Registered Nurse Case Manager (RN)

About the role

Alternate Solutions Home Health is seeking a Registered Nurse Case Manager (RNCM) to lead patient care, coordinate multi-disciplinary teams, and ensure high-quality, cost-effective, and compliant services. The role involves direct clinical care, care planning, patient/family education, and supervision of care delivered by nurse aides and LPNs.

Responsibilities

• Oversee the overall care of the patient from beginning to end of episode
• Update all doctor orders in the patient chart accordingly
• Notify the physician of any significant changes in the patient’s condition
• Manage multi-disciplinary care as applicable
• Provide skilled nursing care in a patient’s home as ordered by the attending physician
• Observe and monitor patient conditions
• Perform OASIS assessments to develop and adjust individualized plans of care
• Administer medication as prescribed by the physician
• Decrease re-hospitalizations by front-loading visits for high-risk patients
• Promote continuity of care with appropriate admissions, transfers, and discharges
• Counsel patients and families on disease/injury processes and management
• Incorporate patient and family in the development of the plan of care
• Teach patients preventative measures and decision-making to reduce re-hospitalizations
• Listen to patient and family members
• Oversee and supervise total care provided by nurse aides and LPNs
• Evaluate treatments and medical condition according to the plan of care
• Determine if the level of care meets the patient’s needs
• Communicate supervisory visit results to LPNs and nurse aides
• Complete all clinical documentation per agency protocol and Medicare/Federal guidelines
• Maintain an active RN license
• Communicate schedule changes to the scheduler
• Participate in all on-call requirements and case conferences
• Attend in-service trainings and mandatory agency meetings
• Drive to patient locations per scheduled visits
• Ensure daily attendance at assigned visit locations
• Document all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours
• Document all aspects of start of care visits within 24 hours
• Complete and submit all required documentation within specified company requirements
• Follow the plan of care within the RN scope of practice
• Fulfill RN visits in assigned geographic location per patient need within federal and state specifications

Qualifications

• Minimum of one year of experience as an RN in an acute care setting
• Home care experience is desired
• Ability to effectively communicate and create positive impressions with patients, families, physicians, and co-workers
• Ability to remain calm, patient, and accommodating
• Compassionate and caring demeanor when working with patients
• Knowledgeable of nursing best practices
• Ability to make appropriate nursing judgments
• Ability to identify situations and handle them with the best possible solution
• Detail-oriented and observant
• Disciplined work ethic with the ability to prioritize and be timely
• Ability to follow directions and work as a team member
• Valid driver’s license and auto insurance with your name as a listed driver

Education and Credentials

• Registered Nurse with current license in the state of employment

Physical Demands

• Knowledge: Reading, Speaking, Writing English – Constantly (66%-100%)
• Communication Skills: – Constantly (66%-100%)
• Computers / PDA: – Constantly (66%-100%)
• Walking: – Frequently (34%-66%)
• Bending: – Occasionally (2%-33%)
• Standing: – Occasionally (2%-33%)
• Sitting: – Frequently (34%-66%)
• Driving: – Frequently (34%-66%)
• Lifting up to 50 lbs. with or without assistance: – Occasionally (2%-33%)
• Stretching/Reaching: – Occasionally (2%-33%)
• Climbing: – Occasionally (2%-33%)
• Hand/finger dexterity: – Constantly (66%-100%)
• Stooping (bend at waist): – Occasionally (2%-33%)
• Distinguish smell/temperature: – Occasionally (2%-33%)
• Hearing/Seeing: – Constantly (66%-100%)
• Talking in person: – Constantly (66%-100%)
• Talking on the telephone: – Frequently (34%-66%)
• Hearing in person: – Constantly (66%-100%)
• Hearing on the telephone: – Frequently (34%-66%)
• Vision for close work: – Constantly (66%-100%)