Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Kettering, OH

6d•Onsite

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 documentation in compliance with legal requirements, agency protocols, and Medicare and federal guidelines. The RN performs duties within the scope of practice established by the state. This position serves the Dayton (East), Kettering, and Oakwood areas. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call responsibilities. The RN drives to patients’ primary locations for scheduled visits and fulfills visits across the assigned geographic area according to patient needs and applicable federal and state specifications. The RN completes OASIS assessments and develops and adjusts individualized plans of care; administers prescribed medication; monitors patient conditions; coordinates multidisciplinary care; and works to reduce rehospitalizations through timely visits and patient education. The position also oversees and supervises care provided by aides and LPNs, communicates supervisory visit results, and promotes continuity through appropriate admissions, transfers, and discharges. Required documentation for visits must be completed within 24 hours, and all other documentation must be submitted within company requirements. The role includes on-call duties, case conferences, in-service training, and mandatory agency meetings. Other duties may be assigned. The job description notes that duties and responsibilities may change, and that transitional work may be available, including phone answering, filing, computer and data-entry tasks, training or continuing education, reviewing safety materials, and other tasks within assigned restrictions.

Requirements

At least one year of experience as an RN 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 determine suitable solutions.
Detail-oriented and observant approach.
Disciplined work ethic, with the ability to prioritize tasks and be timely.
Ability to follow directions and work as a team member.
Ability to read, speak, and write English.
Ability to use computers and a PDA.
Ability to meet the physical demands of the job, with or without reasonable accommodation, including walking, sitting, driving, occasional bending, standing, lifting up to 50 pounds with or without assistance, stretching or reaching, climbing, hand/finger dexterity, and stooping.

Nice To Haves

Home care experience is desired.

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 them as patient needs change.
Administer medication as prescribed by the physician.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients about preventive measures and sound health decisions.
Manage multidisciplinary care as applicable.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about 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 patients’ 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 accurate clinical documentation in accordance with agency protocols and Medicare and federal guidelines, including documentation of treatments, assessments, and patient education.
Document subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours; document start-of-care visits within 24 hours; and submit all required documentation within company requirements.
Maintain an active RN license in the state of employment and follow the plan of care within the RN scope of practice.
Communicate changes outside the normal schedule to the scheduler.
Participate in on-call requirements and case conferences.
Attend in-service trainings and mandatory agency meetings.
Maintain a professional appearance and follow agency policies and procedures.
Drive to scheduled patient visits and fulfill RN visits within the assigned geographic area according to patient needs and applicable federal and state specifications.
Perform other duties as assigned.