PRN RN Case Manager

Unifi Healthcare•Erwin, TN

About The Position

The RN Case Manager ensures quality patient care in the home setting through the development, implementation, and evaluation of 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 of care and Agency policies and procedures. The position reports directly to the Assistant Director(s) of Nursing for the assigned area and to the Director of Nursing through the chain of command. Case Managers are expected to support positive environments and the Company’s growth, vision, and values. The role includes maintaining assigned caseloads, coordinating authorizations and care plans, reviewing documentation, communicating with families and the care team, supporting staff, and ensuring compliance with applicable state and federal program regulations. The job description notes that duties and qualifications listed are not exhaustive and that incumbents may be asked to perform other job-related tasks.

Requirements

Current RN licensure.
At least 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, and 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.
Professional dress when visiting clients; scrubs and a name tag are preferred.

Responsibilities

Review documentation and charts for accuracy and to ensure that each client’s plan of care is followed.
Submit clinical documentation, including weekly billing and payroll information, by specified deadlines.
Maintain accurate and timely client information in QuickBase.
Manage care implementation to support quality patient care and patient-family satisfaction.
Coordinate care authorizations with Authorization Specialists for treatment plans, new admissions, and recertifications.
Implement, evaluate, and oversee individual patient plans of care in accordance with physician orders, assessing patient needs, condition, and environment and consulting with other health team members.
Educate clients about benefits, using appropriate company team members or outside agencies as needed.
Maintain ongoing responsibility for an assigned caseload.
Attend pertinent physician appointments with clients as needed or coordinate team coverage.
Build rapport with patient families while implementing and managing care.
Assist the staffing department with workload scheduling as needed and meet relevant deadlines.
Maintain communication with the DON, ADON(s), 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 information, including deaths, hospitalizations, and changes in condition, by email to the DON, ADON(s), Operations, Authorizations, and Billing.
Provide clinical guidance and coaching to staff and patient families, and hold field staff accountable for the level of care provided.
Attend monthly Case Management meetings.
Participate in staff in-service and continuing education programs as scheduled.
Participate in company-designated committees as directed.
Participate in client home visits in the service area as required by policy and procedure or as needed.
Abide by and promote Agency policies and procedures.
Support state and federal program regulations through development, implementation, and evaluation of compliance processes.
Maintain nursing competencies and adhere to accepted professional nursing standards and scope of practice.
Participate in Case Management teams and fulfill corresponding responsibilities; communicate with the team Case Manager about clients to ensure continuity of care.
Treat current and prospective clients and families with compassion, professionalism, and customer 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.
Arrange for necessary equipment, supplies, and services; advocate for DME supplies and coordinate with DME representatives.
Be prepared to fill in as the RN in an emergency when other options have been exhausted and a shift cannot be filled.
Follow the chain of command and acceptable protocols in all situations.