Home Health Case Manager II

Compassus•Lorain, OH

12d

About The Position

The Home Health Case Manager is responsible for modeling the company values of Compassion, Integrity, and Excellence and promoting the Compassus philosophy, using the six Pillars of Success as a foundation. The role upholds the Code of Ethical Conduct and promotes positive working relationships throughout the company and with external stakeholders. The Case Manager maintains a direct relationship with patients and their families and ensures treatment resources are used effectively to improve patient outcomes. The role manages a group of complex patients, conducting initial assessments and monitoring their conditions. Nursing care includes independent assessment, planning, implementation, and evaluation of patients’ physical, psychological, and sociocultural needs. In collaboration with the healthcare team, the Case Manager develops and monitors clinical pathways based on patient progress, works with physicians and nursing and ancillary staff to implement plans of care, and partners with Quality Analysis and support services to audit caseload outcomes. The position also coordinates patient cases across home care, tracks progress and variances, supports continuity of care, and participates in case conferences. Compassus describes a culture centered on compassion, respect, appreciation, professional growth, development, innovation, recognition, and inclusion.

Requirements

Minimum associate-level nursing degree from an accredited program.
One to two years of nursing practice in medical/surgical, acute, critical care, or hospital care.
Current RN license in the state of Ohio.
CPR certification.
Ability to perform basic arithmetic and calculate rates, ratios, and percentages.
Ability to read and interpret business periodicals, professional journals, technical procedures, and governmental regulations, and to write reports, correspondence, and procedure manuals.
Strong oral and written communication skills, including the ability to communicate effectively with people from varied backgrounds and patient populations.
Ability to understand, read, write, and speak English.
Ability to articulate and embrace an integrated healthcare-at-home philosophy.
Clinical competency, evidence of nursing leadership, and ability to coordinate nursing care for a specific group of patients.
Competency in using equipment essential to caring for the indicated patient age groups.
Knowledge of community resources, third-party payors, and state and federal Medicare and Medicaid rules and regulations and those of other regulatory agencies.

Nice To Haves

Bachelor of Science in Nursing.
Experience in a home health or hospice setting.

Responsibilities

Perform initial assessments to support the development and coordination of plans of care.
Establish a system for coordinating a patient caseload throughout home care and maintain a method for tracking patient progress.
Explain the Case Manager role to patients and their families, physicians, and others involved in assigned patients’ care.
Review aggregate variances and determine a course of action.
Precept new employees as assigned.
Assist in developing, reviewing, and evaluating plans of care.
Explore, implement, monitor, and evaluate strategies to reduce length of stay and resource consumption in case-managed populations.
Work collaboratively with staff.
Consult agency leadership about problematic cases or significant variances.
Arrange continuity of the plan of care and provide coverage during long, short, and unexpected absences.
Establish communication and collaboration with physicians, appropriate staff, and other healthcare professionals involved in the caseload.
Share and develop assessments, goals, and usual patterns of care for patients in the caseload.
Participate in case conferences to coordinate ongoing patient plans of care.
Coordinate nursing care for a specific group of patients and integrate clinical information from multiple discharge disciplines.
Work with Quality Analysis and support services to audit caseload outcomes.