Care Manager - Home healthcare

Cnscares; Santa Fe (NM); On-site; USD 32,000 - 36,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Health Savings Account (HSA)

Matching 401k

Paid Time Off (PTO)

Job summary

On behalf of CNS Cares, LLC, the Care Manager oversees the delivery of coordinated care for patients, advocating for needs and ensuring timely, high-quality service. This role focuses on maximizing authorization units, communicating with physicians, and ensuring patient satisfaction across home health settings.

The position requires strong leadership, adherence to HIPAA, and the ability to manage staffing schedules while coordinating with multiple teams in a fast-paced healthcare environment.

Qualifications

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

Responsibilities

• Coordinate care delivery, maximize authorization units, and ensure patient satisfaction.
• Schedule visits in the EMR and arrange staffing coverage.
• Source and hire staff with local leadership to meet authorized hours.
• Coordinate DME needs with suppliers to meet patient requirements.
• Assist with start of care and renewal periods for appropriate care levels.
• Attend medical appointments with patients as a resource to clinicians.
• Ensure compliance with company and state guidelines.
• Provide EMR and home orientation training to staff.
• Participate in an on-call rotation.
• Adhere to all company policies.

Skills

HIPAA knowledge

Interpersonal skills

PPE awareness

Independent work

Time management

Medical terminology

Travel willingness

Education

High School Diploma & Associates Degree

2+ years healthcare experience

Staff scheduling experience

Tools

EMR scheduling

Job description

Pay Rate: $23.00 - $26.00 per hour depending on experience, plus bonus potential

Location: Santa Fe, NM

In-Office, Full-Time, Monday-Friday

*Participates in on-call rotation

Benefits Summary

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

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

QUALIFICATIONS:

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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