Remote Referral Review & RN Case Manager (Remote | Evenings & Weekends) – Compact License

About Performance Home Health

Performance Home Health, LLC is a patient-centered home health agency dedicated to delivering compassionate, high-quality skilled nursing and therapy services in the comfort of our patients’ homes. Our collaborative team is committed to clinical excellence, patient safety, regulatory compliance, and exceptional patient outcomes.

Position Summary

Performance Home Health is seeking an experienced Registered Nurse (RN) to serve in a combined Referral Review & RN Case Manager role supporting patients during evening and weekend hours. This full-time, 100% remote position provides after-hours clinical oversight by reviewing incoming referrals, coordinating patient care, supporting field clinicians, and ensuring continuity of care when the office is closed. The ideal candidate is a clinically strong, detail-oriented professional who thrives in an independent remote environment, exercises sound clinical judgment, and communicates effectively with physicians, patients, caregivers, and interdisciplinary teams.

Primary Responsibilities:

Referral Review & Clinical Intake

• Review and process incoming home health referrals during evening and weekend coverage.
• Evaluate referrals for clinical appropriateness, completeness, agency admission criteria, and regulatory compliance.
• Verify physician orders, diagnoses, supporting documentation, and required disciplines.
• Identify missing documentation or clarification needed prior to admission.
• Apply ICD-10 knowledge to validate diagnoses, when applicable.
• Coordinate with referral sources to obtain required documentation.
• Maintain accurate referral documentation within the electronic medical record (EMR).
• Monitor pending referrals to ensure timely resolution and patient admission.

RN Case Management

• Review Start of Care (SOC), Recertification, Evaluation, Re-Evaluation, and other clinical documentation submitted by field clinicians.
• Develop, review, and update Plans of Care and physician orders.
• Ensure compliance with Medicare Conditions of Participation, agency policies, and regulatory requirements.
• Monitor patient progress and coordinate interventions that support optimal clinical outcomes.
• Track hospitalizations, falls, infections, incidents, and significant changes in condition.
• Serve as the primary after-hours clinical resource for assigned patients.
• Provide clinical guidance to nursing and therapy staff while ensuring continuity of care.
• Assess discharge readiness, coordinate patient transitions, and facilitate appropriate post-discharge services.
• Participate in interdisciplinary case conferences and support after-hours on-call responsibilities, as assigned.

Care Coordination & Communication

• Collaborate with Intake, Clinical Leadership, Scheduling, Nursing, Therapy, Marketing, and other interdisciplinary teams to ensure timely admissions and continuity of care.
• Communicate professionally with physicians, referral sources, hospitals, patients, caregivers, and internal stakeholders.
• Maintain timely communication regarding patient status, referrals, physician orders, and care coordination activities.
• Meet established productivity, quality, and documentation standards.
• Participate in quality improvement initiatives and perform other duties as assigned.

Required Qualifications:

• Active Texas Registered Nurse (RN) license or Nurse Licensure Compact (NLC) license.
• Minimum two (2) years of RN Case Management experience, including one (1) year in home health.
• Previous Home Health Referral Review, Intake, or Clinical Admissions experience.
• Strong knowledge of Medicare Home Health regulations, admission criteria, referral review processes, and documentation requirements.
• Ability to interpret physician orders and support clinical documentation.
• Strong clinical assessment, critical thinking, and chart review skills.
• Excellent organizational, time management, verbal, and written communication skills.
• Proficiency with Microsoft Office applications, Outlook, Microsoft Teams, and electronic medical record systems.
• Ability to work independently in a remote environment while maintaining effective communication.
• Authorized to work in the United States.

Preferred Qualifications

• ICD-10 coding experience.
• Experience with KanTime or other home health EMR systems.
• Knowledge of OASIS documentation standards.
• Experience coordinating referrals across multidisciplinary teams.
• Experience caring for pediatric, adult, geriatric, or medically complex patient populations.

Knowledge, Skills & Abilities

Successful candidates will demonstrate:

• Strong clinical judgment and decision-making abilities.
• Exceptional attention to detail.
• Excellent critical thinking and problem-solving skills.
• Ability to prioritize multiple clinical demands in a fast-paced environment.
• Strong interpersonal, customer service, and communication skills.
• Ability to work independently while collaborating effectively with interdisciplinary teams.
• Commitment to confidentiality, HIPAA compliance, and ethical practice.
• Adaptability and professionalism in a dynamic healthcare environment.

Annual Salary: $95,000 – $100,000

Updated Coverage Schedule:

Friday, Saturday & Sunday: 8:00 AM – 8:00 PM (12-hour shifts)

This position provides after-hours referral review and case management coverage to ensure uninterrupted patient care outside normal business hours.

Location: 100% Remote

Work Requirements

• Reliable high-speed internet connection.
• Dedicated HIPAA-compliant workspace.
• Ability to communicate effectively by phone, email, and Microsoft Teams.
• Ability to sit and work at a computer for extended periods.