Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Kettering, OH
•Onsite

About The Position

The Registered Nurse (RN) I provides comprehensive skilled nursing care in patients’ homes as ordered by the attending physician. The nurse educates patients and their families, supports patient safety, completes accurate clinical documentation, and works within the state-defined scope of practice and applicable legal and regulatory requirements. The role includes assessing patient needs, coordinating multidisciplinary care, supervising aides and LPNs, and promoting continuity of care. The nurse travels to assigned patient locations in the Dayton (East), Kettering, and Oakwood areas. The schedule is Monday through Friday, 8:30 a.m. to 5 p.m., with on-call responsibilities. The RN completes OASIS assessments and develops or adjusts individualized plans of care. They provide and evaluate treatments, administer prescribed medication, educate patients and families on disease or injury management and prevention, and help reduce rehospitalizations. The role also requires timely documentation, participation in case conferences and on-call duties, attendance at required trainings and meetings, and compliance with agency policies, protocols, and Medicare and federal guidelines. Required documentation for visits must be completed within 24 hours. The position requires at least one year of RN experience in an acute care setting, a current RN license in the state of employment, and a valid driver’s license and auto insurance listing the employee as a driver. Home care experience is desired. Physical activities include frequent walking, sitting, and driving; occasional bending, standing, lifting up to 50 pounds with or without assistance, reaching, climbing, and stooping; and frequent or constant communication, computer use, and sensory activities.

Requirements

  • At least one year of experience as an RN in an acute care setting.
  • Current Registered Nurse license in the state of employment.
  • Valid driver’s license and auto insurance with the employee listed as a driver.
  • Ability to communicate effectively and create positive impressions with patients, families, physicians, and coworkers.
  • Ability to remain calm, patient, and accommodating, and to work compassionately with patients.
  • Knowledge of nursing best practices and ability to make appropriate nursing judgments.
  • Ability to identify situations and handle them with an appropriate solution.
  • Detail-oriented and observant.
  • Disciplined work ethic, with the ability to prioritize and be timely.
  • Ability to follow directions and work as a team member.
  • Ability to meet the listed physical demands, with or without reasonable accommodations.

Nice To Haves

  • Home care experience.

Responsibilities

  • Provide skilled nursing care in patients’ homes as ordered by the attending physician.
  • Observe and monitor patient conditions.
  • Perform OASIS assessments, develop individualized plans of care, and adjust them as patient needs change.
  • Administer medication as prescribed by the physician.
  • Help reduce rehospitalizations by scheduling early visits for high-risk patients and teaching preventive measures and sound decision-making.
  • Manage multidisciplinary care as applicable and promote continuity through appropriate admissions, transfers, and discharges.
  • Counsel patients and families on disease or injury processes and management, and involve them in developing the plan of care.
  • Listen to patients and family members.
  • Oversee and supervise patient care provided by aides and LPNs; evaluate treatments and medical conditions against the plan of care and determine whether the level of care meets patient needs.
  • Communicate supervisory visit results to LPNs and aides and report relevant changes to the scheduler.
  • Complete clinical documentation in accordance with agency protocols and Medicare and federal guidelines, including documentation of treatments, assessments, and patient education.
  • Complete documentation for subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours, and start-of-care documentation within 24 hours.
  • Submit all required documentation within company time requirements.
  • Follow the plan of care within the RN scope of practice and fulfill visits in the assigned geographic area according to patient needs and federal and state specifications.
  • Participate in on-call requirements and case conferences.
  • Attend in-service training and mandatory agency meetings.
  • Maintain a professional appearance and follow agency policies and procedures.
  • Drive to patients’ primary locations for scheduled visits and attend assigned visit locations daily.
  • Perform other duties as assigned.
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