Registered Nurse (RN) Case Manager

Alternate Solutions Health Network•Fairfax, VA

5d•Remote

About The Position

The Registered Nurse (RN) provides comprehensive skilled care as ordered by the attending physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state. This role involves providing skilled nursing care in a patient’s home, performing OASIS assessments, administering medication, managing multi-disciplinary care, and promoting continuity of care. The RN will counsel patients and families, incorporate them into the plan of care, teach preventative measures, listen to concerns, and supervise the care provided by Aides and LPNs. The RN evaluates treatments and the patient's medical condition, determines if the level of care meets patient needs, communicates supervisory visit results, and completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines. The RN must maintain an active RN license, communicate changes to the scheduler, participate in on-call duties and case conferences, attend trainings and meetings, and maintain a professional appearance. Essential functions include driving to patient locations, daily attendance at assigned visits, documenting visits within specified timeframes, following the plan of care, and fulfilling RN visits in the assigned geographic location.

Requirements

Registered Nurse with current license in the state of employment.
Minimum of one year of experience as an RN in an acute care setting.
Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers.
Ability to remain calm, have patience and be accommodating.
Compassionate and caring while working with patients.
Knowledgeable on nursing best practices.
Ability to make appropriate nursing judgments.
Ability to identify a situation and handle it with the best possible solution.
Detail-oriented and observant.
Disciplined style of work ethic with the ability to prioritize and be timely
Ability to follow directions and work as a team member.
Valid driver’s license and auto insurance with your name as a listed driver.
Must be able to meet all physical position requirements.
Evidence required of a current negative tuberculin skin test or x-ray or receive TB testing at the date of orientation. Thereafter an annual tuberculin skin test is required, unless the employee has documentation of a previous TB test.
Employee must be free of physical/medical conditions, which would limit or restrict their ability to perform the job functions listed below.
Employees in this position may be at risk for exposure to bloodborne pathogens.

Nice To Haves

Home care experience is desired.

Responsibilities

Provides skilled nursing care in a patient’s home as ordered by the attending physician
Observes and monitors patient conditions
Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change
Administers medication as prescribed by the physician
Helps decrease re-hospitalizations by front loading visits for high risk patients
Manages multi-disciplinary care as applicable
Promotes continuity of care with appropriate admissions, transfers and discharges
Counsels patient and family on the disease/injury processes and how to manage
Incorporates patient and family in development of plan of care
Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions
Listens to patient and family members
Oversees and supervises total care of patient provided by Aides and LPNs
Evaluates the treatments and medical condition of the patient according to the plan of care
Determines if the level of care being provided meets the patients’ needs
Communicates with the LPNs and Aides on supervisory visit results
Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines
Documents all aspects of treatment, assessments, and patient education
Maintains active RN license in state of employment
Communicates with scheduler any changes outside the normal
Participates in all on-call requirements and case conferences
Attends in-service trainings and mandatory agency meetings
Maintains a professional appearance as a representative of the company
Understands and practices agency policies and procedures
Drives to patient’s primary location per scheduled visit.
Daily attendance at assigned visit locations.
Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits.
Documents all aspects of start of care visits within 48 hours of visits.
Completes and submits all required documentation within specified company requirements.
Follows plan of care as permitted within the scope of practice for a Registered Nurse.
Fulfills RN visits in assigned geographic location per patient need within federal and state specifications.