Pediatric Home Care RN Case Manager | Lead & Coordinate Care

UnitedHealth Group; Covington (LA); Sur place; USD 52 000 - 77 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits package

Equity stock purchase plan

401k contribution

Incentive and recognition programs

Résumé du poste

UnitedHealth Group, through Egan-Ochsner Northshore PCS, seeks a Clinical Manager to oversee daily agency operations, ensuring high-quality, cost-effective patient care. You will coordinate scheduling, staffing, intake, physician communication, billing and compliance, driving clinical excellence and operational efficiency.

The role requires an RN license, knowledge of home care regulations, and strong leadership to manage plans of care, recertifications and staff training across a busy home

Qualifications

• Must hold RN license in state of practice.
• Solid understanding of home care regulations and reimbursement mechanisms.
• Driver's license and reliable transportation required.

Responsabilités

• Evaluate patient eligibility and reimbursement criteria for home care services; collaborate with Agency Director on referral acceptance and care planning
• Schedule and ensure timely documentation of initial assessments
• Coordinate with Case Coordinators to ensure appropriate staffing and coverage
• Monitor patient utilization for compliance with physician orders, agency policies, and funding guidelines; investigate and resolve unfilled shifts
• Assist with scheduling for Case Managers, nurses, and PRN staff; ensure timely and accurate documentation submission
• Approve and update plans of care (POC), including verbal orders, medications, and treatments
• Ensure timely completion of recertifications and verify plan of care content and compliance with policies
• Conduct routine and supervisory field visits as required by state regulations
• Support training and orientation of newly hired nurses, caregivers, and staff

Connaissances

RN license

Home care regulations

Driver's license

Formation

Bachelor's degree in nursing/healthcare

Description du poste

UnitedHealth Group, through Egan-Ochsner Northshore PCS, seeks a Clinical Manager to oversee daily agency operations, ensuring high-quality, cost-effective patient care. You will coordinate scheduling, staffing, intake, physician communication, billing and compliance, driving clinical excellence and operational efficiency.

The role requires an RN license, knowledge of home care regulations, and strong leadership to manage plans of care, recertifications and staff training across a busy home