RN Case Manager (RN) - Home Health

Alternate Solutions Health Network•Indianapolis, IN

3d•Onsite

About The Position

The Registered Nurse Case Manager (RNCM) assumes overall accountability and leadership for assessing patient condition and developing a comprehensive plan of care. The RNCM provides case management and clinical care while coordinating all disciplines to ensure quality, cost-effective, and billable care. Working under the direction of the physician, the RN delivers direct care and supervises supporting clinical staff. The RN educates patients and their family members, promotes patient safety, and ensures compliance with all legal and regulatory standards. The RN is responsible for accurate and timely documentation and performs all duties within the scope of practice as defined by state regulations.

Requirements

Active Registered Nurse (RN) license in the state of employment
Minimum of one (1) year of RN experience in an acute care setting
Valid driver’s license and auto insurance with the candidate listed as a driver
Strong communication skills with the ability to build positive relationships with patients, families, physicians, and colleagues
Ability to remain calm, patient, and compassionate in a clinical setting
Knowledge of nursing best practices
Sound clinical judgment and decision-making skills
Ability to assess situations and implement appropriate solutions
Strong attention to detail and observational skills
Strong organizational skills with the ability to prioritize and meet deadlines
Ability to follow direction and work collaboratively as part of a team

Nice To Haves

home health experience preferred

Responsibilities

Oversees patient care from the beginning to the end of each episode
Updates physician orders in the patient chart as needed
Notifies physicians of any significant changes in patient condition
Manages and coordinates multidisciplinary care, as applicable
Provides skilled nursing care in the patient’s home as ordered by the physician
Observes and monitors patient conditions
Performs OASIS assessments to develop individualized care plans and adjusts them as needed
Administers medications as prescribed
Reduces re-hospitalizations through proactive interventions, including front-loading visits for high-risk patients
Promotes continuity of care through appropriate admissions, transfers, and discharges
Educates patients and families on disease processes and self-management strategies
Involves patients and families in care plan development
Teaches preventive measures to reduce re-hospitalizations
Listens and responds to patient and family concerns
Supervises care provided by LPNs and nurse aides
Evaluates patient condition and treatment effectiveness against the plan of care
Determines whether current care levels meet patient needs
Communicates supervisory visit findings with LPNs and nurse aides
Completes all clinical documentation in accordance with agency protocols and Medicare/Federal guidelines
Documents all treatments, assessments, and patient education
Maintains an active RN license
Communicates schedule changes with the scheduler
Participates in on-call rotations and case conferences
Attends required in-services and agency meetings
Travels to patient locations as scheduled
Maintains consistent daily attendance at assigned visit locations
Completes documentation for subsequent visits, discharges, evaluations, recertifications, and resumptions of care within 24 hours
Completes start-of-care documentation within 24 hours
Submits all required documentation within company-defined timelines
Follows the plan of care within RN scope of practice regulations
Completes RN visits within assigned geographic areas per patient needs and regulatory requirements
Performs other duties as assigned