PRN RN Case Manager

Unifi Healthcare•Johnson City, TN

11d

About The Position

The RN Case Manager ensures quality patient care in the home setting through the development, implementation, and evaluation of individual care plans. The Case Manager serves as a liaison between the agency and patient families and manages, coordinates, and supervises clinical activities in an assigned service area in accordance with professional standards of care and agency policies and procedures. The position reports directly to the Assistant Director(s) of Nursing for 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 includes oversight of assigned caseloads, patient care plans, documentation, care authorizations, and coordination with families, clinical staff, scheduling, and ancillary services. The Case Manager may attend physician appointments, make home visits, provide clinical guidance, and fill in as the RN during an emergent situation when other staffing options 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.
Ability to safely lift 40–50 pounds.
Professional attire when visiting clients; scrubs and a name tag are preferred.

Responsibilities

Review documentation and charts for accuracy and ensure 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 authorizations 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 with other health team members.
Educate clients about benefits and coordinate with appropriate internal team members or outside agencies to achieve desired objectives, such as DME, additional diagnoses, home modifications, and medication prior authorizations.
Maintain ongoing responsibility for the assigned caseload.
Attend pertinent physician appointments with clients as needed, or coordinate team coverage.
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 DON, ADON(s), other Case Managers, RN Authorization Specialists, non-licensed staff, support staff, and ancillary services.
Notify the Scheduling Department and ADON(s) of field-related issues involving clients or employees.
Communicate pertinent information, including deaths, hospitalizations, and changes in condition, by email to the DON, ADON(s), 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 as required by policy and procedure or as needed.
Abide by and promote agency policies and procedures.
Support state and federal program regulations through the development, implementation, and evaluation of compliance processes.
Maintain knowledge of nursing competencies and adhere to professional nursing standards and scope of practice.
Participate in Case Management teams and fulfill related responsibilities, maintaining communication with team Case Managers 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 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 necessary equipment and services are available, advocate for DME supplies, and coordinate with DME representatives.
Be prepared to fill in as the RN during an emergent situation if all other options have been exhausted and a shift cannot be filled.
Follow the chain of command and acceptable protocols in all situations.