RN Case Manager Homecare

Agrace • Madison, WI

1d

About The Position

The RN Case Manager provides patient- and family-centered nursing care and case management in accordance with Agrace’s philosophy, goals, standards, regulations, and policies. The role involves assessing patient and family needs, developing and updating individualized plans of care, providing nursing interventions and education, coordinating with the interdisciplinary team, and documenting care and outcomes in the electronic health record.

This is a full-time, day-shift position serving Sun Prairie, Columber, and Fall River, Wisconsin. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call coverage one weekend per quarter, weekend rotation every eighth weekend, and holiday rotation twice per year. The position involves driving. A $6,000 sign-on bonus is offered.

Requirements

• Associate Degree in Nursing or Bachelor of Science in Nursing.
• Current, unrestricted Registered Nursing license in the state of employment.
• Valid driver’s license and auto insurance, and access to a reliable vehicle.
• At least 18 years of age.
• Basic Microsoft Office skills.
• Intermediate electronic health records skills.
• Ability to use proper body mechanics, safe patient handling, and standard precautions.

Nice To Haves

• One year of nursing experience is preferred.

Responsibilities

• Assess patients’ and families’ physical, pain, psychosocial, emotional, spiritual, environmental, and educational needs according to the plan of care.
• Collect information from patients, families, significant others, interdisciplinary team members, and other health care professionals.
• Identify, interpret, document, and report assessment findings, significant changes in condition, and unusual incidents to the appropriate interdisciplinary team member.
• Collaborate with the interdisciplinary team and primary care provider to create HES for hospice eligibility determination.
• Respond to patient and family needs, changes in condition, and needs for acute intervention.
• Provide nursing interventions, treatments, and pain management; evaluate their effectiveness and adjust care as needed.
• Educate patients and families about pain and symptom management, end of life, and related topics; evaluate and adjust education as needed.
• Formulate, implement, and revise individualized plans of care in collaboration with the interdisciplinary team, patient, and family.
• Establish reasonable, achievable outcomes and priorities for the planning and provision of care.
• Follow the plan of care and document interventions, outcomes, and changes in patient condition in the electronic health record.
• Delegate visits to appropriate disciplines and manage visit sets.
• Oversee the work of Certified Nursing Assistants and Licensed Practical Nurses.
• Participate in meetings to plan and evaluate patient and family services.
• Precept new staff and students.

Benefits

• $6,000 sign-on bonus.
• Competitive salary with mileage reimbursement.
• Health, dental, and vision insurance for employees hired for 28 or more hours per week (.7 FTE or higher).
• Retirement plans with employer matching.
• Generous paid time off and holiday paid time off.
• Comprehensive onboarding, mentorship, and career development.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree