Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Indianapolis, IN

About The Position

The Registered Nurse Case Manager (RNCM) is accountable for leading patient assessment and development of the plan of care. The role provides case management and skilled nursing care, coordinates the care provided by the disciplines involved, and supervises care under physician direction. The RN educates patients and families, promotes patient safety and continuity of care, and completes accurate clinical documentation in compliance with agency protocols, Medicare and federal guidelines, and applicable laws and regulations. The role follows the state-defined scope of practice for a Registered Nurse. This position serves patients in their homes in the Danville, Martinsville, and Greencastle areas. The stated schedule is Monday through Friday, 8 a.m. to 5 p.m., with on-call requirements. The RN drives to assigned patient locations and attends visits in the assigned geographic area.

Requirements

At least one year of experience as an RN in an acute care setting.
Registered Nurse with a current 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 handle them with an appropriate solution.
Detail-oriented and observant.
Disciplined work ethic, with 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 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 and coordinate continuity of care through admissions, transfers, and discharges.
Provide skilled nursing care in patients’ homes as ordered by the attending physician.
Observe and monitor patient conditions, evaluate treatments and medical status against the plan of care, and determine whether the level of care meets patient needs.
Complete OASIS assessments, develop individualized plans of care, and adjust plans as patient needs change.
Administer medications as prescribed by the physician.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients about preventative measures and sound health decisions.
Counsel patients and families about disease or injury processes and how to manage them; listen to them and involve them in developing the plan of care.
Oversee and supervise care provided by nurse aides and LPNs, and communicate supervisory visit results to them.
Complete accurate clinical documentation, including treatment, assessment, and patient education records, in accordance with agency protocol and Medicare and federal guidelines.
Document subsequent, discharge, evaluation/recertification, resumption-of-care, and start-of-care visits within 24 hours, and submit all required documentation within company deadlines.
Maintain an active RN license and follow the plan of care within the Registered Nurse scope of practice.
Communicate schedule changes outside the normal schedule to the scheduler.
Participate in on-call requirements, case conferences, in-service trainings, and mandatory agency meetings.
Drive to patients’ primary locations for scheduled visits and attend assigned visit locations daily.
Fulfill RN visits in the assigned geographic area according to patient needs and federal and state specifications.
Perform other duties as assigned.