Registered Nurse (RN) Case Manager | Homecare

Location: Avera at Home Estherville • Worker Type: Regular • Primarily days with rotating weekends and holidays

About the role

Responsible for the care planning, utilization of services, coordination of care, and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care plans in collaboration with the physician and interdisciplinary team, providing patient-centered care efficiently, effectively, with the best possible outcomes.

Responsibilities

• Functions as interventionalist in the home utilizing clinical expertise and problem-solving to make recommendations to physicians based on comprehensive physical, psychosocial, emotional, spiritual, and bereavement patient assessments.
• Implements the nursing process utilizing highly proficient assessment skills in the performance of Start of Care visits, post-hospital evaluations, patient re-certifications, discharges, and supervisory visits.
• Partners with the physician and the interdisciplinary team to develop the plan of care in collaboration with the patient.
• Makes recommendations for efficient and effective utilization of resources to achieve positive outcomes by implementing clinical protocols during the admission visit as dictated by patient’s diagnosis.
• Initiates and responds to requests for changes in plans of care, determines appropriateness of change, and whether or not the change would be considered a Significant Change in Condition, for which an OASIS is required.
• Demonstrates ability to affect the behavior of others to follow the recommended alternatives to care, including providing thorough instruction and disease management education to patients and/or caregivers as ordered by the physician.
• Educates patients, families, and caregivers about disease process, community resources, and recommended self-care.

Requirements

• Registered Nurse (RN) – Board of Nursing (upon hire).
• 1–3 years in home health or hospice (preferred).
• Ability to work the specified hours.
• Visual acuity adequate to perform position duties and ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds.
• Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions, provided the accommodations do not cause undue hardship to the employer.

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating workflow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with CMS, The Joint Commission, DHHS, and OSHA.

Pay

$32.50 – $48.50 per hour, dependent upon experience.

Benefits

• Paid time off (PTO) available day one for eligible hires.
• Up to 5% employer matching contribution for retirement.
• Career development guided by hands-on training and mentorship.
• May be eligible for a $10,000 sign-on bonus.