Independent Living/Home Care Resident Care Manager/RCM (RN or LPN)

About the role

The Independent Living/Home Care RCM (Resident Care Manager) provides and oversees residents who live in Judson Independent Living to assure the maximum health and wellness, autonomy, and quality of living for them is restored or maintained. Provides supervision and guidance to associates providing direct care services to Judson Home Care (JHC). Works collaboratively with the team to provide coordinated care. Self-direction in maintaining the standards of practice in order to maintain maximum wellness and independence of the clients served through JHC.

Responsibilities

• Completes intake, assessments and development of plan of care for home care clients.
• Maintains required documentation including developing, implementing and evaluating the care plan, as changes in condition occur and as required.
• Oversight of care delivered by the home care aide and makes adjustments to plan of care as needed.
• Coaches the home care aide to improve care delivery.
• Monitors resident/community client appropriateness in current level of care, assesses and advises when other services may be appropriate.
• Delivers and coordinates case management services; and making referrals for other services accordingly.
• Effective communication with residents and families. Actively listens to resident and family concerns and identifies solutions.
• Participates in Quality Improvement initiatives.
• Initiates or participates in care conferences and maintains effective communication with interdisciplinary teams.
• Makes home visits to prospective move-ins – for assessment and alignment with appropriate level of care.
• Maintains clinic hours for residents of the Independent Living community.
• Offers health counseling and is available to residents in the capacity of listening to concerns and problems.
• Introduces new residents to various levels of care and obtains necessary medical and contact information including Advanced Directives. Updates contact and emergency information as necessary.
• Coordinates care and care transitions and serves as liaison as resident requires alternative services working collaboratively with the social worker at each community.
• Completes annual updates, or more frequently if necessary, resident face sheets to include diagnosis, medications and contact information for physicians, emergencies and contacts as well as advanced directives.
• Complete pre-admission assessments and attend pre-admission care conferences as applicable.
• Conducts employee supervisory visits which monitors competency levels of care provided by HHAs to residents/community clients.
• Provides on-call coverage after hours and is therefore required to carry pager and have access to a phone at all times. Responds promptly to all pages resolving all clinical care situations in association with existing cases.
• Prepares and submits monthly documentation for billing.
• Maintains a record of acceptable attendance and punctuality. Observes all company rules and safety procedures.

Qualifications

• Must possess a current RN or LPN license with three years nursing experience and one year supervisory.
• Geriatric experience, home care and/or hospice nursing is preferred.
• Must possess a valid Ohio driver’s license.

Skills

• Proven record of reliability, dependability, accuracy and attention to detail.
• Excellent interpersonal and communication skills.
• Good assessment, analytical and problem-solving skills.
• Must have an understanding and acceptance of the philosophy of care of JHC.
• Managerial experience regarding hiring, discipline, performance appraisals, etc.
• Proficiency on Windows-based computer word processing and spreadsheet software is necessary.

Physical Requirements

• Requires good vision, hearing, speech and communication skills with the ability to ambulate, project voice, use the telephone, use the computer and read and write English.
• Must be able to stand on her/his feet for a period of up to eight (8) hours a day, move around the home without difficulty, transfer a 150-pound person and squat on the floor and rise to standing.

Working Conditions

• The office-working environment is conducive to computerizing essential data, communicating effectively on the telephone and communicating effectively with referrers, caregivers, supervisors, R/Cs and responsible or interested parties.
• When away from the office, must be within paging and (cell) telephone range to effectively communicate scheduling changes. Also, must have access to updated information (i.e., employee, supervisor and resident data) at all times.
• The individual home-work environment characteristics may vary from residence to residence and include variations such as pets, smoking, family members, traveling to various locations and other factors as dictated by the individual environment.
• Each home or residence has a “Home Safety Evaluation” conducted at the admission of each case by the RN Community Care manager to confirm that the home environment is safe and to make recommendations as necessary to make it safe.