Registered Nurse Case Manager

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

SUMMARY

The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for the assessment of the patient condition and plan of care. The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state.

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.

Follows plan of care as permitted within the scope of practice for a Registered Nurse.

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

Ability to follow directions and work as a team member.

Valid driver’s license and auto insurance with your name as a listed driver.

EDUCATION AND CREDENTIALS

Registered Nurse with current license in the state of employment.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations.

Knowledge

Reading, Speaking, Writing English - Constantly 66%-100%

Communications Skills - Constantly 66%-100%

Computers / PDA - Constantly 66%-100%

Physical

Walking - Frequently 34%-66%

Bending - Occasionally 2%-33%

Standing - Occasionally 2%-33%

Sitting - Frequently 34%-66%

Driving - Frequently 34%-66%

Lifting up to 50 lbs. with or without assistance - Occasionally 2%-33%

Stretching/Reaching - Occasionally 2%-33%

Climbing - Occasionally 2%-33%

Hand/finger dexterity - Constantly 66%-100%

Stooping (bend at waist) - Occasionally 2%-33%

Sensory Activities

Distinguish smell/temperature - Occasionally 2%-33%

Hearing/Seeing - Constantly 66%-100%

Talking in person - Constantly 66%-100%

Talking on the telephone - Frequently 34%-66%

Hearing in person - Constantly 66%-100%

Hearing on the telephone - Frequently 34%-66%

Vision for close work - Constantly 66%-100%

Other Sensory Activities

N/A

We’ll help you put your passion for patient care to work. Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.