RN CASE MANAGER- Home Health

About the role

Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve. IntegriHome has been caring for area families since 1989, providing top-quality skilled nursing care for short-term rehabilitation and long-term care.

Responsibilities

• Assesses patient/family learning needs, style and limitations and adjusts for delivery of information
• Establishes realistic goals and develops individualized plans of care in collaboration with the patient, family and members of the health care team
• Collaborates with patient/family and other healthcare providers and/or community resources with planning of care and discharge
• Fulfills physician orders on all patients assigned in accordance with patient care policies
• Follows up with patient/family and other healthcare providers and/or community resources with planning of care and discharge
• Reconciles medications with patient and physician consistently
• Manages assigned case load, within the team model of care delivery
• Establishes a daily work plan based upon patient/family priorities of service and total area needs
• Promptly triages patient visits, messages, and phone calls according to priority and urgency
• Demonstrates excellent physical assessment and care planning skills
• Supervises HHA in accordance with state and federal requirements
• Demonstrates knowledge of pharmacology and medication administration and reconciliation
• Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions
• Completes documentation accurately and timely
• Participates in agency quality management and safety activities
• Participates in ongoing staff meetings and in-services

Qualifications

• Experience Minimum of one (1) to two (2) years of experience in health care. Experience in home health preferred.
• Education And Training An associate’s degree in nursing is required. A bachelor’s degree in nursing is preferred.
• Licenses, Certifications & Registrations Possesses and maintains current CPR Certification. Current Massachusetts licensure: Registered Nurse Valid driver’s license

Benefits

• Paid time off (vacation, sick, holiday)
• Medical Insurance
• FSADental
• Vision
• Life Insurance
• Long-term disability Insurance
• HRA
• 401(k)

Pay

Yearly Salary Range (based on years of experience) - $94,000 - $99,000

Schedule

This is a full-time, 40-hour-per-week position.