PRN Registered Nurse Case Manager

Unifi Healthcare•Lillian, AL

15h

About The Position

The RN Case Manager ensures quality patient care in the home setting by developing, implementing, and evaluating individual care plans. The role serves as a liaison between the agency and patient families and manages, coordinates, and supervises clinical activities in the assigned service area according to professional standards of care and agency policies and procedures. The RN Case Manager reports directly to the Assistant Director(s) of Nursing for the assigned area and to the Director of Nursing through the chain of command. Case Managers are expected to support a positive environment and the company’s growth, vision, and values. The position maintains responsibility for an assigned caseload and works with patients, families, clinicians, authorization, scheduling, billing, operations, and other staff to support continuity and quality of care. The role includes home visits, clinical documentation and record maintenance, care authorization and planning, staff guidance, regulatory compliance, and participation in meetings, in-service programs, committees, and performance reviews. The position is located in Lillian, Alabama.

Requirements

Current RN licensure.
At least 3 years of progressively responsible clinical experience.
Excellent writing, organizational, and time-management skills.
Prior management or leadership experience.
Ability to work independently, multitask, prioritize, and function in a team environment.
Professional, courteous, compassionate, and customer-oriented demeanor.
Discretion, trustworthiness, and a high level of integrity.
Excellent computer and internet skills.
Ability to bend and lift as required for effective patient-related care, including safely lifting 40–50 pounds.
Professional dress when visiting clients; scrubs and a name tag are preferred.

Responsibilities

Review documentation and charts for accuracy and adherence to the client’s plan of care, and submit clinical documentation, including weekly billing and payroll information, by specified deadlines.
Maintain accurate and timely information in QuickBase for assigned clients.
Manage care implementation with attention to quality patient care and family satisfaction.
Coordinate care authorization with Authorization Specialists for new admissions and recertifications, supporting development of the client’s treatment plan of care.
Implement, evaluate, and oversee individual patient plans of care that correspond with physician orders, based on assessment of patient needs, condition, and environment and consultation with other health team members.
Educate clients about benefits, using appropriate company team members or outside agencies to support objectives such as DME, additional diagnoses, home modifications, and medication prior authorizations.
Maintain ongoing responsibility for the assigned caseload.
Attend pertinent physician appointments with clients as needed, including recertifications and specialist appointments, or coordinate team coverage when unable to attend.
Build rapport with patient families while implementing and managing care.
Assist the staffing department with workload scheduling as needed and meet deadlines.
Maintain open communication with the DON, ADON(s), other Case Managers, RN Authorization Specialists, non-licensed staff, support staff, and ancillary services; notify Scheduling and ADON(s) of field-related issues involving clients or employees.
Communicate pertinent events, including deaths, hospitalizations, and changes in condition, by email to the DON, ADON(s), Operations, Authorizations, and Billing.
Provide clinical guidance and coaching to staff and patient families as needed, and hold field staff accountable for the level of care provided.
Attend monthly Case Management meetings.
Participate in scheduled staff in-service and continuing education programs.
Participate in company-designated committees as directed.
Participate in client home visits in the service area according to policy and procedure and as needed.
Follow and promote agency policies and procedures.
Support state and federal program regulations through development, implementation, and evaluation of compliance processes.
Maintain nursing competencies and follow accepted professional nursing standards and scope of practice.
Participate in Case Management teams and related responsibilities as the company develops and grows; communicate with the team Case Manager about clients to ensure continuity of care.
Treat current and prospective clients and families with compassion, professionalism, and customer-oriented service.
Be available during company office hours to provide accessibility to patients, families, staff, and colleagues, and notify the direct supervisor of any unavailability.
Participate in performance reviews and goal setting for growth and company development in the assigned territory.
Ensure arrangements for equipment and other necessary items and services, advocate for DME supplies, and coordinate with DME representatives.
Be prepared to fill in as the RN in an emergency if other options have been exhausted and a client shift cannot be filled.
Follow the chain of command and acceptable protocols.