LVN Case Manager
POSITION SUMMARY: The Licensed Vocational Nurse Insurance Manager is an experienced registered professional nurse who assists in the coordination of the care plan, coordinates the services provided to his/her patients, and can provide skilled care when needed. They works cooperatively with the insurance companies, Registered Nurses, the attending physician, Medical Director, and other members of the interdisciplinary team to ensure the safe and efficient transition between acute hospital care and care in the home. They provide education and supportive care to staff and other supervisors. They ensure that all clinical staff is properly educated and trained on patient needs and services. They help carry out the organization's purposes in a manner consistent with the goals, objectives, and established policies of the company.
REPORTS TO: Registered Nurse, Administrator, Director of Patient Care Services, Transitional Care Management Supervisors
SUPERVISES: Clinical Staff
Education: Graduate of an accredited school of nursing.
Credentials: Current LVN License within the State. RN is preferred.
Experience: 1+ years of experience in hospice or home health is preferred. 2+ years of experience in a supervisory position is recommended. Long term facility experience is desired.
Core Competencies: Comprehensive knowledge of general nursing theory, technique and practice. Ability to accurately perform physical assessment and obtain a health history and develop therapeutic and teaching plans. Ability to independently plan a personal work schedule and work to complete the assignment on a timely basis. Ability to communicate effectively, verbally and in writing.
Other: Valid driver's license and auto insurance.
FUNCTIONS & RESPONSIBILITIES:
1. Manages and directs the day-to-day operations of the clinical program on a daily basis.
2. Provides oversight of midlevel providers including chart review, management of staff, and coordination of the delivery of patient care in the program.
3. Maintains knowledge and adheres to all company policies and procedures and regulatory standards.
4. Participates in the development of the clinical strategic and operational plans and provides leadership needed to achieve medical goals.
5. Demonstrates capacity to describe findings of the assessment which accurately reflects patient condition.
6. Completes timely reports and coordinates with insurance companies for approval and authorization.
7. Has the ability to perform complete nursing assessment including head to toe physical assessments as needed.
8. Provides regular communication with the staff regarding pertinent organizational and clinical issues.
9. Investigates problems, grievances and complaints and takes and active role in corrective action.
10. Implements and evaluates the plan of care in conjunction with Registered Nurse and physician. This plan may include but is not limited to implementation of complex procedures, teaching objectives and management and evaluation of the care plan done by the field nursing team.
11. Ensures continuity of care throughout the program. Maintains continuing education through academic studies, seminars, and workshops. Plans and implements clinical training for field staff and develops education program in accordance with the Clinical Educator.
12. Communicates will all members of the multidisciplinary team to improve the quality of patient care. Participates in patient care conferences and makes regular entries inpatient care logs.
13. Participates in the weekly case conference and completes case conference documentation for each patient on the nursing care team.
14. Reports patient’s response to treatment accurately.
15. Appropriately identifies progress or lack of progress in the Plan of Treatment and the appropriate nursing action based on patient response.
16. All other tasks and duties deemed necessary and appropriate.
Monday - Friday, 8:00 AM to 5:00 PM