The RN Case Manager - Home Health identifies, assesses, plans, implements, monitors, and evaluates clinical outcomes, service utilization, and resource management for patients on their caseload. The role serves patients of all ages, from infancy through geriatrics, and requires providing age-appropriate patient care. The Case Manager collaborates with providers to coordinate interdisciplinary services, which may include nursing, therapy, social work, home care aide, respiratory therapy, home medical equipment, and home infusion services. The Case Manager is accountable for achieving the best possible patient outcomes, including identifying and providing focused oversight to patients at high risk for hospitalization. Care is evidence-based and patient-centered, delivered at the patient’s residence using critical-thinking and decision-making skills. The role requires a thorough understanding of OASIS documentation and plan-of-care development and how they affect 5 Star Agency Performance and Value Based Purchasing performance.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed