HCBA RN Intake Case Manager

JOB DESCRIPTION

Position: HCBA RN Intake Case Manager

Pay Range: $90,000 - $105,000 PER YR

Reporting To: HCBA Intake Manager/Lead Intake RN

Work Type: Field (Must be based in California)

Hiring Multiple RN Case Managers

Must be willing to travel up to 2 visits a day, 4-6 client visits a week.

POSITION SUMMARY:

The Intake RN Case Manager is responsible for completing assessments for applicant clients waiting to be enrolled in the HCBA waiver. Completing the assessments might also include communication with Physician and identifying, organizing, and monitoring of services needed for the applicant.

QUALIFICATIONS:

1. Must have a current, unsuspended, un-revoked license to practice as a Registered Nurse in California.
2. Knowledge of current Nursing Practice Act. The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The NPA is located in the California Business and Professions Code starting with Section 2700. Regulations which specify the implementation of the law appear in the California Code of Regulations.
3. Possesses current CPR certification.
4. Proficient in the use of computers.
5. Minimum two (2) years’ experience in a home health organization, primary care clinic, or a health facility preferred.
6. Minimum of one (1) year experience in healthcare quality management preferred.
7. Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures. Must be free from signs of infection and illness.
8. Exercises excellent judgment and possesses knowledge of current nursing practices, with demonstrated exemplary clinical, analytical, and documentation skills.
9. Possesses good written and verbal communication skills. Fluent in English.
10. Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The Registered Nurse will use the nursing process to assess the patient’s medical needs. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions. The RN will provide and maintain proper licensure and provide such to the Agency.

1. Provides nursing services, as part of the Intake Team, for each assigned client.
2. Ensures proper tracking, charting, progress notes and case records for each applicant client within time guidelines and assures completion according to Agency’s policies and procedures. Documents patient intervention and response for accurate intervention using established guidelines.
3. Ensures proper timekeeping and scheduling, as discussed with supervisor.
4. Works collaboratively with the Social Worker on intake team.
5. Completes assessments based on the timeline determined upon a participant’s waitlist status.
6. Follow up with the participant after emergency and inpatient facility admission.
7. Reports all incidents and issues that arise before, after or during an assessment to the lead RN.
8. Maintain all scheduled visits on the calendar.
9. Review all documents associated with the applicant in order to be prepared before completing assessment.
10. Completes all assessments within the outlined timeframe which is stated in the HCBA policy and procedure handbook.
11. Manage complaints from clients, families and friends.
12. Reports all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in an RCFE) or DHCS and APS (if abuse or neglect occurs in PH). Reports fraud.
13. Reviews the Significant Incident Reports (SIRs) with client and staff, as necessary.
14. Participates in Education, Training and Quality Improvement Activities. Monitors compliance and assists Agency in maintaining compliance with Federal, State, Local, and HIPAA Regulations, as well as Joint Commission Standards and Labor Laws.
15. Screens applications/applicants for HCBA Waiver to determine if the applicant meets the minimum HCBA Waiver LOC eligibility requirements.
16. Schedules and conducts comprehensive health and psychosocial Intake assessments of participants’ medical needs, diagnosis, functional and cognitive abilities, and environmental and social needs, to determine which service(s) are required to meet participants’ needs and preferences in the community. Works with MSW to perform initial evaluations and works with applicant, his or her legal representative, circle of support, physician and providers to develop a Plan of Treatment in order to:
    • Develop goals associated with the participant’s assessed needs, individual circumstances, and preferences.
    • Mitigate risk and minimize disruptions in services.
    • Identify when services outlined in POT are available through friends, family, and/or publicly funded programs.
    • Implement the POT, which includes identifying service providers and community resources to help assure the timely, effective, and efficient mobilization and allocation of services.
    • Identify (and train, if necessary), backup caregivers who are willing and able to provide unpaid support if and when waiver service providers are not available.
    • Provide information, education, counseling, and advocacy to, and on behalf of, participants.
17. Provides information, education counseling, and advocacy to, and on behalf of participants.
18. Respects the patient's and family's rights and property as defined by the federal and state laws. Always maintains and conserves confidentiality of patient and agency information conforming to HIPAA regulations.
19. Regularly attends and participates in scheduled case conferences, staff meetings and Agency in-services (in person, by phone, or by web).
20. Participates in appropriate continuing education as may be requested and/or required by immediate supervisor.
21. Regularly self-assesses nursing skills and educational needs to meet the nursing care requirements of patients assigned for care. Upgrades professional skills and attends in-services and continuing education classes as needed.
22. Attends all State mandated in-service trainings.
23. Conforms to all agency policies and procedures.
24. Provides Agency of current licensure for RN. Maintains licensure and provides Agency proof of such. Maintain all required credentials up-to-date.
25. Familiarity with Title 22.
26. Maintains comfortable work environment for all employees.
27. Maintains constant communication with department team.
28. Enhances efficiency and productivity of procedures and employees.
29. Maintains positive customer satisfaction/service.
30. Driving may be required to geographical areas that are covered by the company.
31. Performs other duties as assigned.

PHYSICAL REQUIREMENTS:

1. Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 40% of the time.
2. Reach, stoop, kneel and bend up to 20% of the time
3. Moderate amount of walking up to 15% of the time.
4. Moderate amount of driving up to 25%of the time.
5. Close vision requirements due to computer work on a frequent basis
6. Light to moderate lifting may be required up to 25lbs on a frequent basis.
7. Pushing and pulling up to 25lbs.