Registered Nurse Case Manager (RNCM)

Alternate Solutions Health Network•Detroit, MI

8d•Remote

About The Position

As a Registered Nurse Case Manager, the work you do every day makes a difference in the lives of our patients. Our nurses give our patients the greatest gift – the ability to spend enhanced quality time with their loved ones in their preferred environment. As a RN you will have the opportunity to provide one on one patient care and work at the top of your license. You will utilize your leadership skills in coordinating care and provide home-based nursing care for patients as directed by an attending physician. You will be part of an interdisciplinary team that focuses on providing compassionate quality care and producing positive outcomes for your patient population. Interacting with patients' families while caring for your patients and experiencing the rewarding privilege to be part of every step of their recovery journey. Home care provides context and real-world perspective about what will really help patients restore their health.

Requirements

Registered Nurse with current license in the state of employment.
Minimum one-year experience as an RN in an acute care setting.
Valid driver's license and auto insurance in your name as a driver.
Capable of all physical demands.

Nice To Haves

Home Care experience preferred.

Responsibilities

Observe and monitor patient conditions and perform OASIS assessments.
Develop an individualized care plan and adjust as needs change.
Assume accountability and leadership for patient assessment and Plan of Care.
Case manage and provide clinical care under physician direction.
Administer medication as prescribed by the physician.
Help decrease rehospitalization by prioritizing visits for high-risk patients.
Update physicians’ orders in the patient chart.
Prioritize visits to help decrease rehospitalization.
Monitor Patient condition and safety.
Evaluate whether the level of care continues to meet patient needs (for hospice).
Manage multi-disciplinary care as applicable while promoting continuity of care with appropriate admissions, transfers, and discharges.
Collaborate with physicians and the interdisciplinary team.
Coordinate care throughout the patient’s episode.
Promote positive patient outcomes and continuity of services.
Educate the patient and family on the disease processes using teach back methods to ensure patient and family understanding.
Incorporate patients and family into development of the Plan of Care.
Educate families while supporting patient needs and preferences.
Provide compassionate end of life care focused on the patient’s needs and preferred environment (for hospice).
Oversee and supervise total care provided by LPNs and Nurse Aides.
Provide clinical leadership for care delivered under the Plan of Care.
Complete all clinical documentation following agency protocol and Medicare/Federal guidelines.
Follow agency policies and procedures.
Understand and follow agency policies, procedures, rules, and regulations.
Communicate changes in schedule/availability to schedulers or supervisors.
Follow applicable state requirements and federal/Medicare requirements.
Attend in-service training and mandatory agency meetings.
Work autonomously and efficiently manage time.
Provide one-on-one home-based clinical care.
Participate in interdisciplinary coordination and support the overall delivery of patient care.