Job Description

Make a Difference on Your Own Schedule and Terms!

Direct team members of senior case managers, case managers, RNs, LPNs, home health aides, and personal attendants in the provision of care in accordance with Agency policy and with state-specific nurse practice act, and regulatory requirements.

Qualifications

• Graduate of a state approved school of professional registered nursing
• BSN preferred
• Current, unrestricted RN license in the state(s) of practice
• Minimum of two (2) years nursing experience including one (1) year in home care or closely related field
• One (1) year of supervisory and/or case management experience preferred
• Current CPR certification
• Licensed driver with clean driving record and insured in accordance with state and/or Agency requirements.

Essential Functions/Areas of Accountability

• Assist and collaborate with the Regional Director and other personnel to manage services and identify and correct issues and/or improve services.
• Ensure compliance with state regulations and policies including ensuring employees and contractors are credentialed by the state according to applicable practice acts.
• Plan, implement, and evaluate care provided.
• Participate, coordinate and manage client care conferences as needed.
• Serve as a local on-site clinical resource as needed and provide support to ensure client’s home care needs are met.
• Assist and collaborate with Staffing Coordinators regarding the appropriateness of staffing and scheduling of personnel within scope of practice, competencies, client needs and complexity of home care.
• Adhere to nursing delegation guidelines as described in Agency Scope of Practice policy.
• Ensure adherence to Agency policies and procedures and making sure those are accessible to employees and contractors during hours of operation.
• Perform other functions as requested by the regional director which may include the following:
• Participate in interviewing, selection, and ongoing evaluation of clinical personnel as requested by the Regional Director
• Personnel training, education, and competency validation
• Review and evaluate clinical documentation and charts for accuracy and completeness
• Participate in all Agency performance improvement and quality improvement initiatives including but not limited to quarterly medical record review
• Collect, document, and submit data on infections, occurrences, complaints and grievances, and performance improvement activities.
• Review Nurse shift reports for adherence to policy and for opportunities for performance improvement.
• Home chart completeness.
• Timeliness of staffing cases post referral
• Equipment tracking and ensuring supplies and equipment are available and in working order
• Oversight and management of fiscal affairs Implementation of state specific regulations
• Maintaining current contracts and keeping them in compliance
• Ensuring accuracy of public information
• Assist with annual evaluations for employees
• Assist with marketing activities such as visiting with clients or physicians to discuss Agency programs as requested
• The Nurse Administrator, or similarly qualified alternate, shall be available at all times during operating hours and participate in all activities relevant to the professional services furnished, including the development of qualifications and the assignment of personnel.
• Performs additional duties and responsibilities as deemed necessary
• Skilled Nursing Services
• Lead the growth and expansion of skilled nursing services by identifying opportunities to increase skilled nursing services when medically necessary.
• Collaborate with case managers, nursing staff, physicians, hospitals, and referral partners to identify clients whose healthcare needs may warrant skilled nursing services.
• Evaluate existing home care clients for changes in condition, medical necessity, or additional treatment needs that may qualify for skilled nursing services.
• Establish and maintain productive relationships with physicians, hospitals, discharge planners, and other referral sources. Serve as a clinical liaison by providing education on the Agency’s skilled nursing services, admission criteria, clinical programs, and patient outcomes.
• Participate in community outreach, networking events, and professional meetings to promote Agency services and strengthen referral partnerships.
• Monitor referral trends, admission conversion rates, skilled census growth, utilization, and quality metrics. Make recommendations and initiate performance improvement plans for any area not meeting company thresholds.
• Provide education, mentoring, and ongoing support to evaluating nurses and clinical staff regarding identification of skilled needs, medical necessity, documentation standards, and admission criteria.
• Ensure evaluating nurses consistently assess opportunities for skilled services during client evaluations, reassessments, and supervisory visits.
• Review clinical assessments and care plans to ensure appropriate utilization of skilled nursing services and accurate identification of client acuity levels.
• Collaborate with the Regional Director, clinical leadership, and business development teams to develop market-specific growth initiatives for skilled nursing services.

Standard Rate: $100,950.00 Annual plus shift differentials, where applicable.

Please contact Mark Rainey II at or at Mark.Rainey@procasemanagement.com today to learn more about our opportunities where you can make a difference in your own career!

Professional Case Management is an Equal Opportunity Employer.