Case Manager

KPH Healthcare Services • Full-time • Hoffman Estates, IL, US • 9m ago

Overview

Job Summary: Manages, supervises, coordinates, evaluates, and develops client care teams to ensure quality care delivery and appropriate case management within the Agency scope of services and policies; state, federal, and local laws; and Nurse Practice Act.

Responsibilities

Job Duties:

Manages and directs a team of Field staff ensuring safe, effective, and appropriate home care
Receives referrals, determines services required, and Agency's ability to meet needs. Assigns appropriate clinicians to
Meets with clinical staff on a regular basis to provide guidance and information related to specific issues. Provides direction to teams to assure that client needs are met, and services are provided according to the plan. Assists clinical staff in establishing priorities, setting goals, and evaluating progress toward
Attends case conferences and other clinical meetings to facilitate coordination of
Reviews monthly team members' productivity
Coordinates 24-hour Agency coverage by Registered Nurses. Evaluates quality of on-call
Provides on-call backup for Case Managers, as
Develops working relationships with other health care professionals in the community and families to identify resources available and to ensure access of information to
Provides support and direction to Agency staff, other health care professionals, clients, and families related to appropriate and available health care
Educates Agency staff on clinical services, policies, and procedures as
Facilitates problem-solving sessions to enable Field Staff to resolve client and/or reimbursement source
Stays current on available community resources, health care costs, and industry trends through self-education and access to outside educational
Ensures accuracy, completeness and timeliness of clinical documentation in accordance with Agency policies and procedures, regulatory requirements and industry standards.
Monitors open and closed charts regularly and participates in the quarterly clinical record
Reviews Agency policies and procedures and recommends changes or revisions as
Provides educational programs and information regarding appropriate documentation
Provides leadership to team and support staff in identifying Agency/client needs and opportunities for quality
Assists quality improvement teams with data collection for the Quality Improvement Plan established by the
Reviews OASIS data collection to assure accuracy and consistency with requirements. Communicates with clinicians and provides training as indicated to achieve compliance with collection and reporting
Identifies and implements changes in clinical and/or operational practice based on the findings of the Quality Improvement
Interprets and enforces human resource policies and procedures in a fair and consistent
Assists in the orientation of new
Follows Agency guidelines for disciplinary actions. Documents all disciplinary actions in accordance with Human Resource policies and legal
Collaborates with Agency Director and other clinical management staff to ensure proper staffing of qualified, competent
Promotes personal safety and a safe environment for clients and co-workers.
Demonstrates knowledge of safety/infection control practices by compliance with policies and procedures and regulatory
Assesses safety of environment and takes the initiative to help prevent accidents and promote
Recognizes and responds appropriately to potentially unsafe
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned

Qualifications

Educational Requirements:

Graduate of an accredited school of professional nursing

Experience:

Minimum of two (2) years management experience in Home Health or related health care organization

Credential/Licensure Required:

Graduate of a 4-year medical related degree
Must be a licensed driver with an automobile that is insured in accordance with state and agency requirements and is in good working order

Special Conditions of Employment:

Drug test
Initial and continuous exclusion and sanction/disciplinary monitoring
Any and all additional eligibility requirements based on the specific position

Required Training:

HIPAA Privacy Course
HIPAA Security Course

Job Skill Requirements:

Knowledge of home care federal and state
Knowledge of reimbursement sources and documentation requirements within home health
Excellent written and verbal communication skills and strong interpersonal skills including the ability to market and relate tactfully with customers and other members of the

Behavioral Traits:

Intuitive/Open minded: Must be able to see opportunities, develop and implement creative solutions to complex problems
Achievement Drive/Commitment: Driven to achieve goals, objectives, and results. Fosters a culture of continuous improvement
Positive/Supportive: Inspires and shows faith in others, builds a positive and supportive work environment
Flexibility: Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure

Related Jobs

Territory Brand Representative

AMS Retail Solutions • Full-time • Naperville, Illinois, United States • 20h ago

Sales

Immediate opening for Territory Representative for Bosch Power Tools Ideal candidates have experience in the big box home improvements stores, some power tool experience. As a Territory Representative, you would be the f...

20h ago

Apply

Reconstruction Estimator (Downers)

ServiceMaster • Full-time • Downers Grove, IL, US • $70k - $80k / year • 1d ago

Construction

Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Health insurance Paid time off Training & development Vision insurance Wellness resources We are the nation’s largest ServiceMaster franchise compa...

1d ago

Apply

Construction Superintendent (DG)

ServiceMaster • Full-time • Downers Grove, IL, US • $65k - $80k / year • 1d ago

Construction Management Superintendent

Are you looking for? A GROWING organization where you can showcase your skills all year round? With Benefits? An organization that has growth opportunities that offers continuous improvement with so much to learn? A plac...

1d ago

Apply

Senior Project Manager

FCL Builders • Full-time • Itasca, IL • $110k - $150k / year • 2d ago

Construction Project Management

Lead the Build. Drive the Vision. Deliver Excellence. At FCL Builders, we don’t just construct buildings—we build futures. As a Project Manager, you’ll lead high-impact industrial and commercial construction projects fro...

2d ago

Apply

Project Manager

FCL Builders • Full-time • Itasca, IL • $100k - $130k / year • 2d ago

Construction Project Management

Project Manager Lead the Build. Drive the Vision. Deliver Excellence. At FCL Builders, we don’t just construct buildings—we build futures. As a Project Manager, you’ll lead high-impact industrial and commercial construct...

2d ago

Apply

Traveling Project Superintendent

FCL Builders • Full-time • Itasca, IL • $100k - $150k / year • 2d ago

Construction Management Superintendent

Build More Than Just Buildings—Build Your Career. At FCL, we don’t just build buildings, we build communities, careers, relationships, and trust. As an MEP Superintendent, you’ll play a critical role in delivering comple...

2d ago

Apply

Senior Project Estimator - Cold Storage

FCL Builders • Full-time • Itasca, IL • $120k - $150k / year • 2d ago

Construction

Build More Than Just Buildings—Build Your Career At FCL, we don’t just build buildings—we build communities, careers, relationships, and trust. As an Estimator, you’ll be at the heart of our projects, helping ensure accu...

2d ago

Apply

MEP Traveling Project Manager

FCL Builders • Full-time • Itasca, IL • $85k - $130k / year • 2d ago

Construction Project Management

Build More Than Just Buildings—Build Your Career. At FCL, we don’t just build buildings, we build communities, careers, relationships, and trust. As an MEP Project Manager, you’ll play a critical role in delivering compl...

2d ago

Apply

Senior Project Scheduler

FCL Builders • Full-time • Itasca, IL • $100k - $150k / year • 2d ago

Manufacturing

POSITION OBJECTIVE: Construction Project Schedulers are key players in ensuring projects stay on track, on time, and within scope. They bring structure and foresight to the construction process by developing, maintaining...

2d ago

Apply

Traveling Assistant Superintendent - Data Center

FCL Builders • Full-time • Itasca, IL • $60k - $105k / year • 2d ago

Construction IT & Helpdesk Management Superintendent

#LI-MN1 Grow With Us—Build More Than Projects. At FCL, we don’t just build structures—we build futures. As an Assistant Superintendent , you’ll play a key role in driving our construction projects forward while developin...

2d ago

Apply