Clinical Case Manager

MGA Home Healthcare North Carolina LLC; West Virginia; On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Equal Opportunity Employer

Job summary

MGA Home Healthcare North Carolina LLC is seeking an RN Clinical Case Manager to oversee home health operations and supervise field staff. The role focuses on coordinating patient care, enforcing regulatory compliance, and guiding clinical staff through Plan of Care implementations.

Applicants should hold an RN license with BSN preferred and have leadership experience in home health or acute settings, along with strong organizational skills and CPR/health certifications as applicable.

Qualifications

• Current state license as a Registered Nurse (RN).
• BSN preferred.
• Minimum of two years of nursing experience in Home Health or Acute setting preferred.
• Demonstrate leadership capabilities with supervisory and interpersonal skills.
• Detail oriented, flexible, good organizational and time management skills.
• Knowledge of cost management for clinical services.
• CPR certificate current and health certificate as applicable.
• Valid driver’s license and automobile insurance.

Responsibilities

• Supervises home care personnel and ensures compliance with state and federal regulations.
• Coordinates implementation of each patient’s Plan of Care and communicates with Clinical Supervisor/Director.
• Trains and re-educates on clinical skills/procedures; oversees field LVNs/LPNs/RNs per state guidelines.
• Develops/adheres to documentation standards, admissions/recertifications, and risk management processes.
• Responds to clinical concerns, ensures quality of care, and participates in continuing education.

Education

Registered Nurse license

BSN preferred

Job description

RN Clinical Case Manager Job Overview

Duties and Responsibilities

Ensures supervision of all home care personnel, as assigned: Enforces/ demonstrates compliance with State/ Federal regulations. Ensures effective communication to coordinate the implementation of each patient’s Plan of Care. Instruct, train, and re-educate on clinical skills/procedures when necessary. Responsible for direct supervision of field LVNs/LPNs/RNs per State guidelines. Provides support, guidance, and education to patients/patient families and or caregivers to maintain optimal physical and emotional wellbeing. Communicates all occurrences and other pertinent information to the Clinical Supervisor/Director of Clinical Services. Ensures any observed or suspected child/adult abuse, neglect, or exploitation is reported to proper authorities as mandated as a health professional. Collaborates with Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner.

Office Responsibilities

Develops and implements the treatment plan for each patient under the direction of physician. Completes all clinical documentation in timely manner, including admissions, recertification’s, resumptions of care, accurately and ensures that documentation meets all requirements per agency policies and State regulations. Reviews clinical documentation to ensure it is complete and reflects skilled services to meet payer source requirements for reimbursement. Interviews and evaluates potential clinical field staff to ensure competency in order to promote appropriate/safe patient care. Complies and participates in the continuing quality improvement by appropriately reporting of incidents, injuries, infection and all components of the risk management program. Participates in agency sponsored continuing education in-services and conferences to maintain own clinical competency. Supports and executes the mission, ethics, and goals of the company effectively. Represents themselves in a positive and professional manner in the company and community. Adheres to dress code with a clean and neat professional appearance. Reports on time and as scheduled in order to complete work within designated time. Adheres to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.

Clinical Manager Oversight

Making patient and personnel assignments; Coordinating patient care; Coordinating referrals; Assuring that patient needs are continually assessed; and Assuring the development, implementation, and updates of the individualized plan of care.

Qualifications

Current state license as a Registered Nurse, BSN preferred. Minimum of two years of nursing experience in a Home Health or Acute setting preferred. Demonstrate leadership capabilities with strong supervisory and interpersonal skills. Detail oriented, flexible, good organizational and time management skills. Knowledge of cost management for clinical services. Current CPR card and Current health certificate as applicable. Current state driver’s license and automobile insurance.

EEO Statement

MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.

Meaningful Relationships Built with Care

THE MGA HOMECARE APPROACH

We continually strive to provide quality homecare that is tailored to your individual medical circumstances. That’s why our qualified staff of Registered Nurses (RN), Licensed Practical Nurses (LPN), Licensed Vocational Nurses (LVN), Certified Nursing Assistant (CNA), Licensed Health Aide (LHA), Attendant Care, Home Health Aide (HHA), and Occupational Therapist (OT), Occupational Therapy Assistants (OTA), Physical Therapists (PT), Physical Therapy Assistants (PTA), Speech-Language Pathologists (SLP) are given the training and resources they need to handle every home healthcare situation with professionalism and care. We strive to create a truly special experience for you and your loved one. To do so, we emphasize developing unique bonds between the patient and healthcare professional. Our Nurses, Therapists, and Caregivers are highly skilled, responsible, and willing to go the extra mile to establish trust and build meaningful relationships. We want you to feel like you are facing your medical challenges with a personal, caring partner right by your side. Home healthcare jobs are not just about nursing and therapy. They are about becoming an integral part of the family day after day and helping those who need it most.