Home Health RN Case Manager

Advocate Health and Hospitals Corporation•Waukesha, WI

10d•Onsite

About The Position

The Home Health RN Case Manager manages a caseload of patients in specialty areas and provides nursing care in patients’ homes. The role includes assessing patients’ physical, social, and environmental needs; establishing and updating plans of care in accordance with physician orders and patient needs; providing direct care; and evaluating patient responses to treatment and education. The Case Manager coordinates with patients, families, physicians, and other health care professionals to support continuity of care and discharge planning. The position requires accurate and timely clinical documentation, including visit assessments, OASIS, 485 forms, and verbal orders. The Case Manager maintains records in accordance with agency, state, and federal guidelines and participates in chart audits, quality improvement activities, and process improvement opportunities. Care must be appropriate to patients’ age-specific needs and provided with respect for cultural differences and diversity. This is a full-time, 40-hour-per-week role with a Monday–Friday schedule and rotating call and weekend responsibilities. The listed pay range is $38.20–$57.30. Sign-on bonus eligibility is available to external candidates.

Requirements

Associate’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; must be obtained within six months unless the department leader determines it is not required.
Valid driver’s license issued by the Division of Motor Vehicles, or a driver’s license issued by the state of Illinois.
Typically, three years of experience in clinical nursing.
Excellent communication skills.
Strong interpersonal skills and the ability to work patiently and respectfully with a variety of clients.
Good organizational, analytical, and problem-solving skills.
Ability to work well with physicians and other professionals in a direct and positive manner.
Proficiency in clinical skills and the ability to work under direction and make sound judgments.
Ability to operate necessary equipment, including a fax machine, computer, copier, and telephone system.
Ability to assess and interpret patient-status information to identify individual patient requirements.
Tolerance for differences and appreciation of multiculturalism and diversity among patients and families.
Proof of a valid driver’s license and access to a registered, functional car with adequate insurance coverage.
Manual dexterity to use and operate a variety of equipment.
Ability to move in confined spaces, including bending, twisting, kneeling, squatting, and occasionally reaching overhead with one or both arms.
Ability to work safely with people of various sizes and weights who have diverse and complex medical conditions and physical limitations.
Ability to sit, stand, walk, and climb stairs for limited to prolonged periods to complete paperwork, enter patients’ residences, travel between visits, and attend work-related activities.
Physical stamina to meet patient-care requirements for three or more hours without complete rest.
Accurate vision to read gauges and measuring devices and interpret written instructions.
Ability to tolerate extreme temperature changes due to weather and exposure to chemicals, hazardous waste, and communicable disease.
Ability to lift up to 50 pounds from floor to waist; lift up to 20 pounds from waist to overhead; and lift and carry up to 40 pounds at waist height for a reasonable distance.
Ability to push or pull with 30 pounds of force and perform a sliding transfer of 150 pounds with a second person present.

Responsibilities

Manage caseloads of patients in specialty areas.
Conduct initial assessments to collect thorough physical, social, and environmental data.
Establish plans of care in accordance with physician orders and patient needs.
Provide direct patient care and adjust nursing care processes as needed.
Identify problems, modify nursing care plans, and evaluate outcomes within appropriate time frames.
Advise and consult with families and other personnel as appropriate.
Assess patient responses to treatments and teaching on an ongoing basis and apply interventions as appropriate.
Update and revise plans of care as indicated.
Complete visit assessments, OASIS, 485 forms, and verbal orders accurately, promptly, and according to standards.
Communicate with physicians to confirm and update patients’ plans of care, and provide status updates to physicians and other members of the health care team.
Facilitate discharge planning and use resources to support continuity of care after discharge.
Participate in discharge planning with patients and families, physicians, social workers, and other staff as appropriate.
Participate in chart audits and continuous quality improvement activities as requested.
Identify, develop, and participate in process improvement opportunities to enhance service quality.
Maintain accurate clinical and patient records according to agency, state, and federal guidelines.
Provide care appropriate to patients’ ages and developmental needs, following departmental policies and procedures.
Work a Monday–Friday schedule with rotating call and weekends.