RN Care Manager

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of our employees must be fully vaccinated or have a valid exemption.

The RN Care Manager is responsible for the development, oversight and continuity of the patient plan of care, serving as the liaison for collaboration and communication with the field staff. The RN Care Manager will participate in the interdisciplinary team meetings to ensure tight collaboration and appropriate care planning and delivery. This role will manage health care costs by influencing patient care decisions for value-based care delivery, visit type, frequency and calendar plotting cadence based on medical necessity review and utilization management guidelines. The RN Care Manager will assess for real time patient clinical, functional and behavioral health status to ensure rapid follow up, and allocation of services. The RN Care Manager will work alongside branch operations to ensure a holistic approach to patient care. The RN Care Manager will be integral in contributing to the development of new and / or revised work processes, policies and procedures relating to the ASHN Care Management Program.

Plan of Care (POC) review and revision to reflect accuracy and regulatory standards Recertification/Discharge review and recommendation Utilization/Calendar Management Adhere to Utilization Management Guidelines Participate in Interdisciplinary Team Meetings and Agency Townhall Meetings Seek opportunities to contain cost Review Charts to monitor compliance with regulatory and governmental regulations Meets productivity standards and workflow expectations Functions as a resource for clinicians, agency staff, and internal staff Collaborates with clinicians as necessary for documentation clarification or educational opportunities Attends in-service trainings and mandatory agency meetings Stays current with CMS guidelines and Oasis Guidelines Read and adhere to all Agency Policies and Procedures and follow Employee Handbook Guidelines Completes and submits all required documentation within specified company requirements Other duties as assigned