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.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree