RN Case Manager

Job Details

We are hiring a RN Case Manager for our office in Fond du Lac!

As a RN Case Manager, you can expect:

• Opportunities to get closer to patients and provide quality support to your patient-facing teams,
• To be valued and respected by patients and their families,
• A sense of security, incredible team support, and flexibility for true work-life balance,
• Leadership development opportunities

Our RN Clinical Manager role might be a great opportunity if you believe in putting the patient at the center of everything. Apply today!

• Understands the criteria for acceptance of patient and reimbursement mechanisms as they relate to the delivery of services to patients. Collaborates with the Agency Director regarding referral acceptance, assists in determining qualification and appropriateness for home care services and establishment of frequencies and utilization for new admissions.
• Works closely with the Agency Director regarding coverage, plan of care, and other reimbursement concerns on both an individual and an agency perspective.
• Schedules initial assessments. Ensures that documentation of initial assessments is complete and meets established processing time frames.
• Works closely with Case Coordinators to provide appropriate and adequate staffing.
• Monitors patient utilization to ensure compliance with physician orders, agency, and funded program guidelines. Investigates all unfilled shifts and takes appropriate actions.
• Assists in completing schedules for Case Managers, nurses and other PRN support staff as needed. Ensures Case Managers and nurses submit accurate documentation according to required timelines.
• Implements and approves changes to the patient's plan of care when needed, in consultation with Case Managers and/or direct care staff. Approves all verbal order and initials form to signify approval. Makes changes to the POC calendar and adds medications and treatments to the POC as appropriate and ordered.
• Ensures that recertification's are completed in a timely manner and approves frequencies and utilization of all patients re-certified. Assures compliance with 485/plan of care policies and time frames. Verifies 485 content and appropriateness.
• Performs routine and supervisory visits in the field as needed and as dictated per the state requirements.
• Assists in training and/or orientation of newly hired nurses, caregivers, or other staff as directed.

License Requirements

• Must be a Registered Nurse licensed in the state of practice.
• Minimum of 1 year of Home Care related experience preferred. Supervisory or management experience preferred.

State Specific Requirements

• WI: Must have at least one year of supervisory or administrative experience in personal care services or in a related program.

Skill Requirements

• Prior management experience preferred.
• Knowledge of home care regulations and regulatory requirements is preferred.

 Almost Family

 07/25/2024

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