RN Field Case Manager

About the role

The RN Field Case Manager provides skilled nursing care to patients in their place of residence. This role is based in the Tri-County area (Oakland, Macomb & Wayne), with the corporate office located in Southfield, MI.

Responsibilities

• Administers skilled nursing care in accordance with physician orders and plan of care under the direction and supervision of the Clinical Manager/Nursing Supervisor.
• Makes the initial evaluation visit and regularly reevaluates the patient's nursing needs.
• Initiates the plan of care and necessary revisions.
• Provides services requiring substantial specialized nursing skills.
• 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 to coordinate 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.

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.