports suspected violations to supervisors or the Compliance Officer.
- Performs other nursing activities as directed.
Requirements
- Graduate of an accredited School of Nursing required.
- Current Registered Nurse license with NYS Department of Education required.
- Minimum of 1 year recent medical/surgical nursing experience required.
- Familiarity with EMR and computer applications (Word, Excel) preferred.
- UAS certification also preferred.
Skills
- OASIS documentation
- Intellectual and Developmental Disabilities (IDD) care
- MLTCP and commercial payer requirements
- EMR
- Word
- Excel
Location
- Brooklyn
- Manhattan
- Staten Island
Work Type
- Onsite
- Full-time
Experience Level
- 1 year recent medical/surgical nursing experience
Education Level
- BSN preferred
Salary/Compensations
- $115,000.00 per year
Benefits
- Health, Dental, Vision
- Life Insurance
- 401k + Company match
- Paid holidays
- PTO package
- Paid orientation
- Employee Referral Program
About the Company
- Extended Home Care is seeking an experienced and qualified RN Case Manager to manage and oversee the delivery of home care services to our patients.
Equal Opportunity
- We are an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under federal, state, or local law. Reasonable accommodation is available per ADA and applicable state laws.