Case Manager-HH-LPN

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associates Degree or Certification in Nursing

2. Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's degree in nursing.

EXPERIENCE:

1. Two (2) years of Home Health and/or Hospice experience.

2. Two (2) years of experience in utilization review/chart audit.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an exhaustive list of all responsibilities and duties. Other duties may be assigned.

1. Manage the intake process for new patients, including receiving referrals from healthcare providers, insurance verification, and scheduling initial assessments.

2. Serve as the primary point of contact for patients, families, healthcare professionals, and referral sources regarding Home Health and/or Hospice services.

3. Ensure accurate and timely documentation of patient information, including medical history, assessments, care plans, and communication with other healthcare providers.

4. Collaborate with interdisciplinary team members to develop individualized care plans based on patients' needs, goals, and preferences.

5. Coordinate services and resources needed to support patients' care plans, such as medical equipment, supplies, therapy services, and community resources.

6. Provide education to patients and families about their condition, treatment options, self-care techniques, and available support services.

7. Monitor patients' progress and response to treatment, reassessing needs as necessary, and adjusting care plans accordingly.

8. Coordinate transitions between care settings, such as hospital discharge to Home Health and/or Hospice services, ensuring continuity of care and smooth transitions.

9. Participate in quality assurance activities, such as audits, reviews, and performance improvement initiatives, to ensure compliance with regulatory standards and quality outcomes.

10. Collaborate with healthcare professionals, including physicians, nurses, therapists, and social workers, to ensure coordinated and comprehensive care for patients.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.