As an RN Case Manager with Home Health Care, Inc., you will take ownership of a patient caseload and help guide patients from their initial home health assessment through recovery, stabilization, and eventual discharge. You will be responsible for coordinating and overseeing an assigned home health caseload, which includes managing patients, completing OASIS assessments, performing comprehensive nursing assessments, developing and updating individualized plans of care, providing skilled nursing visits, monitoring patient progress, recognizing changes in condition and intervening appropriately, providing medication management and patient education, performing wound care and other skilled nursing services, communicating with physicians and interdisciplinary team members, educating patients and caregivers, helping prevent avoidable emergency department visits and rehospitalizations, and completing timely documentation using Homecare Homebase (HCHB). This role requires a nurse who can see beyond today's visit, connecting the dots to ensure the patient is progressing toward their goals, identifying barriers to improvement, communicating with physicians and therapy, ensuring the family understands the plan, and confirming patient safety at home. You will be the clinical quarterback of the case, bringing information together for everyone involved in the patient's care.
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Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed