Health Home Registered Nurse Case Manager

• Conduct thorough patient assessments, including vital signs, medical history review, and physiological evaluations to determine individual care needs.
• Initiate and maintain Authorizations for LTSS clients.
• Complete required DMAS forms (97, 99, 98R, PartV, etc.)
• Create Individualized Support Plans for clients.
• Develop and implement personalized care plans in collaboration with healthcare professionals, ensuring alignment with patient goals and health regulation policies.
• Manage patient cases across various settings such as hospital, post-acute care, outpatient clinics, and home health environments.
• Coordinate discharge planning, ensuring smooth transitions from hospital to home or other care facilities while optimizing post-acute recovery.
• Utilize Electronic Health Records (EHR) systems to document medical records accurately, track patient progress, and facilitate communication among care teams.
• Engage in utilization management by reviewing diagnostic evaluations and managing resources effectively to promote appropriate care levels.
• Provide patient education on health management, medication adherence, and preventive practices while maintaining HIPAA compliance for confidentiality.

*Skills*

• Knowledge of hospital medicine, medical-surgical units, behavioral health, geriatrics, pediatrics, and hospice care.
• Proficiency in managing electronic health records (EHR), medical terminology, and healthcare information systems.
• Excellent patient service skills with the ability to communicate effectively with clients and collaborate seamlessly with multidisciplinary teams.
• Strong understanding of physiology principles and clinical case management practices across inpatient and outpatient settings.
• Familiarity with health regulation policies such as HIPAA and managed care protocols to ensure compliance and quality standards.

Join us as a Health Home Registered Nurse Case Manager to empower patients through expert clinical guidance and compassionate support! Your dedication will help improve health outcomes while advancing your career in a vibrant healthcare environment committed to excellence.

Pay: $42.00 - $45.00 per hour

Benefits

• 401(k) matching
• Health insurance
• Paid sick time

Work Location: Hybrid remote in Lynchburg, VA 24503