Registered Nurse (R.N.) Palliative Case Manager - Home Care (Full-Time, Days)

Rochester Regional Health

2d•$80,323 - $107,024•Onsite

About The Position

The RN Case Manager delivers comprehensive nursing care to assigned patients in a home care setting. The role includes assessing patient and family needs and developing, implementing, and evaluating plans of care, revising them as patient needs change. The nurse identifies and coordinates appropriate interdisciplinary services and supervises Private Duty Nurses when applicable. The position is based at Rochester Regional Health Home Care in Rochester, New York, and is scheduled Monday through Friday, 8:30 a.m. to 5:00 p.m., for 40 hours per week. Participation in assigned on-call and weekend/holiday schedules is required. The position offers a signing bonus of up to $20,000 and a stated pay range of $80,322.86 to $107,023.59.

Requirements

Diploma or Associate’s Degree in Nursing.
Registered Nurse license in New York State.

Nice To Haves

One year of nursing experience.
Prior home health, clinical, and direct patient care experience.

Responsibilities

Identify and prioritize health problems based on assessment.
Develop or implement an interdisciplinary plan of care based on assessed needs, with patient and caregiver input as applicable and in collaboration with the attending physician and other care team members.
Manage and coordinate patient care, including clinically complex cases, to ensure efficient and effective delivery of appropriate services and community supports.
Complete comprehensive assessments and documentation accurately, including payer-required assessments such as OASIS and HIS when applicable.
Plan, organize, and prioritize care for an assigned caseload to ensure patient needs are met and services follow the plan of care.
Communicate changes in patient status or service needs to appropriate care team members and ensure timely action.
Facilitate development and implementation of patient discharge plans as indicated.
Document patient care and coordination activities according to agency standards.
Assess the need for additional services, obtain orders, and arrange care as indicated.
Supervise and evaluate care provided by Licensed Practical Nurses and/or home health aides.
Identify patient and family risk factors and establish goals and interventions to reduce or remove risks so patients can remain in the least restrictive care setting.
Coordinate or participate in interdisciplinary team meetings and patient care conferences.
Provide visits outside the primary team assignment or geographical area when needed to meet patient needs.
Practice according to agency and community standards.
Participate in utilization review and/or continuous quality improvement activities as requested.
Attend required staff meetings, in-services, and supervisory conferences.
Participate in assigned on-call and weekend/holiday schedules.