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 Texas

Experience: . 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:

1. Coordinates patient/client care. Coordinates and integrates care provided by Agency staff, including contractual providers
2. Ensures communication with all physicians involved in patient's/clients plan of care and other healthcare practitioners
3. Integrates orders from all relevant physicians involved into the plan of care and ensures the orders are approved by the responsible physician
4. Coordinates referrals
5. Participates in activities relevant to professional services including development of qualifications. Recommends resources needed to provide care. Makes patient/client and personnel assignments
6. Assures 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.
7. Assures the development, implementation, and updates of the individualized plan of care in partnership with the patient/client, representative (if any) and caregiver(s)
8. 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 appropriate
9. Assumes responsibility for continuity, quality, and safety of services delivered in compliance with state and federal regulations
10. Collaborates 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 care
11. Monitors and participates in the QAPI program and assures appropriate corrective measures are performed
12. Promotes compliance with all fiscal intermediary and/or other third-party payors, through education, coaching, and other assistance, as necessary
13. Monitors systems and identifiers problems areas to Administrator both verbally and through written reports
14. Meets mandatory continuing education requirements of the Agency and licensing board
15. Promotes 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 disease
16. Uses effective interpersonal relations and communication skills; facilitates the use of the skills by other member to achieve desirable outcomes
17. Participates in the Agency sponsored in-service trainings
18. Ensures that care offered by the Agency, including any branches, is consistently available to all patients/clients