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Case Manager - Registered Nurse - Wound Care

Metairie, LA, USA Req #811
Tuesday, July 9, 2019

At RestorixHealth, our mission is simple…to restore health and improve the quality of life! 

 
*This position will be working out of our Metairie, LA corporate office*
 

Job Summary:


We are seeking an  Case Management Liaison (CML) that enhances continuity of patient care by being a liaison between patients, hospital partners, referral sources, At-Home Patient Services Coordinators (PSC) and Medical Scribe.

Every position at RestorixHealth contributes to enhancing the lives of the patients we serve. You too, can be an integral part of our team, APPLY TODAY!  


What You’ll Do:

  • Provides information by responding to queries form patients, hospital partners, referral sources,  PSC, and Medical Scribes by sorting and distributing message and documents.

  • Supports the PSC and Medical Scribes with clinical inquiries.

  • Obtains medical, surgical, social and medication history prior to initial visit and documents in RestorixHealth (RXH) EMR system.

  • Answers questions and request in a timely manner.

  • Acclimates clinical new hires (WCN, LPN, Medical Scribe and Coordinators) to the business and conducts orientation sessions.

  • Documents all communication in RXH EMR system according to company policy.

  • Assists with investigating difficulties/delays in At-Home visits by resolving issues and facilitating access to care.

  • Effectively demonstrates a strong ability to analyze and problem solve.

  • Reports problems promptly to the designated supervisor.

  • Stays current with company changes, providing provider and staff updates and education as needed. (e.g. Reimbursement, Policy, Clinical Pathways and other updates).

  • Effectively communicates with company and facility staff regarding center and business operations.

  • HIPAA Compliance – complies with all the Privacy and Security company polices.

  • Updates job knowledge by participating in educational opportunities, reading professional publications, maintain personal networks and participating in professional organizations.

  • Follows up with lab results (obtain results, call Provider and patient to follow up) and documents accurately in the clinical record. Faxes results to other Physicians, Home Health or facilities in the patient’s treatment plan as required (delegate to Medical Scribe as needed).

  • Provides patient education relevant to disease processes, medications, nutrition and vitamin therapy, pressure reduction.

  • Writes all telephone or verbal orders received immediately and obtains provider signatures as necessary.

  • Completes accurate and relevant clinical notes regarding patients’ condition and care given.  Writes progress report and summaries to Providers as appropriate.

  • Places orders as requested for wound care supplies for patients from third party vendors using approved vendors.  Sends faxes with orders/request for supplies to third party vendors and also sends updated patient information to vendors as requested for continued medical supply orders when Home Health is not an option.

  • Routinely checks on patients in Acute Care, Skilled, Hospitalized and LTAC facilities several times a week and updates accordingly.

  • Coordinates patient’s admission to LTAC and Nursing Home if needed

  • Schedules and obtains authorizations for diagnostics and labs.

  • Coordinates patient care by ordering Home Health, IV ABX Therapy, consults to specialist, etc.

  • Coordinates and leads case conference calls with insurance payers as assigned

  • Participates in 24 Hour On Call Nursing Support Schedule

  • Other duties as assigned  

    Additional Responsibilities:
     

·         Reporting

Wound Outcomes

Case Review – consisting of weeks in treatment, number of visits made, summary of wound measurements, current plan of care, plan of care changes and/or challenges.


Education and Technical Skills:

  • Registered Nurse maintains current licensure with appropriate State Board of Nursing without restriction.

  • Possesses experience as a Registered Nurse.

  • Prior experience working with wound care patients is highly preferred.

  • Intermediate Microsoft Word and Excel skills preferred.

 

All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. RestorixHealth is an EO employer – M/F/Veteran/Disability
 

Other details

  • Pay Type Salary
  • Metairie, LA, USA