Clinical Case Manager, Care Management Job at VNS Health, New York, NY

YWdPeDJET045cXFMY0hoZUFoZXBHWkk2ZGc9PQ==
  • VNS Health
  • New York, NY

Job Description

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.

Job Tags

Work experience placement, Work at office, Flexible hours

Similar Jobs

VALID8 Financial

Technical Writer III Job at VALID8 Financial

 ...writing support to the acquisition project teams and leadership for the preparation of acquisition documentation, presentations, and audio-visual products. The selected individual will prepare and maintain templates for all acquisition documents prepared, review and edit... 

Jimmy John

Delivery Driver Job at Jimmy John

 ...stable environment earning a competitive hourly wage for all your committed time while earning tips making deliveries (compared to DoorDash/Uber Eats/Etc.)? If so, we have an immediate and time-sensitive opportunity for you! Jimmy John's is a well-known brand in the... 

Sonepar

Warehouse Associate - Union Job at Sonepar

Sonepar - - Responsibilities: Pick, check, and pack orders for shipment; Load, unload, and move materials using safety equipment; Receive, check in, and store inventory safely; Cut wire, rod, or strut as required with appropriate equipment; Sweep floors and maintain a tidy...

Redi Towing

Tow Truck Operator Job at Redi Towing

 ...Get paid while you're in training! Company paid uniforms provided. Benefits are Available! No experience required, will train the right people. We need one CDL driver and the other position, CDL is not required. Must be able to pass Dot physical and lift 25... 

PostNet

Part Time Retail Associate Customer Service and Mail Sorting Job at PostNet

 ...-Time Retail Associate to join our team. This is an entry-level position with an emphasis on front counter customer service and mail sorting. If you enjoy working with people, staying organized, and working in a fast-paced environment, this is a great opportunity to grow...