Registered Nurse Clinical Case Manager

Company Description
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 has opened its doors to MGA Behavior Therapy which offers Applied Behavior Analysis (ABA) and early behavior intervention for pediatric patients with autism spectrum disorder (ASD) and other developmental disabilities within the Colorado Springs and surrounding areas.
We aim to help our patients and their families by delivering high-quality clinical care in the comfort of their homes. Our goal is to make the lives of our patients and their families easier by demonstrating compassion and integrity at the heart of everything we do. By bringing individualized attention and support throughout every home. MGA Homecare is proudly serving the states of Arizona, Colorado, North Carolina, Tennessee, Texas, and Washington, and are here to be a resource for patients and their families.
Job Description
This role is responsible for the care coordination of clinical staff and patient/family clientele. Responsible for admissions and recertification assessments, including supporting documentation, as assigned. This position ensures compliance with MGA policies, State policies and procedures, and policies of accrediting agencies, as well as responsible for maintaining compliance with all reimbursement guidelines and maintaining patient confidentiality/HIPPA guidelines.
Duties and Responsibilities

• Ensures supervision of all home care personnel, as assigned:
• Enforces/ demonstrates compliance with State/ Federal regulations.
• Ensures effective communication to coordinate the implementation of each patient's Plan of Care.
• Instruct, train, and re-educate on clinical skills/procedures when necessary.
• Responsible for direct supervision of field LVNs/LPNs/RNs per State guidelines.
• Provides support, guidance, and education to patients/patient families and or caregivers to maintain optimal physical and emotional wellbeing.
• Communicates all occurrences and other pertinent information to the Clinical Supervisor.

Office Responsibilities to Ensure and/or Facilitate the following:

• Develops and implements the treatment plan for each patient under the direction of physician.
• Completes all clinical documentation in timely manner, including admissions, recertification's, resumptions of care, accurately and ensures that documentation meets all requirements per agency policies and State regulations.
• Reviews clinical documentation to ensure it is complete and reflects skilled services to meet payer source requirements for reimbursement.
• Interviews and evaluates potential clinical field staff to ensure competency in order to promote appropriate/safe patient care.
• Complies and participates in the continuing quality improvement by appropriately reporting of incidents, injuries, infection and all components of the risk management program.
• Participates in agency sponsored continuing education in-services and conferences to maintain own clinical competency.
• Supports and executes the mission, ethics, and goals of the company effectively.

Qualifications

• Current state license as a Registered Nurse
• Minimum of two years of nursing experience in a Home Health or Acute setting is preferred.
• Demonstrate leadership capabilities with strong supervisory and interpersonal skills.
• Detail-oriented, flexible, good organizational and time management skills.
• Knowledge of cost management for clinical services.
• Current CPR card and Current health certificate as applicable.
• Current state driver's license
• Reliable transportation with automobile insurance.

Additional Information
Base Compensation start between $75,000.00 - $79,000.00 plus auto and cell monthly allowances.
Benefits are available to eligible employees on the first of the month after 30 days of employment and include:
All your information will be kept confidential according to EEO guidelines.
#IND789-NC
At MGA, we prioritize diversity, equity, and inclusion (DEI) in both our organization and the communities we serve. We understand that DEI is crucial to our success as a healthcare company, allowing us to provide personalized care tailored to each patient's unique needs and preferences. Our belief is that everyone, regardless of their background or identity, deserves access to high-quality healthcare services. We respect and value the experiences, perspectives, and identities of all individuals, striving to create an environment where everyone can thrive. We are dedicated to attracting, developing, and retaining a diverse workforce that reflects the communities we serve, without discrimination based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.