Fairfax RN (Registered Nurse) Case Manager

Mercy Medical Center Home Health•Columbus, OH

About The Position

The Registered Nurse Case Manager (RNCM) is accountable for assessing patient conditions and leading the development and coordination of individualized plans of care. The RNCM provides case management and skilled nursing care, coordinates the disciplines involved in delivering quality, cost-effective, billable care, and supervises care under physician direction. The role includes educating patients and their families, promoting patient safety, ensuring continuity of care, and completing accurate documentation in compliance with agency protocols, Medicare and federal guidelines, applicable laws, regulations, and the state-defined scope of practice. The position serves patients in their homes across Ashley, Delaware, Ostrander, Lewis Center, Powell, Worthington, Columbus-Polaris, Amlin, Dublin, Columbus, Upper Arlington, Plain City, and Marysville. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call and holiday rotation required. The RN drives to scheduled patient visit locations and attends assigned visits daily. Start-of-care, subsequent, discharge, evaluation/recertification, and resumption-of-care documentation must be completed within 24 hours of the visit, along with other required documentation within company deadlines.

Requirements

At least one year of RN experience 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, and accommodating.
Compassionate and caring approach 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.
Disciplined work ethic with the ability to prioritize and be timely.
Ability to follow directions and work as a team member.
Ability to meet the described physical demands with or without reasonable accommodations, including walking, bending, standing, sitting, driving, lifting up to 50 pounds, stretching or reaching, climbing, hand and finger dexterity, and stooping.
Ability to read, speak, and write English; communicate; use computers or a PDA; and perform the listed hearing, vision, and communication activities.

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.
Coordinate 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, develop individualized plans of care, and adjust them 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 preventative 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 their management.
Involve patients and families in developing the plan of care and listen to their concerns.
Oversee and supervise the patient care provided by nurse aides and LPNs.
Evaluate treatments and medical conditions according to 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 according to agency protocol and Medicare and federal guidelines, documenting treatment, assessments, and patient education.
Complete start-of-care and subsequent, discharge, evaluation/recertification, and resumption-of-care documentation within 24 hours of visits, and submit required documentation within company deadlines.
Follow the plan of care within the scope of Registered Nurse practice and fulfill visits in the assigned geographic area according to patient needs and federal and state requirements.
Communicate schedule changes outside the normal schedule to the scheduler.
Participate in on-call requirements, case conferences, in-service trainings, and mandatory agency meetings.
Maintain an active RN license and perform other duties as assigned.