RN Case Manager, Home Health (Full-Time Preferred)

Assisted Home Health & Hospice•Covina, CA

22h

About The Position

Assisted is seeking a compassionate, dedicated Registered Nurse to join its Home Health team as an RN Case Manager. The role provides and coordinates skilled, personalized nursing care in patients’ homes under an individualized plan of care developed with the patient’s physician and interdisciplinary care team. The RN builds relationships with patients and families, monitors progress, provides prescribed treatments, and educates caregivers to support patient well-being and continuity of care. The position is available per diem or full-time, with full-time preferred. Visits are conducted during the agency’s hours of operation, 8 a.m. to 5 p.m., Monday through Friday. Compensation is $81 per routine visit and $141 per start-of-care visit.

Requirements

Graduate of an approved school of professional nursing.
Current, active California license from the Board of Registered Nursing.
Current CPR certification, health clearance, and clinical skills self-assessment.
Successful passage of the agency competency exam with a score of at least 80%, and completion of the core competency skills checklist.
At least one year of professional nursing experience.

Responsibilities

Complete initial and ongoing interdisciplinary comprehensive assessments, including OASIS assessments at appropriate time points.
Identify patient needs in partnership with the patient, representative, and caregivers, and initiate an individualized plan of care.
Revise the plan of care as needed in partnership with the patient, representative, and caregivers.
Provide physician-ordered services and treatments requiring substantial and specialized nursing skills, as indicated in the plan of care.
Initiate appropriate preventative and rehabilitative nursing procedures.
Counsel, support, instruct, and educate patients, families, and caregivers regarding nursing and related needs.
Refer patients to other services as needed.
Prepare clinical notes documenting nursing assessments, identified problems, goals, care plans, interventions, and patient or family outcomes.
Coordinate all patient services and communicate with physicians, other healthcare practitioners, and interdisciplinary team members about the plan of care and changes in patient needs or condition.
Support patients’ and families’ cultural beliefs.
Perform duties consistent with the Nursing Practice Act and Standards of Competent Performance.
Use medical supplies and equipment correctly and direct their appropriate use.
Supervise care provided by paraprofessionals, Home Health Aides, and Licensed Vocational Nurses as required by law and licensure, and document supervision on the Nursing Visit Note.
Assign Home Health Aides to patients and prepare assignment sheets.
Plan for discharge from service.
Participate in the on-call rotation as requested.
Participate in orientation, in-service education, utilization review, and patient care conferences.
Prepare and submit case documentation, including clinical and progress notes, and required payroll information according to agency policy.
Provide services within the agency’s catchment area.
Acknowledge and protect patient rights, privacy, and confidentiality.
Maintain a professional appearance and interact with internal and external customers positively and professionally.
Reliably complete assigned tasks, duties, communications, and actions.
Support the agency’s mission, vision, and goals; maintain professional growth and development; and participate in QAPI performance improvement activities.
Abide by agency policies and procedures and accept other duties as assigned.