(RN) Clinical Case Manager

2 weeks ago


Raleigh, United States MGA Homecare Full time
Company Description

At MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support within the comfort of their homes.

Job Description

We are seeking a highly qualified and compassionate Registered Nurse (RN) Clinical Case Manager to join our dynamic team in a homecare setting. The successful candidate will be responsible for conducting supervisor visits, comprehensive assessments, and various other homecare-related tasks to ensure the delivery of exceptional patient care. 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.

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

Qualifications

Current state license as a Registered Nurse
Minimum of two years of nursing experience in a Home Health or Acute setting preferred.

Additional Information

Benefits are available to eligible employees on the first of the month after 30 days of employment and include:

All your information will be kept confidential according to EEO guidelines.

#IND789-NC

  • Raleigh, United States MGA Homecare Full time

    Company DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support...


  • Raleigh, United States MGA Homecare Full time

    Company DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support...


  • Raleigh, United States MGA Homecare Full time

    Company DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support...


  • Raleigh, United States MGA Homecare Full time

    Company DescriptionConsidering making an application for this job Check all the details in this job description, and then click on Apply.At MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us...


  • Raleigh, United States MGA Homecare Full time

    Job DescriptionJob DescriptionCompany DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering...

  • (RN) Clinical Case Manager

    Found in: Careerbuilder One Red US C2 - 5 days ago


    RALEIGH, NC, US MGA Homecare Full time

    Company DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support...

  • (RN) Clinical Case Manager

    Found in: Careerbuilder One Red US C2 - 1 week ago


    Raleigh, NC, United States MGA Homecare Full time

    Company DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support...


  • Raleigh, NC, United States MGA Homecare Full time

    Company DescriptionAt MGA Homecare, we don't just provide clinical care; we create fulfilling and impactful experiences for our patients and their families. Our commitment to delivering high-quality care with compassion and integrity sets us apart. Join us in making a difference in the lives of our patients by offering personalized attention and support...

  • Case Manager/Utilization Review, RN

    Found in: Talent US C2 - 2 weeks ago


    Raleigh, United States WakeMed Full time

    Position Information: The Nurse Case Manager is a Registered Nurse responsible for providing patient case management services to assigned populations. Utilizes a collaborative interdisciplinary approach to anticipate integrate and coordinate the patient's plan of care discharge plan and re-entry into the community. In collaboration with the treatment...

  • Technical Specialist

    16 hours ago


    Raleigh, United States MVP Consulting Inc Full time

    NCDHHS-713704 Seeking a Technical Specialist who is an Epic-certified to build the following modules for the new DSOHF EHR: Healthy Planet Population Health for your health system. REQUIRED/DESIRED SKILLS Skills Required/ Desired Experience Certified by Epic in EpicCare Inpatient Clinical Documentation including Secure Chat & Rover, Clinical Case Management,...


  • Raleigh, United States Spectraforce Technologies Full time

    Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate is a factor in awarding and renewing Medicare/other contracts.*50% Provides...

  • Vice President, Global Site Management

    Found in: beBee S US - 3 weeks ago


    Raleigh, United States Worldwide Clinical Trials - USA Full time

    Vice President, Global Site Management SUMMARY: Responsible for providing Global management of assigned Directors, Clinical Operations Managers, Clinical Research Associates (CRA) and other personnel when applicable. The VP, Clinical Operations Site Management will partner closely with senior leadership to support business strategy and goals. ...


  • Raleigh, United States WakeMed Full time

    About WakeMed:Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.EOEPosition Information:The Clinical...


  • Raleigh, United States WakeMed Full time

    About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Clinical...


  • Raleigh, United States WakeMed Full time

    About WakeMed:Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.EOEPosition Information:The Clinical Auditor...


  • Raleigh, United States Biodata Partners, Inc. Full time

    Job DescriptionJob DescriptionJob Summary:Manage end-to-end delivery of data management services concurrently for single/multi-service projects with little-to-no guidance, ensuring quality deliverables on time and within budget to customer satisfaction. Provide comprehensive data management expertise to Clinical Data Management (CDM) team to provide high...


  • Raleigh, United States WakeMed Full time

    Job DescriptionAbout WakeMed:Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit EOEPosition Information:The Clinical...


  • Raleigh, United States WakeMed Full time

    Job DescriptionAbout WakeMed:Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.EOEPosition Information:The...

  • RN Supervisor/Care Manager

    Found in: Talent US C2 - 2 weeks ago


    Raleigh, United States Arosa Full time

    Continue Your Journey with ArosaRN Care Manager:The RN Care Manager, as part of a care team, will be responsible for the planning and coordination of all services provided to clients and will serve as the clinical expert to all the staff members assigned to their caseload. The RN Supervisor will:Provide oversight to all in-home caregiversPerform routine...


  • Raleigh, United States WakeMed Full time

    About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Position Information: The Clinical...