Registered Nurse Clinical Case Manager
Company: MGA Homecare
Location: Pueblo
Posted on: January 20, 2023
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Job Description:
Job Description
We are growing and have an immediate opening for an RN Clinical
Case Managerto join our amazing team!
This role reports directly to Clinical Supervisor and is
responsible for care coordination of clinical staff and
patient/family clientele. Responsible for admissions and
recertification assessments, including supporting documentation, as
assigned. This position ensures compliance with MGA policies, State
policies and procedures, and policies of accrediting agencies, as
well as responsible for maintaining compliance with all
reimbursement guidelines and maintaining patient
confidentiality/HIPPA guidelines. Furthermore, individual will
participate in program development, implementation, as well as
collaborating with Client Service Managers to acquire/develop new
relationships with clientele.
The Clinician will work -remotely and in -the office 60% of the
time and 40% in the field. The Clinician will conduct assessments
via video call or phone call (Microsoft Teams video, Facetime) as
well as -help with remote phone interviews for field staff
clinicians.
If you are seeking a rewarding career opportunity with a growing
healthcare company that values its employees and patients, then
apply now to join the MGA family!
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.
Ensures any observed or suspected child/adult abuse, neglect, or
exploitation is reported to proper authorities as mandated as a
health professional.
Collaborates with Clinical Supervisor and Director of Clinical
Services to resolve client/clinical concerns in 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;
Coordinating patient care;
Coordinating referrals;
Assuring that patient needs are continually assessed; and
Assuring 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.
Additional Information
Benefits include:
Base salary starting at $65,000.00 annually plus auto and cell
allowances.
Health, Dental & Vision Coverage
Health Savings Accounts (HSA-available if enrolled in a high
deductible plan)
Flexible Spending Accounts (FSA & LPFSA)
Dependent Care Reimbursement Accounts (DCRA)
Employee Assistance Program (EAP-available if enrolled in Health
plan)
401(k) retirement plan
Paid Time Off (PTO)
7 Company Paid Holidays
100% -Basic Life Insurance (if enrolled in Health plan)
Voluntary Life Insurance
Short & Long-Term Disability
Critical Illness/Accident Insurance
Hospital Indemnity Insurance
Identity Protection Plan
Legal Care Plan
Pet Discount Program
All your information will be kept confidential according to EEO
guidelines.
PandoLogic. Keywords: Medical Case Manager, Location: Pueblo, CO -
81003 , PL: 559776578
Keywords: MGA Homecare, Pueblo , Registered Nurse Clinical Case Manager, Executive , Pueblo, Colorado
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