Clinical Case Manager, Care Management

VNS Health

  • New York, New York
  • 30+ days ago
  • $93,400–$116,800 Per Year
  • Full-time
Want to know if you’re a fit?
Upload your resume and let our AI show you.

Skills

  • Business Developmentunmatched
  • Business Growthunmatched
  • Business Supportunmatched
  • Case Managementunmatched
  • Clinical Assessmentunmatched
  • Clinical Medicineunmatched
  • Clinical Study Publicationsunmatched
  • Clinical Trialunmatched
  • Communication Skillsunmatched
  • Conferencesunmatched
  • Contract Managementunmatched
  • Contract Requirementsunmatched
  • Crisis Managementunmatched
  • Disciplinary Actionunmatched
  • Employee Relationsunmatched
  • Flexible Spending Accountsunmatched
  • Health Insuranceunmatched
  • Healthcareunmatched
  • Home Careunmatched
  • Interpersonal Skillsunmatched
  • Leadershipunmatched
  • Maintain Complianceunmatched
  • Marketingunmatched
  • Marketing Strategyunmatched
  • Nursingunmatched
  • Nursing Managementunmatched
  • On Callunmatched
  • Onboardingunmatched
  • Patient Careunmatched
  • Performance Analysisunmatched
  • Performance Managementunmatched
  • Performance Reviewsunmatched
  • Philosophyunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Quality Assuranceunmatched
  • Registered Nurse (RN)unmatched
  • Regulatory Complianceunmatched
  • Regulatory Requirementsunmatched
  • Staff Trainingunmatched
  • Standards of Careunmatched
  • Strategic Planningunmatched
  • Team Playerunmatched
  • Time Managementunmatched
  • Treatment Planunmatched
  • Writing Skillsunmatched

Description

Overview: Ensures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction. Responsibilities:

 

 

What We Provide

  • Referral bonus opportunities   
  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays 
  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability  
  • Employer-matched retirement saving funds 
  • Personal and financial wellness programs  
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care   
  • Generous tuition reimbursement for qualifying degrees 
  • Opportunities for professional growth and career advancement  
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities  

 

What You Will Do

 

  • Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care.
  • Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations.
  • Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards.
  • Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments.
  • Contribute to the planning and development of business strategies focused on expanding nursing service opportunities.
  • Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth.
  • Provide on-call coverage based on departmental needs.
  • Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers.
  • Serve as a clinical resource and subject matter expert for staff across the organization.
  • Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management.
  • Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
  • Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary.
  • Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter.
  • Monitor email communications to identify changes in patients’ clinical conditions that may require escalation or modifications to the aide plan of care.
  • Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate.
  • Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards.
  • Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
  • Assist with special projects and perform additional duties as assigned.
Qualifications:

Licenses and Certifications:
License and current registration to practice as a Registered Professional Nurse, in New York State required

CPR Certification required 

Education:
Bachelor's Degree in Nursing from an approved program required

Master's Degree in Nursing preferred

Work Experience:
Minimum two years clinical experience required

Minimum of two years managerial experience in a LHCSA or CHHA preferred 

Proficiency in Microsoft Office applications required

Excellent problem-solving and organizational, interpersonal, and verbal and written communication skills required



Pay Range: USD $93,400.00 - USD $116,800.00 /Yr.

Numbers & Facts

LocationNew York, New York
Job TypeFull-time
Salary$93,400–$116,800 Per Year

Similar Jobs