Advanced Care at Home RN Case Manager Milwaukee, WI

Advocate Health • Milwaukee, WI

2d • $38 - $57 • Onsite

About The Position

The Advanced Care at Home RN Case Manager provides nursing case management to patients in the Advanced Care at Home program. The role develops therapeutic relationships, assesses patients’ clinical status and ongoing needs, coordinates care and community resources, and works with the Advanced Care at Home APC and physician team. The case manager monitors patient responses to treatment, medication, and teaching; updates care interventions and follow-up; communicates changes in condition to providers; and maintains accurate electronic health record documentation.

The position supports patients’ and families’ ability to receive quality, cost-effective care and remain safely at home. It includes patient and family education, referrals to appropriate team members, participation in quality improvement and patient safety efforts, and collaboration with interdisciplinary colleagues. Work is based in the Milwaukee service area, with visits to patients’ homes and travel across the program’s service area. The schedule is Monday through Friday, days, 40 hours per week; the role may also require weekends, holidays, or different shifts to accommodate staffing.

Requirements

• Bachelor’s degree in Nursing.
• Registered Nurse license issued by the state in which the team member practices.
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association.
• Valid driver’s license issued by the Division of Motor Vehicles.
• Typically, 2 years of home care nursing experience or 3–4 years of medical-surgical experience.
• Proficient use of patient care equipment.
• Excellent telephone, interpersonal, written communication, and documentation skills.
• Computer proficiency, including ability to use software programs used by the organization.
• Good time-management and organizational skills.
• Ability to travel throughout the ACAH Program service area in all types of weather and on all types of roads.
• Ability to work weekends, holidays, and different shifts to accommodate staffing.
• Ability to handle multiple tasks, complete work within short timeframes, respond quickly to patient needs, and work at a fast pace.
• Ability to respond to patients in a timely manner and access all areas of the unit.
• Ability to lift up to 35 pounds without assistance; for heavier patient lifts or when a patient cannot assist, use patient-handling equipment and at least one other associate when available.

Responsibilities

• Develop and maintain therapeutic relationships with patients throughout the healthcare continuum.
• Communicate and consult regularly with the Advanced Care at Home APC and physician team regarding patient needs.
• Assess patients’ ongoing clinical status in person and determine healthcare needs or facilitate referrals to community resources.
• Use the nursing process to recognize changes in clinical situations and evaluate and implement changes to the plan of care.
• Plan, implement, coordinate, monitor, and evaluate services to optimize patients’ health status, quality of life, and ability to remain at home.
• Support patients’ and families’ right to quality, cost-effective care and mobilize resources when circumstances could negatively affect outcomes.
• Participate in quality and process improvement initiatives and efforts to reduce risk and improve patient safety.
• Educate patients and families about disease processes, disease trajectory, and disease management.
• Use appropriate resources to meet patients’ and families’ learning needs and promote positive outcomes; support educational growth among nursing peers and colleagues.
• Collaborate respectfully with peers and other clinical disciplines as an effective member of the patient care team.
• Demonstrate leadership behaviors and commitment to personal and professional development of self and others.
• Use teaching, assessment, and intervention skills to provide short- or long-term case management for assigned patients.
• Continuously review all aspects of each caseload patient’s care, including appropriate utilization of services, and make referrals to other team members as appropriate.
• Enter, complete, and update electronic health record documentation according to agency and department standards, policies, accreditation requirements, and state and federal guidelines.
• Continuously assess patient responses to treatments, medications, and teaching; adjust interventions and follow-up as needed.
• Communicate patient problems and changes in condition to providers.
• Travel to patient residences throughout the ACAH Program service area and respond to patient needs in a timely manner.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible healthcare and dependent-care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for eligible circumstances, incentive pay for select positions, and opportunity for annual performance-based increases.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level