RN Case Manager, Home Health (Full-Time Preferred)

Assisted Home Health & Hospice•Covina, CA

9h•Onsite

About The Position

Assisted is seeking a compassionate and dedicated Registered Nurse to join its Home Health team as an RN Case Manager. The role provides personalized skilled nursing care in patients’ homes and coordinates services based on an individualized plan of care developed with the patient’s physician and the interdisciplinary care team. The RN builds relationships with patients and families, monitors progress, provides prescribed treatments, and educates caregivers to support patient well-being and continuity of care. The position covers the agency’s service area from West Covina to Rancho Cucamonga. Visits are conducted during operating hours of 8 a.m. to 5 p.m., Monday through Friday. The posting states that per-diem and full-time arrangements are available, with full-time preferred. Compensation is $81 per routine visit and $141 per start-of-care visit. The RN may participate in an on-call rotation as requested.

Requirements

Graduate of an approved school of professional nursing.
Current, active California Registered Nurse license issued by the Board of Registered Nursing.
Current CPR certification, health clearance, and clinical skills self-assessment.
Successful passage of the agency competency exam with a score of at least 80% and completion of core competency per the skills checklist.
At least one year of professional nursing experience.

Responsibilities

Complete initial and ongoing interdisciplinary comprehensive assessments of patient needs, including OASIS assessments at appropriate time points.
Identify physical, psychosocial, environmental, safety, and developmental needs in partnership with the patient, representative, and caregivers, and initiate an individualized plan of care.
Revise the plan of care as necessary in partnership with the patient, representative, and caregivers.
Provide physician-ordered services and treatments requiring substantial and specialized nursing skills, as indicated in the plan of care.
Initiate appropriate preventative and rehabilitative nursing procedures.
Counsel, support, instruct, and educate patients, families, and caregivers in meeting nursing and related needs.
Refer patients to other services as needed.
Prepare clinical notes documenting nursing assessments, identified problems, goals, care plans, interventions, and evaluation of patient and family outcomes.
Coordinate all patient services.
Communicate with physicians involved in the plan of care, other practitioners as appropriate, and interdisciplinary team members about the plan and changes in patient needs or condition.
Support patients’ and families’ cultural beliefs.
Perform duties consistent with the Nursing Practice Act, including Standards of Competent Performance.
Correctly use and direct the use of medical supplies and equipment.
Supervise care provided by paraprofessionals, Home Health Aides, and Licensed Vocational Nurses as required by law and licensure, and document supervision on the Nursing Visit Note.
Assign a Home Health Aide to a specific patient and prepare the assignment sheet.
Plan for discharge from service.
Participate in the on-call rotation as requested.
Participate in orientation, in-service education, utilization review, and patient care conferences.
Prepare and submit case documentation, including clinical and progress notes, and required payroll information according to agency policy.
Provide services within the agency’s catchment area.
Acknowledge patient rights, including privacy and confidentiality.
Maintain a professional appearance and interact with internal and external customers in a positive, professional manner.
Take responsibility for reliably completing tasks, duties, communications, and actions.
Support the agency’s mission, vision, and goals; maintain professional growth and development; and participate in QAPI performance-improvement activities.
Abide by agency policies and procedures and accept other duties as assigned.