RN Case Manager - Home Health

Salary: $80,000 per year or more depending on experience

Location: Lenoir City, TN

Full-Time, Monday-Friday

*Participates in On-Call Rotation 

Benefits Summary:

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• Medical, dental, vision, and 401K
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• Health Savings Account
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• Matching 401k
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• Unlimited Paid Time Off (PTO)
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• Mileage reimbursement 
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SUMMARY 

The RN Case Manager is responsible for overseeing the delivery of coordinated care for a patient and/or an assigned group of patients. Additionally, this position is responsible for the day-to-day management and supervision of the related clinical care activities within the area the Case Manager services. 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

 Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company, have exceptional customer service, and demonstrate a comprehensive in-home clinical knowledge base. Other assigned duties include:

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2. Provides accurate and complete documentation with rationale to ensure reauthorization of patients.
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4. Delivers services in the field or away from assigned office 50% of the time. Field activities include tasks such as: in-home RN scheduled visits, attending physician appointments.
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6. Assists in the implementation of the Plan of Care (‘POC’) and any amendments to the POC as needed. 
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8. Conducts the orientation of new staff and coordinates them starting in patients’ homes.
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10. Serves as a resource to new staff for training and follow up after training to ensure staff satisfaction and retention.
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12. Submits all nursing documentation timely per company policy
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14. Completes assigned chart reviews as assigned within established time frames and follows up and councils’ staff on documentation issues as necessary and ensure documentation is turned in on time.
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16. Establish and promote a collaborative relationship with patient, physicians, payers, and other members of the healthcare team. 
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18. Assist authorization team to collect and communicate pertinent, timely information to payers to ensure reauthorization of patient’s home health care services.
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20. Actively involved in the process improvement activities to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
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22. Participates in assigned quality assurance committee(s) and interdepartmental projects when needed or requested.
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24. Demonstrates current knowledge of Payor policy and procedure(s).
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26. Assist with state survey preparation and implementation and act as the back up administrator as assigned.
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28. Other duties as assigned.
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SUPERVISORY RESPONSIBILITIES

This position has direct supervisory responsibilities. This position will perform supervisory visits as needed.  

EDUCATION and/or EXPERIENCE 

Required:

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• Associate's or Bachelor’s degree in a related field, 
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• Current Registered Nurse (RN) license to practice professional nursing in each state where patient care is supervised, 
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• Current Basic Cardiac Life Support and CPR certification 
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• At least three (3) years of experience as a Registered Nurse
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• At least one (1) year of case management experience
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Preferred:

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• Home health experience strongly preferred
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• Department of Labor / EEOICPA experience preferred
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• Supervisory experience preferred
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Other Requirements: Maintain current state licensure. Maintain current liability and malpractice insurance, if applicable.

CERTIFICATES, LICENSES, REGISTRATIONS, & MEDICAL REQUIREMENTS

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• Valid Driver’s License
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• Active RN License 
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CLEARANCES 

The following background checks are conducted:

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• Criminal background
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• Driving Record
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• OIG Exclusion List
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• Sex Offender Registry
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#TFIND