Registered Nurse Case Manager- Milwaukee Metro Home Health

Advocate Health and Hospitals Corporation•Milwaukee, WI

1d•Onsite

About The Position

This role involves managing a caseload of patients in specialty areas, conducting initial assessments, and establishing care plans in accordance with physician orders and patient needs. The Registered Nurse Case Manager provides direct patient care, identifies problems, modifies nursing care plans, and evaluates outcomes. They advise and consult with families and other personnel, update and revise care plans as needed, and complete documentation accurately and promptly. Communication with physicians and other healthcare team members is crucial for confirming and updating care plans and ensuring continuity of care. The role also includes facilitating discharge planning, participating in chart audits and quality improvement activities, and maintaining accurate clinical and patient records. The position requires the ability to provide age-appropriate care and demonstrate knowledge of growth and development principles.

Requirements

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 (AHA) needs to be obtained within 6 months unless department leader has determined it is not required
A valid drivers license issued by the Division of Motor Vehicles
Associate's Degree in Nursing
Typically requires 3 years of experience in clinical nursing
Excellent communication skills
Strong interpersonal skills and the ability to work with a variety of clients with patience and respect
Good organizational, analytical and problem solving skills
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner
Proficiency in clinical skills with the ability to work under direction and make sound judgments
Ability to operate the necessary equipment to perform the job, i.e., FAX, computer, copier, telephone system
Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs
Must have a tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families
Must be capable of the manual dexterity required to use and operate a variety of equipment
Must have the physical ability to move about in confined spaces, including bending, twisting, kneeling, squatting and occasionally reaching one or both arm overhead
Must be able to work safely with people of various sizes and weight with diverse and complex medical conditions and physical limitations
Must be able to sit, stand, walk and climb stairs for limited to prolonged periods of time to complete required paperwork, gain entry to patients’ residences, travel from assigned visits and attend a variety of work related activities
Must have the physical stamina to attend to patient care requirements over a period of three or more hours without complete rest
Must have accurate vision to read gauges and measuring devices and to interpret written instructions
Lift up to 50 lbs from floor to waist
Lift up to 20 lbs from waist to overhead
Lift and carry up to 40 lbs. at waist height reasonable distance
Push/pull with 30 lbs. of force
Perform a sliding transfer of 150 lbs. with a second person present

Responsibilities

Assumes responsibility for caseloads consisting of patients in specialty areas.
Conducts initial assessment to obtain thorough physical, social and environmental data.
Establishes the plan of care in accordance with the physician orders and patient needs.
Provides direct patient care and adjusts nursing care processes as needed.
Identifies problems, modifies nursing care plan, and evaluates outcomes within an appropriate time frame.
Advises and consults with family and other personnel, as appropriate.
Provides on-going assessment of patient response to treatments and teaching and applies interventions as appropriate.
Updates and revises plan of care as indicated.
Completes documentation including visit assessment, OASIS, 485 and verbal orders accurately and promptly and within the standards.
Communicates with physicians to confirm and update patients' plan of care.
Provides status updates and ensures ongoing communication with the physician and other members of the health care team.
Facilitates the discharge planning process according to standards and utilizes resources to assure continuity of care after discharge.
Participates in developing the discharge plan with the patient/family, physician, social worker, and other staff members as appropriate.
Participates in chart audits and continuous quality improvement activities as requested.
Identifies, develops and participates in process improvement opportunities that will enhance the quality of the services provided.
Maintains and updates accurate clinical and patient records according to agency, state, and federal guidelines.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.

Benefits

medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Paid Time Off programs
Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance