RN (Registered Nurse) Case Manager

Key Responsibilities

• Oversees the overall care of the patient from beginning to end of episode
• 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
• Incorporates patient and family in development of plan of care
• 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
• Ability to make appropriate nursing judgments
• Ability 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