RN Case Manager - Short Term Care

BETHESDA HEALTH AND HOUSING•Willmar, MN

12h

About The Position

The RN Case Manager monitors, directs, and assists unit staff to ensure resident care follows each resident’s care plan, the Medical Plan of Care, and applicable State and Federal regulations. The Case Manager serves as a nursing liaison for residents, families, physicians, interdisciplinary team members, and outside service providers. The role monitors and supports staff RNs, LPNs, TMAs, and CNAs in delivering high-quality resident care. The position is 40 hours per week, Monday through Friday, with required weekend and holiday rotation. The rotation includes an evening shift from 2:30 p.m. to 10:30 p.m. Dress is casual clothing or scrub uniform, with an identification badge. The Case Manager reports to the Director of Nursing and Assistant Director of Nursing. The role includes clinical supervision and assessment, coordination with physicians and care teams, MDS completion and care-plan updates, pain management, quality assurance, resident-rights advocacy, customer service, staff development, and participation in facility activities. The Case Manager is expected to exercise independent judgment, maintain professional conduct, and support residents’ physical, psychosocial, and spiritual function.

Requirements

Graduate of an accredited school of nursing.
Registered Nurse licensed in Minnesota.
CPR certified.
Working knowledge of Medicare, State and Federal regulations, and Case Mix.
Experience completing MDS assessments and knowledge of the MDS process.
Skilled in work organization, time management, and delegation.
Resident-focused approach and commitment to service excellence.
Professional, courteous, and calm manner.
Good communication skills in English.
Ability to work under moderate levels of stress.
Ability to change positions frequently, including standing, sitting, walking, bending, and kneeling.
Patient handlers must sign and comply with the Skilled Nursing Facility Safe Patient Handling Policy.
Ability to make complex decisions and exercise a high degree of independent action.
Self-motivation to function at full productivity.

Nice To Haves

At least two years of long-term care experience is preferred.

Responsibilities

Maintain the assigned unit in accordance with State and Federal regulations and facility standards.
Promote and implement policies and procedures under the direction of the DON/ADON to support residents’ highest practicable physical, psychosocial, and spiritual function.
Direct, monitor, and assist unit staff to prevent avoidable decline in residents’ function and to maintain or improve care quality.
Serve as a resource to unit staff on resident care, clinical practice, regulations, and facility policy.
Initiate or assist with staff disciplinary action when appropriate and report relevant matters to the DON/ADON.
Assist with quality assurance and staff performance evaluations as directed.
Keep the DON/ADON informed about unusual or critical situations involving residents, families, or staff, and recommend improvements or needed supplies and equipment.
Participate in continuing education programs and facility meetings as assigned.
Perform supervisory duties for the neighborhood, including physician rounds and communication with physicians about changes in resident condition or concerns.
Transcribe physician orders or co-sign orders transcribed by an RN or LPN.
Perform and document clinical assessments, including assessments for acutely ill residents and ongoing assessments related to weight loss, condition changes, dehydration, and other concerns.
Make physician calls during the shift when needed and assist with resident admissions and readmissions according to facility policy.
Complete RN-required assessments and perform or monitor clinically complex treatments.
Assist residents, families, and staff with problem-solving related to resident needs, and assist with scheduling as needed.
Create or update plans of care and short-term care plans, follow MDS Coordinator recommendations, attend care conferences, and complete MDS assessments accurately and on time.
Provide attentive pain management, support resident and family participation in pain-management choices, communicate about unrelieved pain, and educate residents, families, and caregivers.
Demonstrate appropriate customer service with internal and external customers and model positive behavior.
Advocate for Resident Bill of Rights, monitor staff practices, inform residents, families, and staff about resident rights, and report vulnerable-adult concerns promptly.
Respect resident property and maintain residents’ dignity and privacy.
Report to and leave the work area on time, participate in annual performance evaluations, write yearly personal goals, complete required in-service programs, and maintain professional conduct and a pleasant attitude.
Perform other duties as assigned by the DON/ADON.