Care Manager - Home healthcare

Cnscares; Grand Junction (CO); On-site; USD 52,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, vision, and 401K

Health Savings Account (HSA)

Matching 401k

Paid Time Off (PTO)

Job summary

The CNS Cares, LLC Care Manager will oversee coordinated care for patients assigned to our team, ensuring timely access, appropriate authorization units, and high patient satisfaction. You will advocate for patients, coordinate with nurses, home health aides, and claims teams, and work across departments to deliver impeccable service.

In this in-office role, you will schedule visits in the EMR, confirm staffing coverage, recruit local staff with leadership, and ensure all units are staffed

Qualifications

• High school diploma required with associates degree in a related field.
• Minimum 2 years healthcare experience or EEOICP/related experience.
• Minimum 2 years staff scheduling experience.

Responsibilities

• Coordinate care delivery for assigned patients and maximize authorization units.
• Schedule visits within the EMR and arrange staff coverage.
• Source and hire new staff with recruiting team.
• Ensure staffing meets authorized hours and compliance.
• Coordinate DME needs and assist patients with authorization.
• Attend medical appointments as needed.
• Gather medical records.
• Complete orientation training for staff.
• Participate in on-call rotation.

Skills

HIPAA knowledge

Interpersonal skills

PPE usage

Independence

Time management

Medical terminology

Travel readiness

Education

High School Diploma

Associate's Degree in related field

Bachelor's Degree

Job description

Description

Pay Rate

$25.00 per hour depending on experience, plus bonus potential

Location

Westminster, CO

In-Office, Full-Time, Monday-Friday

*Participates in on-call rotation

*2days in UT

Benefits Summary

• Medical, dental, vision, and 401K
• Health Savings Account (HSA)
• Matching 401k
• Paid Time Off (PTO

*Staff scheduling experience required

SUMMARY

On behalf of CNS Cares, LLC (“CNS” or “Company”), the Care Manager is responsible for overseeing the delivery of coordinated care for a patient and/or an assigned group of patients. Additionally, this position is responsible for maximizing authorization units, advocating for the needs of each patient, communication with all entities to provide quick and accurate service, and ensure patient satisfaction with impeccable service.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Employee must have regular attendance/punctuality, be able to work with others at all levels of the Company, have exceptional customer service, and be completely honest. Other assigned duties include:

1.Demonstrate excellent communication skills. Communicates regularly with patients, nurses, home health aides, and claims team. Communicates with the Executive Director and Director of Nursing on patient status and care being provided in home.

2. Schedule visits for the care team within the electronic medical record (EMR). Works to find coverage in situations where there is staffing needs. Works with the recruiting team and local leadership to adequately source and hire new staff. Expectation to utilize 100% of authorized hours. Ensures clinical compliance items are scheduled and completed per company and state guidelines.

3. Identify patient needs for durable medical equipment and coordinate with DME companies to ensure patients’ needs are met.

4. Evaluate patient conditions not currently covered by the Department of Labor and coordinate and assist patients to get consequential illnesses added to their DOL covered conditions.

5. Assist authorization team with start of cares and renewal periods to advocate and justify the appropriate care level for each patient.

6. Attend medical appointments with patient to assist as a resource to physicians regarding the Department of Labor Home Health Care program.

7.Gather medical records as needed.

8. Ensure all authorized units are staffed by the assigned skilled nurse or home health aide with expectation to limit overtime. Coordinate with GM and DON for appropriate direction.

9. Provide EMR and home orientation training to staff.

10. Participate in an on-call rotation.

11. Adhere to all company policies.

12. Other duties as assigned

Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and /or ability required.

EDUCATION and/or EXPERIENCE

Required

• High School Diploma and Associates Degree in a related field.
• At least two (2) years of experience in healthcare; or equivalent combination of education and EEOICPA experience.
• At least two (2) years of staff scheduling experience required.

Preferred

• Associate's Degree or Bachelor’s Degree preferred
• At least two (2) years of Department of Labor / EEOICPA experience
• Home health experience preferred

RELATED COMPETENCIES

• Knowledge of HIPAA regulations and the ability to maintain strict confidentiality of patient information.
• Ability to establish interpersonal relationships with people from diverse socioeconomic and cultural backgrounds.
• Able to wear personal protective equipment (e.g., face mask, goggles, latex/non-latex gloves) as needed.
• Ability to work effectively within role independently and with other team members.
• Ability to organize and complete work in a timely manner.
• Ability to understand medical/surgical terminology.
• Ability to travel up to 80% of time in designated territory.

CERTIFICATES, LICENSES, REGISTRATIONS, & MEDICAL REQUIREMENTS

• Valid Driver’s License

CLEARANCES

The following background checks are conducted:

• Criminal background
• Driving Record
• OIG Exclusion List
• Sex Offender Registry

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