Registered Nurse Case Manager (RN)

Alternate Solutions Health Network•Fairfax, VA

About The Position

The Registered Nurse Case Manager (RNCM) is accountable for assessing patient conditions and leading the development and coordination of the plan of care. The RNCM provides case management and skilled nursing care in patients’ homes, 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 and continuity of care, and completes accurate documentation in compliance with agency protocols, Medicare and federal guidelines, applicable laws, and state scope-of-practice requirements. The position serves patients in the Burke, Fairfax, Springfield, Mt Vernon, Kingstown, Lorton, and Ft Belvoir areas. The stated 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.

Requirements

  • Current Registered Nurse license in the state of employment.
  • At least one year of RN experience in an acute care setting.
  • Valid driver’s license and auto insurance listing the employee as a driver.
  • Ability to meet the physical requirements of the position and provide evidence of a current negative tuberculin skin test or X-ray, or receive TB testing at orientation; annual TB testing is required thereafter unless prior test documentation is available.
  • Ability to communicate effectively and create positive impressions with patients, families, physicians, and coworkers.
  • Ability to remain calm, patient, and accommodating, and to work compassionately with patients.
  • Knowledge of nursing best practices and ability to make appropriate nursing judgments and identify situations and suitable solutions.
  • Detail-oriented and observant, with a disciplined work ethic and 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 and coordinate multidisciplinary care as applicable.
  • Update physician orders in the patient chart and notify the physician of significant changes in the patient’s condition.
  • Provide skilled nursing care in patients’ homes as ordered by the attending physician; observe and monitor patient conditions and administer prescribed medications.
  • Perform OASIS assessments, 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 about preventive measures and sound health decisions.
  • Counsel patients and families about disease or injury processes and their management; listen to them and involve them in developing the plan of care.
  • Oversee and supervise the total care provided by nurse aides and LPNs, evaluate treatments and medical conditions 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, documenting treatments, assessments, and patient education.
  • Drive to assigned patient locations and fulfill RN visits in the assigned geographic area according to patient needs and federal and state requirements.
  • Complete documentation for subsequent, discharge, evaluation/recertification, and resumption-of-care visits within 24 hours; complete start-of-care documentation within 48 hours; and submit required documentation within company deadlines.
  • Follow the plan of care within the RN scope of practice and maintain an active RN license.
  • Notify the scheduler of changes outside the normal schedule.
  • Participate in on-call requirements and case conferences, and attend in-service trainings and mandatory agency meetings.

Benefits

  • $10,000 sign-on bonus.
  • Guaranteed base salary plus a generous, uncapped bonus structure.
  • Mileage reimbursement and additional bonus opportunities.
  • Flexible schedules and support from a team that includes scheduling and patient admissions.
  • Medical, dental, and vision insurance.
  • Paid time off for eligible teammates.
  • Opportunity to participate in a 401(k).
  • Company-paid life insurance.
  • Employee Assistance Program.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service