Registered Nurse (RN) Case Manager

Alternate Solutions Health Network•Kettering, OH

About The Position

The Registered Nurse Case Manager (RNCM) assumes accountability and leadership for assessing patient conditions and developing plans of care. The RN provides case management and clinical care, coordinating the disciplines involved in delivering quality, cost-effective, billable care through direct care and supervision under physician direction. The RN educates patients and family members, promotes patient safety, completes accurate documentation, complies with legal requirements, and performs duties within the state-defined scope of practice. The role serves patients in their homes across the stated service area for Kettering Home Care.

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 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, accommodating, compassionate, and caring when working with patients.
Knowledge of nursing best practices.
Ability to make appropriate nursing judgments, identify situations, and handle them with effective solutions.
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

Oversee the patient's care from the beginning to the end of the episode.
Update physician orders in the patient chart and notify the physician of significant changes in the patient's condition.
Manage 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 them 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 preventive measures and sound decision-making.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about disease or injury processes and management, and include 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 according to 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 clinical documentation according to agency protocol and Medicare and federal guidelines, including documentation of treatment, assessments, and patient education.
Maintain an active RN license.
Communicate changes outside the normal schedule to the scheduler.
Participate in on-call requirements, case conferences, in-service trainings, and mandatory agency meetings.
Drive to patients' primary locations and attend scheduled visits at assigned locations.
Document subsequent, discharge, evaluation/recertification, resumption-of-care, and start-of-care visits within 24 hours of the visit.
Submit required documentation within company deadlines.
Follow the plan of care within the scope of practice for a Registered Nurse.
Fulfill RN visits in the assigned geographic location according to patient needs and federal and state specifications.
Perform other duties as assigned.