Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Kettering, OH

8d•Onsite

About The Position

The Registered Nurse Case Manager provides comprehensive skilled nursing care in patients’ homes as ordered by the attending physician. The role includes assessing and monitoring patients, educating patients and families, coordinating multidisciplinary care, and helping prevent rehospitalizations. The nurse develops and adjusts individualized plans of care, supervises aides and LPNs, and ensures continuity of care through appropriate admissions, transfers, and discharges. The position requires accurate, timely clinical documentation in accordance with agency protocols and Medicare and federal guidelines, as well as compliance with applicable laws, regulations, and the state-defined scope of practice. The nurse travels to assigned patients in the Carlisle, Franklin, and Springboro areas, attends case conferences and required trainings and meetings, and participates in on-call requirements. Schedule: Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call requirements.

Requirements

At least one year of RN experience in an acute care setting.
Current Registered Nurse license in the state of employment.
Valid driver’s license and auto insurance listing the employee as a driver.
Ability to communicate effectively and create positive impressions with patients, families, physicians, and coworkers.
Ability to remain calm, patient, and accommodating.
Compassionate and caring approach when working 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.

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 needs change.
Administer medication as prescribed by the physician.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients preventative measures and sound decision-making.
Manage multidisciplinary care as applicable.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about disease or injury processes and how to manage them.
Involve patients and families in developing the plan of care and listen to their concerns.
Oversee and supervise patient care provided by aides and LPNs.
Evaluate treatments and medical conditions according to the plan of care and determine whether the level of care meets patient needs.
Communicate supervisory visit results to LPNs and aides.
Complete accurate clinical documentation in accordance with agency protocols and Medicare and federal guidelines, including documentation of treatment, assessments, and patient education.
Document subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours; document start-of-care visits within 24 hours; and submit required documentation within company timelines.
Maintain an active RN license in the state of employment and practice within the RN scope of practice.
Communicate changes outside the normal schedule to the scheduler.
Participate in on-call requirements and case conferences.
Attend in-service trainings and mandatory agency meetings.
Maintain a professional appearance and follow agency policies and procedures.
Drive to scheduled patient locations and fulfill RN visits in the assigned geographic area according to patient needs and federal and state specifications.
Perform other duties as assigned.