RN Field Case Manager

Qualifications

• Graduate of an approved school of professional nursing and currently licensed in the state of Michigan
• One year nursing experience
• Kinnser - EMR experience preferred
• Home Healthcare experience preferred
• Experience in Wound Vac, PICC line and Mediport care, preferred
• Pediatric experience, desired

Responsibilities

• Provides services in accordance with the plan of care
• Makes the initial evaluation visit and regularly reevaluates the patient's nursing needs
• Initiates the plan of care and necessary revisions
• Provides those services requiring substantial specialized nursing skills
• Initiates appropriate preventive and rehabilitative nursing procedures
• Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients in a timely manner as per Agency policy
• Collaborates with other healthcare professionals as needed
• Coordinates services
• Informs personnel of changes in the condition and needs of the patient
• Counsels the patient and family/significant others in meeting nursing and related needs
• Participates in and presents in-service programs
• Understands and adheres to established Agency policies and procedures
• Processes orders and notifies physician of patient needs and changes in condition
• Completes certification/recertification orders and discharge summaries
• Determines the amount and type of nursing needed by each individual patient
• Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills
• Supervises and teaches other nursing personnel
• Conducts patient care conferences on patients assigned to his/her care
• Participates in peer review and performance improvement as assigned
• Participates in utilization review of medical records as assigned
• Provides total patient care as needed
• Takes on-call duty nights, weekends and holidays, as assigned
• Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames
• Appropriately utilizes ICD-10 codes