Registered Nurse Case Manager
About the role
The RN Home Services Case Manager utilizes clinical expertise and critical thinking skills to direct resource utilization to develop and implement a plan of care that is both cost effective and is designed to assist the patient in moving to functional independence and improve quality of life. The RN Home Services Case Manager is the primary caregiver upon admission, recertification, and discharge for the purpose of assessing progress toward stated goals. This role is responsible for the completion of the Outcome and Assessment Information Set (OASIS) and tracking progress against admission assessment. The incumbent has accountability for the coordination of caregivers and supplies necessary in the provision of patient care. This position works collaboratively with patients, patient families/significant others, healthcare providers, insurers, community resources, and other involved parties.
Responsibilities
- Takes ownership of the entire patient care journey, from admission through discharge, ensuring seamless communication, high-quality outcomes, and efficient resource use.
- Guides planning, education, and collaboration across disciplines, while fostering strong relationships with patients, families, and payors.
- Acts as a patient advocate, helping individuals navigate complex healthcare systems and access essential resources.
- Provides leadership in case management, discharge planning, and utilization review.
Requirements
- Current Registered Nurse (RN) license in state of practice.
- Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment.
- Bachelor of Science in nursing (BSN) from an accredited institution (degree verification required).
- RNs must obtain their BSNs within four (4) years of hire or promotion date. If there is an existing education agreement, that agreement will take precedence.
- Basic Life Support Certification (BLS) for Healthcare Providers.
- Current driver’s license, insurance, reliable transportation, and an acceptable driving record.
- Unit specific certification as required (i.e., ACLS, PALS, etc.).
- Demonstrated clinical nursing experience.
- Demonstrated knowledge of home health or hospice.
- Ability to communicate effectively both verbally and in writing.
Qualifications
- Bachelor of Science in Nursing (BSN) from an accredited institution (degree will be verified).
- One (1) year experience working in home health or hospice.
- Three (3) years of clinical nursing experience.
- Experience working with third-party payors.
- Previous experience in case management, utilization review, and/or discharge planning.
Skills
- Excellent clinical judgment and problem-solving skills.
- Strong interpersonal and communication skills.
- Effective time management and organizational skills.
- Ability to work independently and as part of a team.
- Proficiency in Microsoft Office Suite.
Benefits
- Competitive Pay Rate based on experience.
- Incentives: Up to $400 annual caregiver incentive and a $1,500 referral bonus.
- Opportunities for Professional Development through training and certification programs.
Pay
$41.20 - $62.17 per hour
Schedule
Monday through Friday 8AM-5PM