RN Case Manager Homecare - West Madison

Agrace • Madison, WI

2d • Onsite

About The Position

The Nurse Case Manager provides patient- and family-centered nursing care and case management consistent with Agrace’s philosophy, goals, standards, regulations, and policies. The role supports patient and family satisfaction through assessments, care planning, interventions, communication, and documentation. The position is full-time, day shift, Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call, weekend, and holiday rotations. It is based in Madison, Wisconsin and involves driving. A $6,000 sign-on bonus is offered.

The RN assesses patient and family needs, responds to changes in condition, provides treatments and symptom and pain management, and evaluates the effectiveness of care and education. In collaboration with the interdisciplinary team, patient, and family, the RN formulates, implements, and revises individualized plans of care, documents care in the electronic health record, delegates visits, and oversees the work of CNAs and LPNs. The RN also participates in service-planning meetings and precepts new staff and students.

Requirements

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required.
• Current, unrestricted Registered Nursing license in the state of employment.
• Valid driver’s license and auto insurance, and access to a reliable vehicle.
• At least 18 years of age.
• Basic Microsoft Office skills.
• Intermediate electronic health records skills.
• Ability to use proper body mechanics, safe patient handling, and standard precautions.

Nice To Haves

• One year of nursing experience preferred.

Responsibilities

• Assess patients’ and families’ physical, pain, psychosocial, emotional, spiritual, environmental, and educational needs according to the plan of care.
• Collect information from patients, families, significant others, interdisciplinary team members, and other health care professionals.
• Identify, interpret, and document assessment data gathered through nursing interviews, physical assessments, and other health data.
• Document and report significant changes in condition and unusual incidents to appropriate interdisciplinary team members.
• Collaborate with the interdisciplinary team and primary care provider to create HES for determination of hospice eligibility.
• Respond to patient and family needs, changes in condition, and needs for acute patient intervention.
• Provide interventions, treatments, and pain management to meet patient and family needs; evaluate effectiveness and adjust as needed.
• Educate patients and families about pain and symptom management, end of life, and related topics; evaluate education effectiveness and adjust as needed.
• Formulate, implement, and revise individualized plans of care in collaboration with the interdisciplinary team, patient, and family.
• Develop reasonable and achievable outcome measures and establish priorities for care.
• Read, understand, and follow the plan of care.
• Document interventions, outcomes, and changes in patient condition in the electronic health record.
• Delegate visits to appropriate disciplines and manage visit sets.
• Oversee the work of Certified Nursing Assistants and Licensed Practical Nurses.
• Participate in meetings to plan and evaluate patient and family services.
• Precept new staff and students.

Benefits

• $6,000 sign-on bonus.
• Competitive salary with mileage reimbursement.
• Health, dental, and vision insurance for employees hired for 28 or more hours per week (.7 FTE or higher).
• Retirement plans with employer matching.
• Generous paid time off and holiday paid time off.
• Comprehensive onboarding, mentorship, and career development.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree