RN/LPN Case Manager

ClearView Healthcare Management; Memphis (TN); On-site; USD 55,000 - 80,000; Full time

Job summary

Midtown Center for Health and Rehabilitation in Memphis is seeking an experienced RN or LPN for a Case Manager role. You will coordinate resident assessments, participate in interdisciplinary teams, and ensure regulatory compliance in MDS/RAI processes.

You'll lead care planning, monitor quarterly updates, and provide education on the RAI process to care staff. The position offers growth opportunities and a collaborative work environment in a long-term care setting.

Qualifications

• Licensed Practical Nurse (LPN) or Registered Nurse (RN) with current state licensure.
• Minimum three years of clinical experience in a health care setting; long-term care preferred.
• Current CPR certification.
• Knowledge of nursing practices, regulations, and guidelines for long-term care.
• Strong English communication skills, verbal and written.

Responsibilities

• Participate in daily PPS meetings and ensure federal billing requirements are met.
• Coordinate and complete Resident Assessment Instrument per federal/state regulations.
• Collaborate with Interdisciplinary Team to complete MDS timelines and documentation.
• Notify team of MDS schedules and changes; verify accuracy and attestation.
• Review MDS documents for timely completion and regulatory compliance.
• Develop Interdisciplinary Plan of Care from MDS and CAA data.
• Lead quarterly Plan of Care reviews with updates as needed.
• Provide ongoing education on the RAI process to staff and caregivers.

Skills

Nursing skills

CPR certification

English communication

MS Word

MS Excel

MS PowerPoint

MS Outlook

MDS/RAI familiarity

Interdisciplinary teamwork

Education

LPN or RN licensure

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Outlook

Job description

Midtown Center for Health and Rehabilitation is seeking an experienced RN or LPN for our Case Manager position!

Welcome to Midtown, our new and improved center located in the heart of Memphis, just up the road from the Memphis Zoo! We strive for top-quality resident care as well as employee satisfaction. We understand that happy employees lead to happy residents!

We believe in nurturing our own talent and love to promote from within. We offer training programs, career development opportunities, and a supportive work environment that encourages personal and professional growth. We want you to be your best self! Join us and become part of a community that cares for each other as much as we care for our residents.

Summary:

Conduct and coordinate the development and completion of the resident assessment process in accordance with the requirements of the Federal and State regulations as well as Company policy and procedure.

Essential Duties & Responsibilities:

• Participate in Daily PPS meetings, weekly Medicare meetings, and month end meetings to assure federal billing requirements are met.
• Assist with the coordination and participate in the completion of the Resident Assessment Instrument in accordance with current Federal and State Regulations.
• Assist in completing the Resident Assessment Instrument with the Interdisciplinary Team.
• Notify all Interdisciplinary Team members of the MDS Assessment schedule for all payer sources.
• Notify all Interdisciplinary Team members of changes to the MDS Assessment schedule for both all payer sources.
• Collect information to complete the MDS using the medical record, bedside assessment, and staff, resident and/or family interviews.
• Develop and monitor a system to verify that all Interdisciplinary Team members have completed, dated, and signed the assessments according to Federal Regulations.
• If a member of the Interdisciplinary Team is absent, the MDS Coordinator is to verify that all sections of the MDS are complete, accurate, and attest to the accuracy of the sections.
• Review prior to closing and transmitting the MDS to assure all sections have been completed, dated, and signed according to Federal Regulation.
• Verify all MDS documents required either by Federal and/or State Guidelines or Organizational policy are easily available at all times and are completed timely as set forth by Federal Regulations.
• Validate the ARD and Reason for Assessment with Therapy Services prior to transmission.
• Assure MDS assessments are transmitted timely as set forth by the Federal Regulations.
• Review the Final Validation Note fatal records that were rejected and take appropriate action assuring a rejected MDS is accepted in the Federal Repository prior to end of month billing.
• Upon completion of the MDS the Care Area Assessments (CM's) must be completed timely according to Federal Regulations.
• The CAA's must contain sufficient information that supports whether or not the Care Area triggered will be Care Planned.
• The CM will clearly state whether the problem "will proceed to care plan" or "will not proceed to care plan."
• When it is determined that a triggered Care Area will not be care planned the reasoning for not proceeding must clearly indicate clinical rational.
• Consult the CAA Summary Sheet and verify that all triggered CAA's and corresponding narrative summaries have been completed, dated, and signed by the appropriate disciplines.
• Using information from the MDS Assessment and CAA's develop an Interdisciplinary Plan of Care.
• Review Plan of Care at least quarterly and with each Comprehensive Assessment to assure changes during the quarter are included and updated.
• Ensure Care Plans contain problem, goals, and interventions.
• Lead or participate in Interdisciplinary Care Plan meetings.
• Provide ongoing education of the RAI process to all interdisciplinary team members, direct and indirect caregivers, business office, etc. with all changes and as appropriate.
• Other special projects and duties, as assigned.

Qualifications:

• Licensed Practical Nurse (LPN) or Registered Nurse (RN) with required current state licensure.
• Minimum three (3) years of clinical experience in a health care setting; long-term care setting preferred.
• Must have a current/active CPR certification.
• Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
• Self-motivated to learn and master the RAI Process in an effort to attain or maintain the patient's highest practical level of function.
• Effective verbal and written English communication skills.
• Demonstrated basic to intermediate skills in Microsoft Word, Excel, Power Point and Outlook, internet and Intranet navigation.
• Strong analytical and problem solving skills.
• Approachable, flexible and adaptable to change.

EQUAL OPPORTUNITY EMPLOYER

The Facility is an equal opportunity employer. The Facility does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Facility will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Facility including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.