Home Health Case Manager

2 days ago

Rochester, New York, United States Healthcare Staffing Plus Full time

Job Summary:

 

We are seeking a skilled Home Health Case Manager to join our team at Healthcare Staffing Plus. As a key member of our healthcare staff, you will be responsible for developing and implementing individualized care plans for patients in their homes.

 

Responsibilities:

  • Develops and revises plans of treatment and discharge plans in conjunction with patients, families, physicians, care delivery teams, and third-party payors

  • Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant changes in condition in accordance with agency-defined time frames

  • Provides a safe and respectful environment for patients, their privacy, confidentiality, and property

  • Initiates appropriate preventive and rehabilitative strategies

  • Consults with and educates patients, families, and other team members regarding disease processes, self-care techniques, and preventive strategies

  • Supervises LPNs to ensure patient health, safety, and compliance with plans of care

  • Directs, coordinates, evaluates, and supervises the quality of patient care services provided by the home health agency

  • Interacts with patients, physicians, referral sources, and others in a manner conducive to continued positive relationships

  • Supports the care management philosophy

  • Maintains current knowledge of all available URMHC and community-based services

  • Demonstrates flexibility and willingness to visit patients based on need and not geography

  • Ensures problem resolution at the point of contact

  • Ensures authorization and release of information forms have been signed by patients or responsible parties

  • Attends patient care conferences on patients assigned to his/her care

  • Monitors results, progress, and takes corrective action on quality indicators, including the level of customer satisfaction with the RN function

  • Understands the importance of the RN function and its impact on patients, other care providers, readmission, productivity, utilization, revenue, and expense

  • Pursues efforts to reduce or eliminate avoidable costs and errors

  • Responds to findings of various quality management reviews/audits and ensures resolution of potential problem areas

  • Participates in peer review and quality assessment and performance improvement as assigned

  • Maintains productivity requirements

  • Ensures that appropriate visit authorizations are in place and that visit documentation reflects the medical necessity for care to be received in the home setting

  • Promotes the recognition, respect, and celebration of the diversity of our workforce

  • Participates in education, including orientation, in-service training programs, and self-development, as needed

  • Demonstrates commitment, professional growth, and competency

  • Responsible for key performance indicators (KPIs) established by their manager

  • Performs other duties as requested

 

Requirements:

  • Minimum of two years of current RN case manager experience

  • Graduate from a fully accredited RN program

  • Active unencumbered RN New York state license

  • One year of Epic experience

  • Maintains and updates clinical knowledge and skills

  • Participates in relevant continuing education programs

  • Knowledge of and dedication to the highest patient care and provision of the utmost service excellence to all patients

  • Ability to take initiative and to exercise independent judgment, decision-making, and problem-solving expertise

  • A can-do, team-oriented attitude is essential, as the ability to work independently and to interact easily with physicians, other managers, and staff throughout the department and hospital

  • Effective interpersonal/communication, organizational, and flexibility to handle multiple tasks

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