About The Position

The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time. This involves the assessment of patient and family needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and supervises Private Duty Nurses (PDN) as applicable. STATUS: Full-time LOCATION: Rochester Regional Health Home Care -330 Monroe Avenue, Rochester, NY 14607 SCHEDULE: 40 Hours, 8 hour shifts, Monday-Friday, 8:30am-5:00pm. On call requirements - 5pm-8pm on call, frequency is once every 3-4 months

Requirements

  • Level I Diploma or Associate’s Degree in Nursing required; Bachelor’s Degree in Nursing preferred.
  • Level II – requires similar qualifications as level I, plus: A minimum of 2 years of home care experience.
  • Registered Nurse license in New York State
  • Valid NYS Driver’s License

Responsibilities

  • Identifies and prioritizes health problems based on assessment
  • Develops or implements an interdisciplinary Plan of Care based on the needs identified during the assessment, with input from the patient (and their caregivers as applicable), in collaboration with the attending physician and other care team members
  • Manages and coordinates patient care, including clinically complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports.
  • Exhibits proficiency and accuracy in the completion of comprehensive assessment/documentation, which may include assessments required by payer sources (e.g., Outcome and Assessment Information Set (OASIS), Hospice Item Set (HIS)).
  • Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care.
  • Communicates all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner.
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