Hospice RN Case Manager

Job Description

Job Description

Job Title / Position : Hospice RN Case Manager

Reports to : Clinical Manager

JOB DESCRIPTION SUMMARY : The Patient Care Coordinator’s (PCC) primary responsibility is to provide administrative support for the Clinical Managers, clinical care staff and patients. The PCC will coordinate daily / weekly / monthly clinical reports, patient supplies and interagency / community referrals. The PCC will also collaborate with agency departments, facilities and physicians as needed to coordinate appointments and / or obtain necessary documents required for care delivery and billing. The PCC must be clinically licensed & have the ability to receive a physician order. This position is primarily in an office environment; however, the PCC may be asked to assume patient overflow during high census situations.

ESSENTIONAL JOB FUNCTIONS / RESPONSIBILITIES

1. Collaborate with scheduling department to verify employee / patient schedules are accurate, staff are productive & schedule variances are reconciled.

2. Support patient needs by communicating with field staff when patient assignments need priority i.e., clinical change in condition, with direction from Clinical Manager.

3. Supports safe, effective care delivery by assisting with order review to ensure State and Federal Regulations are satisfied.

4. Supports operations & compliance by effective maintenance of agency Clinical Tasks Reports for variances. These include but are not limited to : Schedule Report, Missed Visit Report, Past Due Visits, Schedule Deviation, Visit Exception & Orphan Documents. Unresolved variances will be escalated to the Clinical Manager.

5. Supports clinical care and billing function by educating and obtaining clinical documents needed for home health billing as needed.

6. Verify admission criteria necessary for Notice of Admission daily and communicate variances to Clinical Manager for follow-up.

7. Assists with care coordination i.e. DME, medical supplies, coordination of appointments or referrals to outside agencies.

8. Facilitates patient care coordination documents with acute and post-acute facilities during patient transfers.

9. Assists with education & training of field staff.

10. Other duties as assigned, may cover for field staff in situations of high census etc.

POSITION QUALIFICATIONS

1. One-year home care experience or experience in a facility setting.

2. Must be a licensed clinician with current, active license in good standing in the state the agency is located.

3. Skilled in making effective verbal and written communications with subordinates, co-workers, consumers, referral agencies and comfortable with conflict resolution skills.

4. Ability to educate consumers on all service lines and present to seniors and aides in a group setting

5. High energy level and passionate about care delivery

6. Must have excellent organizational skills and ability to complete competing priorities

7. Must have thorough understanding of home health or hospice qualifying criteria and coverage guidelines

8. Ability to listen attentively and offer care options based on individual patient health needs

9. Proficient computer skills ability to navigate Microsoft email, word, excel, power point and home health or hospice agency software system

10. Must have vehicle, current driver's license and appropriate automobile insurance.

ENVIRONMENTAL AND WORKING CONDITIONS :

• Office environment with prolonged or considerable sitting and keyboard work.
• Some driving / travel involved to possibly conduct patient visits.
• Majority of work conducted in a bfast-paced office setting.
• Must be able to lift 25 lbs. and handle office supplies and equipment.
• Considerable reaching stooping, bending, kneeling or crouching.
• Visual acuity and hearing needed to perform required job functions.

Compliance :