VH
Posted 3 days ago
Clinical Case Manager, Care Management
VNS Health
📍 new york, US
Healthcare & Medical
Job description
<strong>Overview </strong><br>Ensures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction.<br> <p><strong>What We Provide </strong> </p><ul><li>Referral bonus opportunities </li><li>Generous paid time off (PTO), starting at <u>30 days of paid time off </u> and 9 company holidays </li><li>Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability </li><li>Employer-matched retirement saving funds </li><li>Personal and financial wellness programs </li><li>Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care </li><li>Generous tuition reimbursement for qualifying degrees </li><li>Opportunities for professional growth and career advancement </li><li>Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities </li> </ul> <p><strong>What You Will Do </strong> </p> <ul><li>Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care. </li><li>Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations. </li><li>Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards. </li><li>Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments. </li><li>Contribute to the planning and development of business strategies focused on expanding nursing service opportunities. </li><li>Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth. </li><li>Provide on-call coverage based on departmental needs. </li><li>Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers. </li><li>Serve as a clinical resource and subject matter expert for staff across the organization. </li><li>Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management. </li><li>Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers. </li><li>Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary. </li><li>Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter. </li><li>Monitor email communications to identify changes in patients' clinical conditions that may require escalation or modifications to the aide plan of care. </li><li>Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate. </li><li>Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards. </li><li>Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned. </li><li>Assist with special projects and perform additional duties as assigned. </li> </ul> <br><strong>Qualifications </strong><br><p><strong>Licenses and Certifications: </strong> <br>License and current registration to practice as a Registered Professional Nurse, in New York State required </p><p>CPR Certification required <br><strong>Education: </strong><br>Bachelor's Degree in Nursing from an approved program required </p><p>Master's Degree in Nursing preferred<br><strong>Work Experience: </strong> <br>Minimum two years clinical experience required </p><p>Minimum of two years managerial experience in a LHCSA or CHHA preferred </p><p>Proficiency in Microsoft Office applications required </p><p>Excellent problem-solving and organizational, interpersonal, and verbal and written communication skills required </p><p><br></p> <br><strong>Pay Range </strong><br>USD $93,400.00 - USD $116,800.00 /Yr. <br><strong>About Us </strong><br>VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.