Home Health RN Case Manager

Clinical Case Manager Home Health (RN)

Position Overview

We are seeking an experienced Clinical Case Manager (RN) to join our Home Health office team. This in-office position is responsible for overseeing clinical case management reviewing OASIS documentation ensuring regulatory compliance coordinating patient care and supporting the delivery of high-quality home health services. The ideal candidate is highly organized detail-oriented and experienced in Medicare-certified home health operations.

Compensation & Benefits

• Competitive Salary (Based on Experience)
• Health Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off
• Paid Holidays
• 401(k)
• Additional Benefits Available

Schedule

• Full-Time
• Monday Friday
• Office-Based Position

Requirements

• Active unrestricted Registered Nurse (RN) license in the State of Florida
• Minimum of 3 years of Home Health experience
• Strong knowledge and experience with OASIS
• Working knowledge of Medicare Home Health Guidelines
• Experience obtaining and managing authorizations
• Proficient in Microsoft Office (Word Excel Outlook and PowerPoint)
• Strong computer and documentation skills
• Excellent communication organizational and time management abilities

Preferred Qualifications

• Previous experience in Clinical Case Management
• Experience working in a Medicare-certified Home Health Agency
• Knowledge of physician order management and clinical documentation compliance
• Experience coordinating interdisciplinary patient care
• Familiarity with EMR systems used in Home Health

Responsibilities

• Review RN OASIS assessments for completeness accuracy and compliance
• Manage patient cases from admission through discharge
• Assist with developing and reviewing patient service plans
• Coordinate care among physicians clinicians and interdisciplinary team members
• Ensure patient visits are scheduled and assigned appropriately
• Monitor patient progress and follow up on ongoing cases
• Ensure timely initiation of care for all patients
• Review clinical records to ensure services are provided according to the Plan of Care (POC)
• Track and obtain signed physician orders
• Communicate with physicians and insurance providers regarding changes in patient condition and updated orders
• Conduct and document interdisciplinary case conferences
• Verify clinical documentation for billing and reimbursement
• Ensure complete and accurate patient records in accordance with Medicare regulations
• Build and maintain strong working relationships with clinical and administrative staff
• Support quality assurance initiatives and regulatory compliance throughout the case management process

Please apply HERE

or send updated resume to

Required Experience:

Manager