Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Lexington, KY

3d•Onsite

About The Position

The Registered Nurse Case Manager (RNCM) assumes accountability and leadership for assessing patient conditions and developing and managing plans of care. The RNCM provides case management and clinical care, coordinates the disciplines involved in delivering quality, cost-effective, billable care, and supervises care under the direction of the physician. The RN educates patients and family members, promotes patient safety, and completes accurate documentation in compliance with legal requirements, regulations, agency protocols, and the RN’s state-defined scope of practice. This home health position serves patients in the Lexington, Lawrenceburg, Paris, Sadieville, and Versailles areas. The schedule is Monday through Friday, 8 a.m. to 5 p.m., with an on-call rotation that varies based on staffing. The nurse travels to patients’ primary locations for scheduled visits and fulfills visits in the assigned geographic area according to patient needs and applicable federal and state requirements.

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, accommodating, compassionate, and caring when working with patients.
Knowledge of nursing best practices and ability to make appropriate nursing judgments.
Ability to identify situations and determine appropriate solutions.
Detail-oriented and observant work style.
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

Oversee the patient’s overall care from the beginning to the end of the episode.
Update physician orders in the patient chart and notify the physician of significant changes in the patient’s condition.
Manage multidisciplinary care as applicable and coordinate care among involved disciplines.
Provide skilled nursing care in patients’ homes as ordered by the attending physician; observe and monitor patient conditions and administer prescribed medication.
Perform OASIS assessments to develop individualized plans of care and adjust them as patient needs change.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients preventative measures and sound decision-making.
Counsel patients and families about disease or injury processes and how to manage them; include them in developing the plan of care and listen to their concerns.
Oversee and supervise the total care provided by nurse aides and LPNs; evaluate treatments and medical conditions against the plan of care and determine whether the level of care meets patient needs.
Communicate supervisory visit results to LPNs and nurse aides.
Complete 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, resumption-of-care, and start-of-care visits within 24 hours; submit required documentation within company deadlines.
Maintain an active RN license 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 training and mandatory agency meetings.
Drive to patients’ primary locations and maintain daily attendance at assigned visit locations.
Perform other duties as assigned.