Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Fairfax, VA

1d•Onsite

About The Position

The Registered Nurse Case Manager (RNCM) is accountable for assessing patients and leading development and coordination of their plans of care. The RNCM provides case management and skilled clinical care, coordinates disciplines to deliver quality, cost-effective, billable care, and supervises care under physician direction. The role includes educating patients and families, promoting patient safety, completing accurate documentation, complying with legal and regulatory requirements, and practicing within the state-defined scope of practice. This home health position serves patients in the Burke, Fairfax, Springfield, Mt Vernon, Kingstown, Lorton, and Ft Belvoir areas. The regular schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call requirements of one weekend per month, two evenings per month, one summer holiday, and one winter holiday. Travel to patient locations is required. The employer offers a guaranteed base salary with an uncapped bonus structure, mileage reimbursement, additional bonus opportunities, flexible schedules, and team support for scheduling and admissions. The benefits package includes medical, dental, and vision insurance; eligible teammates may receive paid time off, participate in a 401(k), and access company-paid life insurance and an Employee Assistance Program. A $10,000 sign-on bonus is offered.

Requirements

Current Registered Nurse license in the state of employment.
At least one year of RN experience in an acute care setting.
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 select appropriate solutions.
Detail-oriented and observant work style.
Disciplined work ethic with ability to prioritize and be timely.
Ability to follow directions and work as a team member.
Valid driver's license and auto insurance listing the employee as a driver.
Ability to meet the physical requirements of the position and travel to patient locations.
Current negative tuberculin skin test or chest x-ray, or willingness to receive TB testing at orientation; annual tuberculin skin testing is required thereafter unless prior test documentation is available.
Ability to perform essential functions that include frequent walking, sitting, and driving; occasional bending, standing, lifting up to 50 pounds with or without assistance, stretching/reaching, climbing, stooping, and distinguishing smell/taste.

Nice To Haves

Home care experience is desired.

Responsibilities

Oversee the patient's care from the beginning through the end of the episode.
Update physician orders in the patient chart and notify the physician about significant changes in the patient's condition.
Coordinate multidisciplinary care as applicable.
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, develop individualized plans of care, and adjust plans as patient needs change.
Help reduce rehospitalizations through front-loaded visits for high-risk patients, patient education about prevention, and support for informed decisions.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about disease or injury processes and management, involve them in care planning, and listen to their concerns.
Oversee and supervise patient care provided by nurse aides and LPNs; evaluate treatments and medical condition against the plan of care; determine whether the level of care meets patient needs; and 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.
Complete documentation for subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours, and start-of-care visits within 48 hours; submit all required documentation within company deadlines.
Maintain an active RN license and follow the plan of care within the RN scope of practice.
Communicate schedule 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 scheduled patient locations and complete visits in the assigned geographic area according to patient needs and federal and state specifications.