RN Case Manager - Homecare (Full-time, Days)

Rochester Regional Health•Newark, NJ

1d•$77,983 - $103,906•Onsite

About The Position

The RN Case Manager delivers comprehensive nursing care to assigned patients by assessing patient and family needs and developing, implementing, and evaluating individualized plans of care. The role adjusts care plans as patient needs change, identifies and coordinates appropriate interdisciplinary services, and supervises Private Duty Nurses when applicable. The position is based with Rochester Regional Health Home Care in Newark, New York, and is full-time, Monday through Friday, 8:00 a.m. to 4:30 p.m. The role includes participation in assigned on-call, weekend, and holiday schedules. The organization notes that its home care agency has received a CMS 5-Star Quality of Patient Care rating and recognition from U.S. News & World Report as a High Performing Home Care Agency.

Requirements

Diploma or Associate’s Degree in Nursing.
Registered Nurse license in New York State.
Valid New York State Driver’s License.
Ability to work independently.
Solid interpersonal, organizational, and time-management skills.
Proficient computer skills and ability to document clinical notes and assessments in an electronic medical record.
Ability to travel to required locations to perform job responsibilities.
For Level II, qualifications similar to Level I and the ability to recognize when to escalate issues to management.

Nice To Haves

One year of nursing experience preferred for Level I.
Prior home health, clinical, and direct patient-care experience preferred.
Bachelor’s Degree in Nursing preferred.

Responsibilities

Identify and prioritize health problems based on patient assessments.
Develop or implement an interdisciplinary Plan of Care based on assessment findings, with input from patients and caregivers as applicable and in collaboration with the attending physician and other care team members.
Manage and coordinate patient care, including clinically complex cases, to ensure efficient delivery of appropriate services and community supports.
Complete comprehensive assessments and documentation accurately, including payer-required assessments such as OASIS and HIS when applicable.
Plan, organize, and prioritize care for an assigned patient caseload to ensure needs are met and services follow the Plan of Care.
Communicate patient-status changes and service needs to appropriate care team members and ensure timely action.
Facilitate development and implementation of patient discharge plans as indicated.
Document patient care and coordination activities according to agency standards.
Assess the need for additional services, such as aides, therapies, social work, or community services, and obtain orders and arrange care as indicated.
Supervise and evaluate care provided by Licensed Practical Nurses and home health aides in performing patient-care duties.
Identify patient and family risk factors and establish goals and interventions to reduce or remove risks and support care in the least restrictive setting.
Coordinate or participate in interdisciplinary team meetings and patient-care conferences.
Provide visits outside the primary team assignment or geographic area when needed to meet patient needs.
Practice according to agency and community standards and participate in utilization review or continuous quality improvement activities as requested.
Attend required staff meetings, in-services, and supervisory conferences.
Participate in on-call and weekend or holiday schedules as assigned.
Support Rochester Regional Health Companies’ mission and values, follow the Corporate Code of Conduct, and protect member privacy in accordance with corporate policies and procedures.
Maintain regular and reliable attendance and perform other job-related duties as assigned by management.