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RN Case Manager

RN Case Manager

Giving Home Health CareAlbuquerque, NM, United States
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Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah. If you're a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! Apply today and help us continue delivering exceptional care to those who need it most. The Nurse Case Manager provides clinical oversight, case management, and direct support to the Care Team Directors who oversee five care teams. This role ensures that patients receive appropriate, high-quality, and compliant care in accordance with Department of Labor (DOL) and Giving Home Healthcare standards. The Nurse Case Manager acts as a resource to staff, supports interdisciplinary collaboration, and facilitates smooth coordination of patient care. #INDLIC Key Responsibilities :

  • Review Plans of Care (POCs), Letters of Medical Necessity (LMNs), and clinical documentation for accuracy, and compliance.
  • Review and sign monthly Case Management (CM) notes.
  • Perform regular spot checks of nurse charting to ensure accuracy, compliance, and consistency
  • Complete supervisory visits for patients without an assigned nurse and for patients assigned to an LPN
  • Complete T1001 for patients without an assigned nurse and for patients assigned to an LPN, as well as mid-auth increases or 50% of patient census
  • Collaborate with Care Team Directors and DON regarding patient clinical needs, staffing alignment, and escalation of red-flag cases
  • Notify physicians and interdisciplinary team of patient change in condition. Patient & Care Team Support :
  • Serve as a clinical resource for Care Team Directors and Patient Coordinators to resolve complex cases
  • Support Directors in reviewing nurse and HHA utilization to ensure proper allocation of hours
  • Meet with Patient / Family regarding utilization of care plan
  • Participate in patient / family meetings when escalations require clinical involvement Qualifications :
  • Active Registered Nurse (RN) license in the state of practice (BSN preferred)
  • 3+ years nursing experience; home health, case management, or clinical leadership experience strongly preferred
  • Knowledge of DOL / EEOICPA guidelines and home health regulations a plus
  • Strong organizational and critical thinking skills
  • Ability to provide mentorship and clinical education to interdisciplinary staff
  • Proficient in EMR systems; experience with IGEA preferred Competencies :
  • Patient-Centered Approach
  • Collaboration & Communication
  • Clinical Judgment
  • Compliance & Regulatory Awareness
  • Attention to Detail Work Environment :
  • Office-based with travel to patient homes as needed
  • Requires flexibility to attend team meetings, case conferences, and urgent patient visits Benefits :
  • Health, Dental, and Vision Insurance
  • 401(k) with company matching program
  • PTO, holidays, and your birthday off.
  • Company holidays, floating holiday, and birthday holiday
  • Vacation (PTO) and Sick Days
  • Company-paid STD and LTD
  • Tuition reimbursement program
  • $100 monthly cell phone reimbursement
  • Monthly in-office lunch for birthdays, anniversaries, and events To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. We're committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers. If you're ready to be part of an organization that truly makes a difference in people's lives, we encourage you to apply today and start a fulfilling journey with Giving Home! Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices. Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination. Giving Home is committed to maintaining transparent compensation practices and regularly reviews our policies to ensure compliance with evolving laws and best practices. We value the contributions of our employees and strive to provide a work environment where everyone feels respected, valued, and fairly compensated. Annual salary + 18% Bonus potential
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Rn Case Manager • Albuquerque, NM, United States

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