About The Position

This role is for an RN Case Manager in home health, focusing on patient care within the community. Unlike traditional bedside nursing, this position offers greater ownership of patient care, allowing the nurse to follow patients over time, coordinate with healthcare providers, educate families, and intervene proactively to prevent hospitalizations. The case manager will manage an assigned caseload, overseeing care from admission through discharge and ensuring patients can safely transition home after hospitalization or rehabilitation. The position emphasizes building relationships, utilizing clinical judgment, and leading patient recovery.

Requirements

  • Active Minnesota Registered Nurse (RN) license
  • Three or more years of RN experience
  • OASIS experience highly valuable
  • Strong comprehensive assessment and critical-thinking skills
  • Excellent organization and time management
  • Confidence working independently in patients' homes
  • Strong patient, caregiver, physician, and interdisciplinary communication
  • Reliable transportation for visits throughout your assigned territory

Nice To Haves

  • Home health experience preferred

Responsibilities

  • Manage an assigned home health patient caseload
  • Complete OASIS Start of Care, Recertification, and Discharge assessments
  • Perform comprehensive nursing assessments
  • Develop and update individualized plans of care
  • Provide skilled nursing visits
  • Monitor patient progress throughout the episode of care
  • Perform wound care, medication management, and other skilled nursing services
  • Educate patients and caregivers on diagnoses, medications, treatments, and recovery
  • Identify and communicate changes in patient condition
  • Coordinate directly with physicians and healthcare providers
  • Collaborate with PT, OT, SLP, social work, and interdisciplinary team members
  • Help patients safely transition home following hospitalization or rehabilitation
  • Work proactively to prevent avoidable emergency department visits and rehospitalizations
  • Complete timely documentation using Homecare Homebase (HCHB)

Benefits

  • $85,000 to $130,000 annually
  • $6,000 in first-year bonuses
  • Full-Time employment
  • Primarily Monday-Friday schedule
  • Concentrated Southwest Minneapolis & Inner Metro territory
  • Manage your own patient caseload
  • Build ongoing relationships with patients and caregivers
  • Meaningful 1:1 skilled nursing care
  • Greater ownership of the patient's overall plan of care
  • Blend hands-on nursing with clinical leadership and care coordination
  • Independence in the field with an experienced clinical team behind you
  • Homecare Homebase (HCHB) documentation
  • Join an established home health organization with more than 30 years of experience
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