CASE MANAGER RN-HOME HEALTH

Overview

Receives patient referrals from outside sources and prepares information for admission to homecare. Coordinates the care of assigned patients among a multidisciplinary team to assure quality and cost effective care.

Responsibilities

PRINCIPAL DUTIES AND RESPONSIBILITIES (*Essential Functions)

*Assesses admission paperwork and plan of care for completeness, and coordinator corrections as needed.

*Coordinates care of assigned patients and patient care conferences among a multi-disciplinary team.

*Schedules field staff visits in absence of scheduling coordinator.

Demonstrates working knowledge of current Homecare regulations and departmental policies.

Obtains payor authorization and continually communicates with payor sources and field staff to ensure authorization for services.

Receives patient referrals from outside sources and prepares demographic and admission information for field personnel.

Inputs information into EMR (Electronic Medical Record) after determining appropriateness for admission.

Performs other duties as needed and/or assigned.

Qualifications

JOB SPECIFICATIONS (Minimum Requirements)KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrated excellent oral and written communication skills.
• Computer proficient.
• Must be detail oriented and organized.
• Ability to establish priorities, work independently and with a team, and communicate effectively with multiple team members.
• Ability to provide professional, courteous, a positive attitude, and to be respectful of others.

EDUCATION

All post high school education must have been obtained from a recognized College or University.  

• Associates Nursing Required
• Bachelors Nursing Preferred

 

EXPERIENCE

• 3 years Home Healthcare or Acute Care experience Required

 

LICENSE/CERTIFICATION

• Active Licensed Registered Nurse
• Basic Life Support Certification

 

STANDARDS OF BEHAVIORMeets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCEDemonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.