RN - Pediatric Clinical Case Manager

RN - Pediatric Clinical Case Manager

Job Overview

Duties and Responsibilities

*  Ensures supervision of all home care personnel, as assigned:
*  Enforces/ demonstrates compliance with State/ Federal regulations.
* Ensures effective communication to coordinate the implementation of each
patient’s Plan of Care.
* Instruct, train, and re-educate on clinical skills/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 wellbeing.
* 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 to Ensure and/or Facilitate the following

* 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.
* 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; and
* 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.
* Base salary of 74,000-78,000 plus weekly allowances

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Additional Job Description Information

EEO Statement

MGA is an Equal Opportunity Employer. All qualified applicants will receive
consideration for employment without regard to race, color, religion, sex,
sexual orientation, gender identity, national origin, age, disability, veteran
status, or any other status protected by applicable law.