Registered Nurse Case Manager

Full Time
Baytown, TX 77521
Posted
Job description

Clinical Operations Manager - Registered Nurse

Job description

Registered Nurse Office Operations Manager/ Supervisor Home Health

Business is Booming! Come and join our amazing team!!

Signature Health Services is the premier 4.5 star home health agency in patient satisfaction. We are celebrating over 27 years of providing excellent home health care to our southeast Texas communities. Serving Brazoria, Chambers, Ft. Bend, Galveston, Harris, Liberty and Montgomery Counties.

Signature offers you a career with

  • Excellent pay
  • Benefits for full time that include Medical, Dental, Vision, Life Insurance, and Supplemental insurances.
  • Vacation, Sick, and Holiday benefits
  • A great team environment at a well established home health agency

We are currently looking for an office- based Registered Nurse, with management experience for a Clinical Operation Manager/Supervisor position. Our team is eager to find a RN that possesses the qualities of being a team player with integrity, reliability, dependability, with a positive attitude and attention to detail. We utilize Kinnser software and offer competitive salaries and benefits.

Summary

Registered professional who administers skilled nursing care for patients of all ages, responsible for coordination of care, coordinates care with the interdisciplinary team, patient/family and referring agency, and performs duties as assigned that maximize clinical outcomes under current reimbursement for the client's care.

Qualifications

  • Education: Associate or Baccalaureate degree from an accredited School of Nursing.
  • Licensure: Registered nurse (RN) licensed in Texas or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NCL).
  • Experience: Two years experience as a Registered Nurse in a clinical care setting, home health experience required.
  • Skills: Nursing skills as defined as generally accepted standards of practice. Must have good interpersonal skills.
  • Transportation: Reliable transportation. Valid and current Texas Driver License and valid and current auto liability insurance.

Essential Functions

  • Identify and strategize care plan for high-risk patients, streamline admit process - comprehensive review and interpretation of Outcome Assessment Information.
  • Identify and consult with clinical team the opportunities for utilization management or other appropriate interventions.
  • Set, ensures optimal coding and accurate baseline and subsequent information about patient functional status.
  • Conducts comprehensive review of documented services for consistency and compliance with requirements of JCAHO, CMS, and Texas regulatory bodies. Uses assessment information to conduct OBQI and OBQM activities to improve patient care and outcome improvement.
  • In accordance with the Team Concept lead and coordinate patient care with other team members. Provide oversight and direction of the Primary RN. Perform skills check-offs and random rides as necessary with clinical and HHA staff.
  • Collect, review and follow-up on all complaints and submit no later than 3 days after receipt to DOPS for logging and administrative follow-up.
  • Collect, review and follow-up on all infection and occurrences for your team’s patients and submit no later than 5 days after receipt to DOPS for logging and administrative follow up.
  • Responsible for coordinating and participating with all staff in team building activities and basic professional camaraderie as approved by DOPS.
  • Primarily responsible for overseeing orientation of new clinical staff and continued development for existing staff. This orientation includes the Signature Clinical Orientation Program entirely.
  • Manages HHRGs and company benchmarks
  • Prepares agendas for and conducts weekly case conferences to review and facilitate optimal episode management and care.
  • Evaluates the effectiveness ofestablished processes, identifies problems, and initiates changes as necessary. Assists with corrections to Validation Report effectively with Administrator/Clinical Director on a weekly basis to assure timely submission.
  • Performs accurate data input to produce needed 485, POC and verbal orders.
  • Assists in maintaining departmental standards with knowledge of all applicable Agency policies, state and federal guidelines, and CMS standards. Rotation in call schedule possible.
  • On occasion, performs clinical assessments to identify patient needs and appropriateness of patients as evidenced by documentation, clinical record, case conference, team report, and evaluations.
  • Oversee scheduling and coordination logistics related to patient care.
  • Supervises and provides clinical direction to the HHA/LVN to ensure quality and continuity of services provided.
  • Review and approve clinical notes for all disciplines as required.
  • Ensure appropriate utilization of current clinical staff.
  • Countersign drug to drug interactions / reports from LVNs and sign Medication Reconciliations. Properly address and handle any drug, allergy, and pharmacy issues.
  • Monitors assigned cases to ensure compliance with requirements of third

Job Type: Full-time

Pay: $37.50 - $42.00 per hour

Benefits:

  • Dental insurance
  • Disability insurance
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid sick time
  • Paid time off
  • Referral program
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday
  • On call

Work Location: One location

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