Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Cincinnati, OH

6d•Onsite

About The Position

The Registered Nurse Case Manager (RNCM) is accountable for assessing patients and leading development and coordination of their plan of care. The RNCM provides case management and clinical care, coordinates the disciplines involved in delivering quality, cost-effective, billable care, and supervises care under physician direction. The role includes educating patients and family members, supporting patient safety, maintaining accurate documentation, and complying with applicable laws, regulations, and the state-defined scope of practice. This home health position serves patients in West Chester, Camp Dennison, Miamiville, Kennedy Heights, Deer Park, Sharonville, Blue Ash, and Indian Hill. The schedule is Monday through Friday, 8:15 a.m. to 5:00 p.m., with on-call requirements. The nurse travels to patients’ primary locations for scheduled visits and attends assigned visit locations daily.

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.
Ability to make appropriate nursing judgments and identify situations and respond 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 is desired.

Responsibilities

Oversee the patient’s care throughout the entire episode.
Update physician orders in the patient chart and notify the physician of significant changes in the patient’s condition.
Coordinate multidisciplinary care as applicable.
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 plans as patient needs change.
Administer medications as prescribed by the physician.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients about preventive measures and sound health decisions.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about disease or injury processes and management, and involve them in developing the plan of care.
Listen to patients and family members.
Oversee and supervise the total care provided by nurse aides and LPNs.
Evaluate treatments and the patient’s medical condition against the plan of care and determine whether the level of care meets the patient’s needs.
Communicate supervisory visit results to LPNs and nurse aides.
Complete accurate clinical documentation in accordance with agency protocols and Medicare and federal guidelines, documenting 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 deadlines.
Maintain an active RN license and communicate schedule changes outside the normal schedule to the scheduler.
Participate in on-call requirements and case conferences.
Attend in-service trainings and mandatory agency meetings.
Drive to patients’ primary locations and fulfill RN visits in the assigned geographic area according to patient needs and federal and state specifications.
Follow the plan of care within the RN scope of practice.
Perform other duties as assigned.