Insurance Case Manager Jobs in Rochester, MN (NOW HIRING)

Why Work for Adara?

Adara Home Health offers fulfilling Home Care careers to professionals looking for flexibility and the ability to manage their own schedule. Join our team and work for an employer who values each employee as an individual and respects everyone’s need for work-life balance. 

The Registered Nurse Preceptor is responsible for mentoring, orienting, educating and training assigned professional and unlicensed client care personnel in helping to them to transition into their roles. Evaluates clinical competency of employees that are assigned by Clinical Supervisor or designee to ensure quality standards of care are met.

Oversees home health services for clients within the community and performs comprehensive client care, and case management as assigned. Collaborates with the client, their family, and the health care team to develop and implement goal-centered care plans taking into consideration quality measures and financial aspects of treatment. Builds and maintains respectful relationships with others. The RN Preceptor reports to the Clinical Supervisor.

SCHEDULE

• This is a full time position, Monday - Friday with an on-call rotation.

COVERAGE AREA

• This position reports to the Rochester, MN office and provides services in Rochester and surrounding cities.

BENEFITS

• Opportunity for Productivity Bonuses in Addition to Base Salary 
• Ability to Manage Your Schedule
• Mileage Reimbursement & Paid time off 
• Medical, Dental, Vision, Life, AD&D, Pet Insurance
• 401K 100% Vested Upon Eligibility

MAJOR RESPONSIBILITIES

• Reflects the company’s mission and values in developing and maintaining professional working relationship with others.
• Provides direct instruction and guidance to clinical staff on clinical procedures, protocols and best practices, in all client care areas including, and not limited to:

• • Performs initial and periodic assessment of clients to determine care needs, implements interventions, and evaluates the effectiveness of care to achieve positive outcomes.
  • Collaborates with physicians/non-physician practitioners and the home health team to develop and update the client’s home health plan of care at least every 60 days or more often as changes occur.
  • Coordinates client care with family, caregivers, community resources, and other health care members.
  • Serves as a client advocate ensuring safety needs are addressed by assessing the home environment, developing and implementing individualized abuse prevention plans, and reporting any suspected vulnerability such as abuse, neglect or financial exploitation.
  • Meets documentation standards ensuring accuracy, timeliness, and compliance with payer/ billing requirements.
  • Provides education to the client, family, caregivers, licensed clinicians (as indicated), and unlicensed personnel.
  • Provides direct care to clients of varying ages, clinical acuity levels, and diagnoses in accordance with the company’s policies, procedures, processes and the Minnesota Nurse Practice Act.

• Provides clinical oversight, education, orientation and training to licensed clinicians, office personnel, and unlicensed personnel.
• Performs the job responsibilities of the Registered Nurse Case Manager as delegated by the Clinical Supervisor or designee.
• Assists in ensuring recruitment, onboarding, evaluation, training, assignment and discharge of staff is done according to established company policies and procedures. 
• Ensures effective and appropriate financial management of the client’s home health services are met.
• Manages work schedule effectively, adapts to and remains flexible with unexpected changes, and participates in the on-call process.

PHYSICAL/ENVIRONMENTAL DEMANDS

Client care provided in individual client homes and may require transfers and lifting with adaptive equipment. Must be adaptable to a variety of environments and community settings. Must be able to drive or use public transportation in all types of weather.

Heavy. Amount of weight moved; 50 to 100 pounds occasionally; 25 to 50 pounds frequently; 10 to 20 pounds constantly. Light. Amount of weight moved; up to 20 pounds occasionally.

QUALIFICATIONS

• Currently licensed as a Registered Nurse (RN) in the State of Minnesota. The license must not have been revoked, suspended and without limitations or restrictions.
• Proof of negative TB testing: mantoux skin test, single TB blood test or chest x-ray.
• Access to a dependable automobile in order to travel to multiple company business stops a day.
• A valid driver’s license and proof of current car insurance when using a personal vehicle for company business.
• Have U.S. Citizenship or evidence of valid Alien Work Permit.
• Disclose any conviction and criminal history records pertaining to any crime related to the provision of health services.  A candidate who has been convicted of such crimes will not be hired.
• Pass initial and ongoing background studies and screenings including but not limited to those of the Minnesota Department of Health and the Federal Office of the Inspector General’s List of Excluded Individuals and Entities.

SKILLS AND EXPERIENCE

• Have at least two (2) years’ experience in a health care facility or home care field. 
• Demonstrates critical thinking skills, the ability to follow standards and procedures, and make appropriate clinical judgments to provide safe and effective client care.
• Ability to work independently adapt to change, and manage a variety of assignments while establishing priorities and ensuring the necessary duties are completed.
• Ability to build and maintain professional relationships.
• Excellent written and verbal communication skills; interpersonal communication and education and teaching skills.
• Ability to create a supportive and engaging learning environment, assess learning needs, and tailor teaching methods to individual learning styles. 
• Basic computer skills and willing to learn new software programs; experience with Electronic Medical Records and Microsoft Outlook required.
• Current CPR certification highly recommended.

Adara Home Health, Inc. is committed to fair and equitable compensation practices. The base salary range for this position in the U.S. is $70,000 - $95,000 per year plus productivity, compensation and benefits. A candidate's salary is determined by various factors including, but not limited to, relevant work experience, skills, certifications, job level, supervisory status, and location.