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Pediatric Clinical Case Manager

MGA Homecare
Full-time
On-site
Charlotte, North Carolina, United States
Overview
Company: MGA Homecare. MGA Homecare has been providing Private Duty Nursing, Skilled Nursing Visits, Occupational Therapy, Physical Therapy, and Speech Therapy services within the home and community-based setting for over a decade. In 2022 MGA expanded to MGA Behavior Therapy offering Applied Behavior Analysis (ABA) and early behavior intervention for pediatric patients with autism spectrum disorder (ASD) and other developmental disabilities. Our goal is to deliver high-quality clinical care in the home, making lives easier for patients and families with compassion and integrity. We serve Arizona, Colorado, North Carolina, Tennessee, Texas, and Washington.

Job Description
The RN Case Manager reports directly to the Clinical Director and is responsible for care coordination of clinical staff and patient/family clientele. This role handles admissions and recertification assessments, including supporting documentation, as assigned. The position ensures compliance with MGA policies, state policies and procedures, accrediting agencies, and reimbursement guidelines; maintains patient confidentiality/HIPAA guidelines. The RN Case Manager participates in program development and implementation, and collaborates with Client Service Managers to acquire/develop new relationships with clientele.

Responsibilities

Ensures supervision of all home care personnel, as assigned.

Enforces/demonstrates compliance with state and federal regulations.

Ensures effective communication to coordinate the implementation of each patient’s Plan of Care.

Instructs, trains, and re-educates on clinical skills/procedures when necessary.

Responsible for direct supervision of field LVNs/LPNs/RNs/CNAs per state guidelines.

Provides support, guidance, and education to patients/families and/or caregivers to maintain optimal physical and emotional wellbeing.

Communicates all occurrences and other pertinent information to the Clinical Supervisor/Director of Clinical Services.

Ensures any observed or suspected child/adult abuse, neglect, or exploitation is reported to proper authorities as mandated health professionals.

Collaborates with Clinical Supervisor and Director of Clinical Services to resolve client/clinical concerns in a timely manner.

Office Responsibilities

Develops and implements the treatment plan for each patient under physician direction.

Completes all clinical documentation in a timely manner, including admissions, recertifications, resumptions of care, ensuring documentation meets agency policies and state regulations.

Reviews clinical documentation to ensure it reflects skilled services for payer reimbursement.

Interviews and evaluates potential clinical field staff to ensure competency for safe patient care.

Complies with and participates in continuing quality improvement by reporting incidents, injuries, infections, and all risk management components.

Participates in agency-sponsored continuing education in-services and conferences to maintain clinical competency.

Supports and executes the mission, ethics, and goals of the company.

Represents themselves professionally and adheres to dress code and punctuality.

Adheres to all company policies and procedures outlined in the Employee Handbook or communicated by the executive team.

Qualifications

Current state license as a Registered Nurse; BSN preferred.

Minimum of two years of RN nursing experience in a Home Health or Acute setting preferred.

Current CPR certification.

Additional Information & Benefits

Benefits are available to eligible employees on the first of the month following 30 days of employment and include:

Health, Dental & Vision Coverage

Health Savings Accounts (HSA) – available if enrolled in a high deductible plan

Flexible Spending Accounts (FSA & LPFSA)

Dependent Care Reimbursement Accounts (DCRA)

Employee Assistance Program (EAP) – available if enrolled in Health plan

401(k) retirement plan

Paid Time Off (PTO)

100% Company Paid Basic Life Insurance (if enrolled in Health plan)

Voluntary Life Insurance

Short & Long-Term Disability

Critical Illness/Accident Insurance

Hospital Indemnity Insurance

Identity Protection Plan

Legal Care Plan

Pet Discount Program

All your information will be kept confidential according to EEO guidelines.

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