Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Fairfax, VA

About The Position

The Registered Nurse Case Manager (RNCM) assumes accountability and leadership for assessing patient conditions and developing and overseeing plans of care. The role provides case management and skilled nursing 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 families, promotes patient safety, completes accurate documentation, and complies with applicable laws, regulations, and the state-defined scope of practice. This is a home health position serving 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. The role requires travel to patient homes and daily attendance at assigned visit locations. The company offers a guaranteed base salary and an uncapped bonus structure, mileage reimbursement, additional bonus opportunities, flexible schedules, and team support for scheduling and patient admissions. Eligible teammates may receive paid time off, access to a 401(k), company-paid life insurance, and an Employee Assistance Program. Medical, dental, and vision insurance are 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 handle them with an appropriate solution.
Detail-oriented and observant.
Disciplined work ethic, with the 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 x-ray, or willingness to receive TB testing at orientation; annual TB testing is required thereafter unless prior test documentation is available.
Must be free of physical or medical conditions that limit or restrict the ability to perform the listed job functions.

Nice To Haves

Home care experience.

Responsibilities

Oversee the patient’s care throughout 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.
Provide skilled nursing care in the patient’s home as ordered by the attending physician.
Observe and monitor patient conditions.
Perform OASIS assessments to develop an individualized plan of care and adjust it as needs change.
Administer medication as prescribed by the physician.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients preventive measures and sound decision-making.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about disease or injury processes and how to manage them.
Include patients and families 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 the patient’s medical condition against the plan of care, and determine whether the level of care meets the patient’s needs.
Communicate supervisory visit results to LPNs and nurse aides.
Complete clinical documentation in accordance with agency protocol and Medicare and federal guidelines, documenting treatment, assessments, and patient education.
Maintain an active RN license.
Inform the scheduler of changes outside the normal schedule.
Participate in on-call requirements and case conferences.
Attend in-service training and mandatory agency meetings.
Drive to scheduled patient visits and fulfill RN visits in the assigned geographic area according to patient needs and federal and state specifications.
Document subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours, and start-of-care visits within 48 hours.
Submit required documentation within company deadlines and follow the plan of care within the RN scope of practice.