TH- RN Case Manager

Traditions Health•Youngstown, OH

19h

About The Position

Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes the responsibility for coordination of care. Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes the responsibility for coordination of care.

Requirements

Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
Current State license as a Registered Nurse, current Driver’s License.
One year of experience as a Registered Nurse in a clinical care setting required.
Nursing skills as defined as generally accepted standards of practice
Good interpersonal skills
Proof of current CPR
Reliable transportation and valid and current driver’s license and auto insurance

Nice To Haves

Home health experience preferred.

Responsibilities

Completes initial and ongoing assessments to identify the physical, psychosocial, and environmental needs of home health patients/clients .
Completes assessments at appropriate time points, including Outcome and Assessment Information Set (OASIS) or other assessments as appropriate to the patient.
Regularly re-evaluates the patient's/client’s nursing needs and evaluates the outcomes of care.
Develops, initiates, and revises the plan of care as necessary to ensure quality and continuity of care.
Initiates appropriate preventive and rehabilitative nursing procedures.
Refers to other services as needed.
Plans for the discharge of the patient/client from services.
Furnishes those services requiring substantial and specialized nursing skill.
Counsels the patient/client and their family in meeting nursing and related needs.
Uses infection control measures that protect both the staff and the patient (OSHA).
Coordinates services.
Informs the physician and other personnel of changes in the patient's/client’s condition and needs.
Monitors assigned cases to ensure compliance with requirements of third party payors.
Prepares clinical and progress notes.
Completes appropriate documentation in a timely manner.
Demonstrates commitment and professional growth by participating in in-service programs and maintaining or improving competency.
Supervises, teaches and provides clinical direction to other nursing personnel.
Assigns home health aides to specific patients.
Supervises LPNs/LVNs and paraprofessionals providing services to patients/clients.
May only conduct aide competency evaluations if qualified with two years of clinical experience and one year of home health experience.
Promotes the Agency ‘s philosophy and administrative policies.
Performs on-call responsibilities and provides on-call services to patients/clients and their families as assigned.
Provides effective communication to patients/clients, their family members, team members, and other health care professionals.