Registered Nurse Case Manager (RN)

About the role

The Registered Nurse Case Manager (RNCM) oversees the overall care of the patient from beginning to end of episode, updates all doctor orders in the patient chart, manages multi-disciplinary care, provides skilled nursing care, educates patients and their family members, and ensures the safety of the patient.

Responsibilities

• Updates all doctor orders in patient chart accordingly
• Notifies doctor of any significant changes of the patient’s condition
• Manages multi-disciplinary care as applicable
• Provides skilled nursing care in a patient’s home as ordered by the attending physician
• Observes and monitors patient conditions
• Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change
• Administers medication as prescribed by the physician
• Helps decrease re-hospitalizations by front loading visits for high risk patients
• Promotes continuity of care with appropriate admissions, transfers and discharges
• Counsels patient and family on the disease/injury processes and how to manage
• Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions
• Listens to patient and family members
• Oversees and supervises total care of patient provided by nurse aides and LPNs
• Evaluates the treatments and medical condition of the patient according to the plan of care
• Determines if the level of care being provided meets the patients’ needs
• Communicates with the LPNs and nurse aides on supervisory visit results
• Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines
• Documents all aspects of treatment, assessments, and patient education
• Maintains active RN license
• Communicates with scheduler any changes outside the normal
• Participates in all on-call requirements and case conferences
• Attends in-service trainings and mandatory agency meetings
• Drives to patient’s primary location per scheduled visit
• Daily attendance at assigned visit locations
• Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits
• Documents all aspects of start of care visits within 24 hours of visits
• Completes and submits all required documentation within specified company requirements
• Fulfills RN visits in assigned geographic location per patient need within federal and state specifications
• Other duties as assigned

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, have patience and be accommodating
• Compassionate and caring while working with patients
• Knowledgeable on nursing best practices
• Able to make appropriate nursing judgments
• Able to identify a situation and handle it with the best possible solution
• Detail-oriented and observant
• Disciplined style of work ethic with the ability to prioritize and be timely
• Able 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

• Reading, Speaking, Writing English - Constantly 66%-100%
• Communications 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%
• Distinguishing 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%
• Other Sensory Activities - N/A