PRN RN Case Manager

Unifi Healthcare•Fairfax, SC

About The Position

The RN Case Manager ensures quality patient care in the home setting by developing, implementing, and evaluating individual care plans. The Case Manager serves as a liaison between the agency and patient families and manages, coordinates, and supervises clinical activities in the assigned service area in accordance with professional standards and agency policies and procedures. The position reports directly to the Assistant Director(s) of Nursing in the assigned area and to the Director of Nursing through the chain of command. Case Managers are expected to support a positive environment and the company’s growth, vision, and values. The role includes reviewing documentation and charts, maintaining client information, coordinating authorizations and care plans, communicating with patients, families, staff, and other care providers, and supporting compliance with state and federal program regulations. The Case Manager maintains an assigned caseload, attends relevant medical appointments and home visits, and may fill in as the RN during an emergency when other staffing options have been exhausted.

Requirements

Current RN licensure.
Minimum of 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, 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 lbs.

Nice To Haves

Scrubs and a nametag are preferred when visiting clients.

Responsibilities

Review documentation and charts for accuracy and confirm that each client’s plan of care is being followed.
Submit clinical documentation, including weekly billing and payroll information, by specified deadlines.
Maintain accurate, timely information for assigned clients in QuickBase.
Manage care implementation with attention to quality patient care and patient and family satisfaction.
Coordinate care authorizations with Authorization Specialists to support treatment plans, new admissions, and client recertifications.
Implement, evaluate, and oversee individual patient plans of care consistent with physician orders, assessing patient needs, condition, and environment and consulting with other health team members.
Educate clients about benefits, working with appropriate company team members or outside agencies as needed.
Maintain ongoing responsibility for an assigned caseload.
Attend pertinent medical appointments with clients as needed, or coordinate team coverage when unable to attend.
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 Scheduling and ADON(s) of field-related client or employee issues.
Communicate pertinent events and changes, including deaths, hospitalizations, and changes in condition, to the DON, ADON(s), Operations, Authorizations, and Billing by email.
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 scheduled staff in-service and continuing education programs.
Participate in company-designated committees as directed.
Participate in client home visits in the service area in accordance with policies and procedures and as needed.
Abide by and promote agency policies and procedures.
Support state and federal program compliance through development, implementation, and evaluation of processes.
Maintain nursing competencies and adhere to accepted professional nursing standards and scope of practice.
Participate in Case Management teams and fulfill related responsibilities; communicate with the team Case Manager about clients to ensure continuity of care.
Provide clients and families with compassionate, professional, customer-oriented 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 arrangements for equipment and other necessary items and services; advocate for DME supplies and coordinate with DME representatives.
Be prepared to fill in as the RN during an emergency if all other options have been exhausted and a shift remains unfilled.
Follow the chain of command and acceptable protocols.