Clinical Case Manager

1 week ago

Scottsdale, Arizona, United States MGA Homecare Full time
Job Description

Job Summary:

MGA Homecare is seeking a highly skilled and compassionate Registered Nurse to fill the role of Clinical Case Manager. As a key member of our team, you will be responsible for coordinating patient care, ensuring compliance with regulatory requirements, and providing exceptional support to our patients and their families.

Key Responsibilities:

  • Ensure supervision of all home care personnel, as assigned
  • Enforce and demonstrate compliance with State and Federal regulations
  • Ensure effective communication to coordinate the implementation of each patient's Plan of Care
  • Instruct, train, and re-educate on clinical skills and 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 well-being
  • 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 a timely manner

Office Responsibilities:

  • Develops and implements the treatment plan for each patient under the direction of physician
  • Completes all clinical documentation in a timely manner, including admissions, recertifications, 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
  • 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

Benefits:

  • 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

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