Home Health RN Case Manager

CenterWell•Kansas City, MO

1d•$77,200 - $106,200

About The Position

As a CenterWell Home Health nurse reporting to the Clinical Manager, the Home Health RN Case Manager provides personalized, one-on-one care to help patients regain independence at home. The role works with physicians and other clinicians to manage care plans that support patients’ recovery and ongoing needs. The nurse provides admission, case-management, follow-up, and other skilled nursing visits; develops and evaluates treatment plans in coordination with physicians; delivers hands-on care and patient teaching; and updates plans based on ongoing assessments and applicable policies. The position coordinates care with healthcare personnel and external providers, oversees home health aides and personal care workers, monitors their documentation, and keeps physicians and the Clinical Manager informed about patient condition and progress. The nurse also coordinates patient discharges and completes the associated clinical records and reports. This is a patient-facing role subject to Humana’s TB screening program. It also participates in Humana’s driver safety program and requires a valid state driver’s license and personal vehicle liability insurance meeting the stated minimums. The position is scheduled for 40 hours per week. The posted estimated annual base-pay range is $77,200–$106,200, varying with location and job-related qualifications.

Requirements

Diploma, associate degree, or bachelor’s degree in nursing.
At least one year of nursing experience.
Strong medical-surgical, ICU, ER, or acute-care experience.
Current and unrestricted Registered Nurse licensure.
Current CPR certification.
Strong organizational and communication skills.
Valid driver’s license, auto insurance, and reliable transportation.
Must complete TB screening if selected for the patient-facing role.
Must maintain personal vehicle liability insurance in accordance with state minimum limits or the stated alternative limits, whichever is higher.

Nice To Haves

Home Health experience.

Responsibilities

Provide admission, case-management, and follow-up skilled nursing visits for home health patients.
Provide ongoing care and case management for each patient, including follow-up as directed by the Clinical Manager.
Confer with physicians to develop the initial treatment plan based on physician orders and the initial patient assessment.
Provide hands-on care, manage and evaluate care plans, and teach patients in accordance with physician orders and under the Clinical Manager’s supervision.
Revise care plans in consultation with physicians based on ongoing assessments and applicable policy or regulation.
Coordinate appropriate care among healthcare personnel, including physical therapists, occupational therapists, home health aides, and external providers.
Continuously report patient care, condition, and progress to the patient’s physician and the Clinical Manager.
Implement patient care plans with patients and families to help resolve needs and problems.
Coordinate, oversee, and supervise Home Health Aides, Certified Home Health Aides, and Personal Care Workers; provide written personal-care instructions and care plans reflecting the current plan of care.
Monitor completion of documentation by home health aides and personal care workers.
Discharge patients after consultation with the physician and Clinical Manager, completing required clinical documentation.
Prepare and maintain patient medical documentation, including case conferences, patient contacts, medication-order changes, recertifications, progress updates, and care-plan changes.
Prepare visit or shift reports, update and summarize patient records, and confer with other healthcare disciplines to support optimum patient care.