Case Manager

Overview

Job Summary : Manages, supervises, coordinates, evaluates, and develops client care teams to ensure quality care delivery and appropriate case management within the Agency scope of services and policies; state, federal, and local laws; and Nurse Practice Act.

Responsibilities

Job Duties :

Manages and directs a team of Field staff ensuring safe, effective, and appropriate home care

Receives referrals, determines services required, and Agency's ability to meet needs. Assigns appropriate clinicians to

Meets with clinical staff on a regular basis to provide guidance and information related to specific issues. Provides direction to teams to assure that client needs are met, and services are provided according to the plan. Assists clinical staff in establishing priorities, setting goals, and evaluating progress toward

Attends case conferences and other clinical meetings to facilitate coordination of

Reviews monthly team members' productivity

Coordinates 24-hour Agency coverage by Registered Nurses. Evaluates quality of on-call

Provides on-call backup for Case Managers, as

Develops working relationships with other health care professionals in the community and families to identify resources available and to ensure access of information to

Provides support and direction to Agency staff, other health care professionals, clients, and families related to appropriate and available health care

Educates Agency staff on clinical services, policies, and procedures as

Facilitates problem-solving sessions to enable Field Staff to resolve client and / or reimbursement source

Stays current on available community resources, health care costs, and industry trends through self-education and access to outside educational

Ensures accuracy, completeness and timeliness of clinical documentation in accordance with Agency policies and procedures, regulatory requirements and industry standards.

Monitors open and closed charts regularly and participates in the quarterly clinical record

Reviews Agency policies and procedures and recommends changes or revisions as

Provides educational programs and information regarding appropriate documentation

Provides leadership to team and support staff in identifying Agency / client needs and opportunities for quality

Assists quality improvement teams with data collection for the Quality Improvement Plan established by the

Reviews OASIS data collection to assure accuracy and consistency with requirements. Communicates with clinicians and provides training as indicated to achieve compliance with collection and reporting

Identifies and implements changes in clinical and / or operational practice based on the findings of the Quality Improvement

Interprets and enforces human resource policies and procedures in a fair and consistent

Assists in the orientation of new

Follows Agency guidelines for disciplinary actions. Documents all disciplinary actions in accordance with Human Resource policies and legal

Collaborates with Agency Director and other clinical management staff to ensure proper staffing of qualified, competent

Promotes personal safety and a safe environment for clients and co-workers.

Demonstrates knowledge of safety / infection control practices by compliance with policies and procedures and regulatory

Assesses safety of environment and takes the initiative to help prevent accidents and promote

Recognizes and responds appropriately to potentially unsafe

Responsible for completing all mandatory and regulatory training programs

Perform other duties as assigned

Qualifications

Educational Requirements :

• Graduate of an accredited school of professional nursing

Experience :

Credential / Licensure Required :

Graduate of a 4-year medical related degree

Must be a licensed driver with an automobile that is insured in accordance with state and agency requirements and is in good working order

Special Conditions of Employment :

Drug test

Initial and continuous exclusion and sanction / disciplinary monitoring

Any and all additional eligibility requirements based on the specific position

Required Training : HIPAA Privacy Course

HIPAA Security Course

Job Skill Requirements :

Knowledge of home care federal and state

Knowledge of reimbursement sources and documentation requirements within home health

Excellent written and verbal communication skills and strong interpersonal skills including the ability to market and relate tactfully with customers and other members of the

Behavioral Traits :

Intuitive / Open minded : Must be able to see opportunities, develop and implement creative solutions to complex problems

Achievement Drive / Commitment : Driven to achieve goals, objectives, and results. Fosters a culture of continuous improvement

Positive / Supportive : Inspires and shows faith in others, builds a positive and supportive work environment

Flexibility : Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure

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Job Locations US-IL-Hoffman Estates

Posted Date 3 months ago (7 / 29 / 2025 12 : 32 PM)

Requisition ID 2025-14341

# of Openings 2

Category Healthcare

Location : Location US-IL-Hoffman Estates