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Clinical Case Manager, Care ManagementVNS Health • New York, New York, United States
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Clinical Case Manager, Care Management

VNS Health
  • US
    New York, New York, United States
  • US
    New York, New York, United States
Apply Now

About

Overview
Ensures the quality, safe delivery, and cost-effective home care services. Coordinates home care services that reflect VNS Health's philosophy and ensures standards of care are maintained. Works under general direction.

What We Provide

  • Referral bonus opportunities   
  • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays 
  • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability  
  • Employer-matched retirement saving funds 
  • Personal and financial wellness programs  
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care   
  • Generous tuition reimbursement for qualifying degrees 
  • Opportunities for professional growth and career advancement  
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities  

What You Will Do

  • Review all clinical documentation completed by Registered Nurse Field Supervisors (RNFS) for comprehensiveness, accuracy, proper formatting, legibility, and compliance with standards of care.
  • Maintain collaborative relationships with personnel from other provider organizations to coordinate patient services, develop joint educational initiatives, and ensure compliance with contractual clinical management obligations.
  • Develop, implement, and maintain clinical policies and procedures in collaboration with team members while ensuring adherence to accreditation and regulatory standards.
  • Participate in the development and maintenance of clinical evaluation tools used for RNFS screening, orientation, and field performance assessments.
  • Contribute to the planning and development of business strategies focused on expanding nursing service opportunities.
  • Assist in developing marketing strategies and actively participate in marketing initiatives to support business growth.
  • Provide on-call coverage based on departmental needs.
  • Counsel and advise individuals inquiring about services regarding appropriate levels of care and referral pathways for members and caregivers.
  • Serve as a clinical resource and subject matter expert for staff across the organization.
  • Ensure the delivery of high-quality patient care within the assigned area by supporting schedulers and RNFS in completing timely field visits for supervision, assessment, training, support, and crisis management.
  • Anticipate and prevent patient incidents by addressing potential care or service-related issues communicated by Clinical Case Managers (CCMs), supervisors, HHAs, RNFS, patients, and caregivers.
  • Participate in the investigation of incidents and complaints within the assigned area and collaborate with leadership on disciplinary actions when necessary.
  • Support department leadership in onboarding and educating new staff members. Conduct field supervision and performance oversight for RNFS during their initial three months in a new role and annually thereafter.
  • Monitor email communications to identify changes in patients’ clinical conditions that may require escalation or modifications to the aide plan of care.
  • Evaluate the effectiveness and efficiency of care and services provided, initiating case management conferences with healthcare team members as appropriate.
  • Ensure all services are delivered in accordance with accepted nursing practices, regulatory requirements, and accrediting body standards.
  • Participate in Quality Assurance and Performance Improvement (QAPI) activities as assigned.
  • Assist with special projects and perform additional duties as assigned.

Qualifications

Licenses and Certifications:
License and current registration to practice as a Registered Professional Nurse, in New York State required

CPR Certification required 
Education:
Bachelor's Degree in Nursing from an approved program required

Master's Degree in Nursing preferred
Work Experience:
Minimum two years clinical experience required

Minimum of two years managerial experience in a LHCSA or CHHA preferred 

Proficiency in Microsoft Office applications required

Excellent problem-solving and organizational, interpersonal, and verbal and written communication skills required



Pay Range
USD $93,400.00 - USD $116,800.00 /Yr.
About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
  • New York, New York, United States

Languages

  • English
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