PRN RN Case Manager

Unifi Healthcare • Barnwell, SC

5d • Onsite

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 related 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.

The role is based in Barnwell, South Carolina. The RN Case Manager maintains an assigned caseload, oversees care delivery and documentation, coordinates authorizations and care plans, communicates with patients, families, staff, and other stakeholders, and supports clinical compliance and continuity of care. The position may require home visits and filling in as the RN during an emergency if other options to cover a shift have been exhausted.

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, including safely lifting 40–50 pounds.
• Professional dress when visiting clients; scrubs and a name tag are preferred.

Responsibilities

• Review documentation and charts to ensure accuracy and adherence to the client’s plan of care; submit clinical documentation, including weekly billing and payroll information, by specified deadlines.
• Maintain accurate and timely information for assigned clients 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 that correspond 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 as needed for matters such as durable medical equipment, additional diagnoses, home modifications, and medication prior authorizations.
• Maintain ongoing responsibility for the assigned caseload.
• Attend pertinent medical appointments with clients as needed, or coordinate team coverage when unable to attend.
• 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, other Case Managers, RN Authorization Specialists, non-licensed staff, support staff, and ancillary services; notify Scheduling and Assistant Directors of Nursing of field-related client or employee issues.
• Communicate pertinent information, including deaths, hospitalizations, and changes in condition, by email to nursing leadership, Operations, Authorizations, and Billing.
• Provide clinical guidance and coaching to staff and patient families as needed, and hold field staff accountable for the level of care provided.
• Attend monthly Case Management meetings.
• Participate in staff in-service and continuing-education programs as scheduled.
• Participate in company-designated committees as directed.
• Participate in client home visits in the service area in accordance with policies and procedures and 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 adhere to accepted professional nursing standards and scope of practice.
• Participate in Case Management teams and fulfill related responsibilities; communicate with the team Case Manager about clients to ensure continuity of care.
• Treat current and prospective clients and families with compassion, professionalism, and strong customer service.
• Remain available during company office hours to serve 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 emergent situation if all other avenues have been exhausted and a shift cannot be filled.
• Follow the chain of command and acceptable protocols in all situations.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed