RN Case Manager

Job Summary : The Clinical Manager will oversee all patient / client care services and personnel, ensuring quality of patient / clint care in the home. The Clinical Manager will coordinate care with the interdisciplinary team, patient / client, family, and referring agency. Qualifications : Licensure : Must have an active RN license for the state of TexasExperience : . One year of experience in home health care preferred. Management experience preferred.Skills : Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and the ability to communicate effectively. Demonstrates proven decision-making skills. If required to make visits, proof of current CPR certification.Essential Functions : Coordinates patient / client care. Coordinates and integrates care provided by Agency staff, including contractual providersEnsures communication with all physicians involved in patient's / clients plan of care and other healthcare practitionersIntegrates orders from all relevant physicians involved into the plan of care and ensures the orders are approved by the responsible physicianCoordinates referralsParticipates in activities relevant to professional services including development of qualifications. Recommends resources needed to provide care. Makes patient / client and personnel assignmentsAssures that patient / client needs are continually assessed. Assures reassessment of the patient's client's needs is performed by the appropriate healthcare professional when there is significant health status change in the patient / client's condition, at the physicians request , and after hospital discharge.Assures the development, implementation, and updates of the individualized plan of care in partnership with the patient / client, representative (if any) and caregiver(s)Ensures provision of services as ordered by the physician as indicated in the plan of care, including patient / client and caregiver education and patient / client, caregiver, and family counseling. Prepared clinical notes as appropriateAssumes responsibility for continuity, quality, and safety of services delivered in compliance with state and federal regulationsCollaborates on development and implementation of policies and procedures which guide and support the provision of care. Collaborates with Agency leadership and appropriate staff to develop the organizational plan as it pertains to patient / client careMonitors and participates in the QAPI program and assures appropriate corrective measures are performedPromotes compliance with all fiscal intermediary and / or other third-party payors, through education, coaching, and other assistance, as necessaryMonitors systems and identifiers problems areas to Administrator both verbally and through written reportsMeets mandatory continuing education requirements of the Agency and licensing boardPromotes and educates regarding the concepts of the infection control and standard precautions in coordinating or performing patient / client care activities to prevent contamination and transmission of diseaseUses effective interpersonal relations and communication skills; facilitates the use of the skills by other member to achieve desirable outcomesParticipates in the Agency sponsored in-service trainingsEnsures that care offered by the Agency, including any branches, is consistently available to all patients / clients