Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Kettering, OH

About The Position

The Registered Nurse (RN) I provides comprehensive skilled nursing care in patients’ homes as ordered by the attending physician. The RN educates patients and family members, helps ensure patient safety, and completes accurate clinical documentation in compliance with applicable legal requirements, agency protocols, and Medicare and federal guidelines. The RN performs duties within the scope of practice defined by the state of employment. The position is with Kettering Home Health and covers the Carlisle, Franklin, and Springboro areas. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call requirements. The RN coordinates and supervises patient care, develops and adjusts individualized plans of care, and supports continuity of care across admissions, transfers, and discharges.

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, and accommodating, and to work compassionately and caringly with patients.
Knowledge of nursing best practices and ability to make appropriate nursing judgments.
Ability to identify situations and determine 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

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 re-hospitalizations by front-loading visits for high-risk patients and teaching patients preventative measures and sound decision-making.
Manage multidisciplinary care as applicable.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families on disease or injury processes and how to manage them.
Involve patients and families in developing the plan of care and listen to their concerns.
Oversee and supervise the total care of patients provided by aides and LPNs.
Evaluate treatments and medical conditions according to the plan of care and determine whether the level of care meets patient needs.
Communicate supervisory visit results to LPNs and aides.
Complete clinical documentation according to agency protocol and Medicare and federal guidelines, documenting treatment, assessments, and patient education.
Document start-of-care, subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours, and submit required documentation within company timeframes.
Maintain an active RN license in the state of employment.
Communicate changes outside the normal schedule to the scheduler.
Participate in on-call requirements and case conferences.
Attend in-service training and mandatory agency meetings.
Maintain a professional appearance and follow agency policies and procedures.
Drive to scheduled patient locations, attend assigned visits, and fulfill RN visits in the assigned geographic area according to patient need and applicable federal and state requirements.
Follow the plan of care within the scope of practice for a Registered Nurse.
Perform other duties as assigned.