PRN RN Case Manager

Unifi Healthcare•Rockwood, TN

11d

About The Position

The RN Case Manager ensures quality patient care in the home setting by developing, implementing, and evaluating individual patient care plans. The role serves as a liaison between the agency and patient families and manages, coordinates, and supervises clinical activities within an assigned service area in accordance with professional standards of care and agency policies and procedures. The RN Case Manager reports directly to the Assistant Director(s) of Nursing in the assigned area and to the Director of Nursing through the chain of command. Case Managers are expected to support positive environments and the company’s growth, vision, and values. This position maintains assigned caseloads, coordinates authorizations and care, monitors documentation, supports patients and families, and provides clinical guidance to staff. The RN Case Manager participates in meetings, education, committees, home visits, performance reviews, and compliance activities. The job description notes that additional job-related tasks may be assigned.

Requirements

Current RN licensure.
At least 3 years of progressively responsible clinical experience.
Excellent writing, organizational, and time-management skills.
Prior management or leadership experience.
Ability to work independently, multitask, prioritize, and function in a team environment.
Professional, courteous, compassionate, and customer-oriented demeanor.
Discretion, trustworthiness, and a high level of integrity.
Excellent computer and internet skills.
Ability to bend and lift as required for effective patient-related care.
Ability to safely lift 40–50 lbs.
Professional dress when visiting clients; scrubs and a name tag are preferred.

Responsibilities

Review documentation and charts for accuracy and ensure that each client’s plan of care is followed.
Submit clinical documentation, including weekly billing and payroll information, by specified deadlines.
Maintain accurate and timely client information in QuickBase.
Manage care implementation with attention to quality patient care and patient-family satisfaction.
Coordinate care authorization with Authorization Specialists for treatment plans, new admissions, and recertifications.
Implement, evaluate, and oversee individual patient plans of care in accordance with physician orders, assessing patient needs, condition, and environment and consulting other health team members.
Educate clients about benefits, using appropriate company team members or outside agencies to meet their needs.
Maintain ongoing responsibility for assigned caseloads.
Attend relevant physician appointments with clients as needed, or coordinate coverage within the team.
Build rapport with patient families while implementing and managing care.
Assist the staffing department with workload scheduling as needed and meet deadlines.
Maintain open communication with the Director of Nursing, Assistant Directors of Nursing, case managers, authorization specialists, non-licensed and support staff, and ancillary services; notify the Scheduling Department and Assistant Directors of Nursing about field-related issues involving clients or employees.
Communicate pertinent events and changes, including deaths, hospitalizations, and changes in condition, by email to the Director of Nursing, Assistant Directors of Nursing, Operations, Authorizations, and Billing.
Provide clinical guidance and coaching to staff and patient families as needed, and hold field staff accountable for the care provided.
Attend monthly Case Management meetings.
Participate in staff in-service programs and continuing education in-services as scheduled.
Participate in company-designated committees as directed.
Participate in client home visits in the service area as required by policy and procedure or as needed.
Follow and promote agency policies and procedures.
Support state and federal program regulations through development, implementation, and evaluation of compliance processes.
Maintain nursing competencies and follow accepted professional nursing standards and scope of practice.
Participate in Case Management teams and fulfill related responsibilities; communicate with team case managers about clients to support continuity of care.
Provide clients and families with compassionate, professional, customer-oriented service.
Remain available during company office hours for patients, families, staff, and colleagues, and notify the direct supervisor of any unavailability.
Participate in performance reviews and goal setting for growth and company development in the assigned territory.
Ensure arrangements for equipment and other necessary items and services, advocate for DME supplies, and coordinate with DME representatives.
Be prepared to fill in as the RN during an emergency if other options have been exhausted and a shift cannot be filled.
Follow the chain of command and acceptable protocols.