Registered Nurse (RN) Case Manager

Alternate Solutions Health Network•Columbus, OH

About The Position

The Registered Nurse Case Manager (RNCM) assumes accountability and leadership for assessing patient conditions and developing and overseeing plans 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 the direction of the physician. The role includes educating patients and family members, supporting patient safety, completing accurate documentation, and complying with legal requirements and the state-defined scope of practice. The position provides skilled nursing care in patients’ homes across an assigned territory. The RNCM assesses and monitors patients, coordinates with physicians and other care team members, administers prescribed medications, and supports continuity of care through admissions, transfers, and discharges. The nurse helps prevent rehospitalizations through timely visits, patient education, and preventive guidance, and supervises care provided by nurse aides and LPNs. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with rotating on-call responsibilities. The territory includes Westerville, Columbus-North Linden, Minerva Park, Alexandria, Hebron, New Albany, Granville, Newark, Utica, Galena, Sunbury, Hartford, and Johnstown. Daily travel to assigned patient visit locations is required. Documentation for visits must be completed within 24 hours, and other required documentation must be submitted within company 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.
Compassion and care when working with patients.
Knowledge of nursing best practices.
Ability to make appropriate nursing judgments and 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.
Ability to meet the physical demands of the position, with or without reasonable accommodation, including walking, bending, standing, sitting, driving, lifting up to 50 pounds with or without assistance, stretching/reaching, climbing, stooping, and frequent hand/finger use.
Ability to read, speak, and write English; communicate; use computers or PDAs; distinguish smell and temperature; hear and see; and speak in person and by telephone.

Nice To Haves

Home care experience is desired.

Responsibilities

Oversee the patient’s care throughout 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 to 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.
Involve patients and families in developing the plan of care and listen to their concerns.
Oversee and supervise patient 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 patient needs.
Communicate supervisory visit results to LPNs and nurse aides.
Complete clinical documentation according to agency protocol and Medicare and federal guidelines, documenting treatments, assessments, and patient education.
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 training and mandatory agency meetings.
Drive to patients’ primary locations for scheduled visits and provide visits in the assigned geographic area according to patient needs and federal and state specifications.
Document subsequent, discharge, evaluation/recertification, resumption-of-care, and start-of-care visits within 24 hours.
Submit all required documentation within company requirements.
Follow the plan of care within the Registered Nurse scope of practice.
Perform other duties as assigned.