Registered Nurse Case Manager

Advocate Health•Two Rivers, WI

5d•$38 - $57

About The Position

The Registered Nurse Case Manager is responsible for a specialty-area patient caseload. The role includes assessing patients’ physical, social, and environmental needs; establishing and updating physician-ordered plans of care; providing direct patient care; and evaluating patient responses to treatment and teaching. The Case Manager coordinates with patients, families, physicians, and other health care professionals to support continuity of care, including discharge planning. The role also includes accurate clinical documentation, maintaining records in accordance with agency, state, and federal guidelines, and participating in chart audits and quality improvement activities. The position requires age-appropriate care across the lifespan and travel to patients’ residences. The regular schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., with paid on-call coverage 1–2 nights per week, one weekend per month, and holiday rotation.

Requirements

Associate's degree in Nursing.
Registered Nurse license issued by the state in which the team member practices.
Basic Life Support (BLS) for Healthcare Providers certification from the American Heart Association, to be obtained within 6 months unless the department leader determines it is not required.
Valid driver’s license issued by the Division of Motor Vehicles.
Typically requires 3 years of clinical nursing experience.
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.
Ability to work positively and effectively with physicians and other professionals.
Clinical proficiency, ability to work under direction, and sound judgment.
Ability to operate necessary equipment, including a fax machine, computer, copier, and telephone system.
Ability to assess and interpret patient-status information to identify individual care requirements.
Tolerance for differences and appreciation of multiculturalism and diversity among patients and families.
Manual dexterity to operate a variety of equipment; ability to move in confined spaces and bend, twist, kneel, squat, and occasionally reach overhead.
Ability to work safely with people of various sizes and weights who have diverse, complex medical conditions and physical limitations.
Ability to sit, stand, walk, and climb stairs for limited to prolonged periods, including to complete paperwork, enter patient residences, travel between visits, and attend work-related activities.
Physical stamina to provide patient care for three or more hours without complete rest.
Accurate vision to read gauges and measuring devices and interpret written instructions.
Ability to lift up to 50 lbs from floor to waist; lift up to 20 lbs from waist to overhead; carry up to 40 lbs at waist height for a reasonable distance; push or pull with 30 lbs of force; and perform a sliding transfer of 150 lbs with a second person present.
Ability to work with exposure to extreme temperature changes due to weather, chemicals, hazardous waste, and communicable disease.

Responsibilities

Manage a caseload of patients in specialty areas.
Conduct initial assessments to gather thorough physical, social, and environmental information.
Establish plans of care in accordance with physician orders and patient needs.
Provide direct patient care; identify problems, adjust nursing care processes and plans, and evaluate outcomes.
Assess patient responses to treatment and teaching, apply appropriate interventions, and update plans of care.
Advise and consult with families and other personnel as appropriate.
Complete visit assessments, OASIS, 485 forms, and verbal orders accurately and promptly, in accordance with standards.
Communicate with physicians to confirm and update plans of care, provide status updates, and maintain communication with the health care team.
Facilitate discharge planning and use resources to support continuity of care after discharge.
Develop discharge plans with patients and families, physicians, social workers, and other staff as appropriate.
Participate in chart audits and continuous quality improvement activities as requested.
Identify, develop, and participate in process improvement opportunities to enhance service quality.
Maintain accurate clinical and patient records in accordance with agency, state, and federal guidelines.
Provide care appropriate to patients’ ages and developmental needs, following departmental policies and procedures.