About The Position

Sage Group HealthCare Staffing is seeking a Home Health RN Case Manager for a contract position in St. Albans, VT. This role involves providing RN Case Management for Home Health patients and offering coverage for hospice patients when on call. The RN Case Manager will screen, evaluate, re-evaluate, and treat patients, while also coordinating and communicating treatment activities with the interdisciplinary team and the patient. Responsibilities include completing OASIS assessments, SOC, ROC, and various other visits. A care plan will be developed in collaboration with the patient's physician, the patient, and their family or primary caregivers upon admission, with periodic reviews and recertifications as appropriate. The role also requires coordinating the patient's care plan through interdisciplinary communication and case conferences, advising other disciplines of discharges promptly, and providing ongoing assessment of the patient's clinical, functional, and emotional status. Significant changes will be communicated to the patient's physician and colleagues. Documentation of evaluations, treatment goals, and objectives is essential. The RN will also teach the patient and caregiver self-care techniques and provide medication, diet, and other instructions as ordered by the physician, utilizing opportunities for health counseling.

Requirements

  • Registered Nurse: 2 years - Required
  • Home Health RN experience, 2 years – Required
  • OASIS experience - Required
  • Must be willing to provide coverage for hospice patients when on call
  • Must have reliable vehicle, valid Driver’s License and provide proof of personal Auto Insurance
  • ASN or an equivalent – Required
  • RN License for State/s applying or Compact - Required
  • BLS Certification from AHA - Required

Nice To Haves

  • McKesson EMR experience - Preferred
  • BSN or an equivalent – Highly preferred

Responsibilities

  • Provide RN Case Management for Home Health patients
  • Provide coverage for hospice patients when on call
  • Screen, evaluate, re-evaluate, and treat patients
  • Coordinate and communicate treatment activities with the interdisciplinary team members and the patient
  • Complete OASIS assessments, SOC, ROC, and all types of visits
  • Develop a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission
  • Periodically review the patient care plan and recertify the patient care plan as appropriate
  • Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate
  • Advise other disciplines of discharges in a timely manner
  • Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and/or progress toward desired goals
  • Communicate significant changes to the patient's physician and colleagues
  • Document evaluations, treatment goals, and objectives
  • Teach the patient and caregiver self-care techniques as appropriate
  • Provide medication, diet, and other instructions as ordered by the physician
  • Utilize opportunities for health counseling with patients and caregivers

Benefits

  • Mileage Reimbursement: $0.60/mile for distance covered between patient home appointments
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