Care Operations Manager - Scheduling & Patient Advocacy

Cnscares; Lenoir City (TN); Vor Ort; USD 26.000 - 33.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision insurance

401(k) with match

HSA

PTO

Zusammenfassung

CNS Cares, LLC is seeking a Care Manager to schedule field staff and oversee delivery of coordinated care for assigned patients. The role emphasizes maximizing authorization units, advocating for patient needs, and ensuring timely, high-quality service with excellent communication across nurses, home health aides, and claims teams.

The candidate will work in an in-office setting with Monday–Friday hours, participate in on-call rotation, and coordinate with the Executive Director and DON to

Qualifikationen

• Two (2) years of experience in healthcare; or equivalent education/EEOICPA experience.
• At least two (2) years of staff scheduling experience in healthcare.
• Must be at least 21 years of age.

Aufgaben

• Schedule visits for the care team within the EMR to ensure coverage.
• Coordinate with recruiting/local leadership to source and hire staff.
• Ensure authorized hours are fully utilized and compliant with guidelines.
• Assist with patient authorization processes and care level justification.
• Attend medical appointments to support physicians and coordinate with DOL Home Health Care program.

Kenntnisse

Staff scheduling

Healthcare experience

On-call rotation

Ausbildung

High School Diploma

Associate or Bachelor preferred

Tools

EMR scheduling software

Jobbeschreibung

Description

Pay Rate: $19.00 - $24.00 per hour depending on experience, plus bonus potential

Location: Lenoir City, TN

In-Office, Full-Time, Monday-Friday

*Participates in on-call rotation 1 week each month.

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 Scheduling Coordinator (Care Manager) is responsible for scheduling our field staff team members and 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.

3.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.

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

5. 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.

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

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

8.Gather medical records as needed.

9. 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.

10. Provide EMR and home orientation training to staff.

11. Participate in an on-call rotation.

12. Adhere to all company policies.

13. Other duties as assigned

Requirements

EDUCATION and EXPERIENCE
Required:

• High School Diploma
• 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 in healthcare required.
• Must be at least 21 years of age

Preferred:

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

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

#TFIND