RN Case Manager - NE | Riverside Home Health Care & Hospice | Jackson County

Riverside Home Health Care and Hospice•Grants Pass, OR

15d

About The Position

JOB SUMMARY The registered nurse plans, organizes and directs/coordinates home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. This Is Nursing the Way It Was Meant to Be—Personal, Unhurried, and Centered on the Patient. At Riverside Home Health & Hospice, we believe great nursing happens when nurses are given the time, trust, and support to care deeply for patients and families. If you’re a Registered Nurse who values meaningful relationships, professional autonomy, and work that truly matters, you may have found your next home. This role is best suited for an RN excited about leadership, growth, and helping build a new service line. We don’t just talk about culture—we hire, lead, and grow by it. Our Culture (This Actually Matters Here) Our Core Values— CAPLICO —guide everything we do: C – C ustomer Second - We support one another so we can provide the best care to patients and families. A – A ccountability - We follow through on commitments and take pride in the details. P – P assion for Learning - We grow continuously to provide better care every day. L – L ove One Another - We treat patients, families, and teammates with dignity and respect. I – I ntelligent Risk Taking - We speak up and address concerns early to protect patients. C – C elebration - We recognize wins and celebrate the impact we make. O – O wnership - We take responsibility for outcomes and work together to solve problems. Who This Role Is Made For This role is ideal for an RN who: Enjoys one-on-one patient care Values patient and family education Thinks critically and works confidently in the field Communicates well with providers and interdisciplinary teams Wants flexibility and balance without sacrificing clinical excellence Never worked in Home Health or Hospice? We offer ride-along opportunities so you can experience the role before committing. Why RNs Choose Home Health at Riverside Monday–Friday schedules - with On call rotation Flexible routing and visit planning One patient at a time Strong interdisciplinary collaboration Supportive leadership that trusts your judgment Opportunities for professional growth and advancement DUTIES & RESPONSIBILITIES Patient Care Develops and initiates the plan of care and assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s); Initiates proper preventative and rehabilitative nursing procedures and provides services that are ordered by the physician as indicated in the plan of care; Provides patient, caregiver, and family counseling; Provides patient and caregiver education; Prepares clinical notes; Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Communication Prepares clinical notes and updates the primary physician when necessary and at least every sixty days. Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required. Communicates with community health related persons to coordinate the care plan. Additional Duties Participating in the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training. Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Supervises Licensed Practical Nurses (LPNs)/ Licensed Vocational Nurses (LVNs) and/or Home Health Aids (HHAs)/Certified Nursing Assistants (CNAs), as directed. What You’ll Be Doing (High Level) Providing skilled, one-on-one nursing care in patients’ homes Educating and supporting patients and caregivers Managing medications, symptoms, and complex clinical needs Collaborating closely with physicians and care teams Supervising LPNs and CNAs as appropriate The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

Requirements

Must have graduated from an approved school of nursing and be licensed in the state where practicing.
Minimum of two years of experience, at least one of which is in the area of public health or home care nursing is preferred.
Current BLS certification (AHA)
Maintains a current CPR certification.
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
Self-directed and able to work with minimal supervision.
Demonstrates excellent observation, problem solving, verbal and written communication skills; nursing skills per competency checklist.
Shows ability to organize and prioritize workload independently.
Responsible for supervising home health aides.
Prolonged or considerable walking or standing.
Able to lift, position, or transfer patients.
Able to lift supplies and equipment.
Considerable reaching, stooping, bending, kneeling, or crouching.
Visual acuity and hearing to perform required nursing skills.
Active Registered Nurse (RN) license
Current BLS certification (AHA)
Strong clinical judgment and ability to work independently
Leadership mindset with flexibility and initiative

Nice To Haves

Home Health or Hospice experience preferred (not )

Responsibilities

Develops and initiates the plan of care and assumes responsibility for the ongoing interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s)
Initiates proper preventative and rehabilitative nursing procedures and provides services that are ordered by the physician as indicated in the plan of care
Provides patient, caregiver, and family counseling
Provides patient and caregiver education
Prepares clinical notes
Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care.
Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
Prepares clinical notes and updates the primary physician when necessary and at least every sixty days.
Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
Communicates with community health related persons to coordinate the care plan.
Participating in the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training.
Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services are available.
Instructs, supervises and evaluates home health aide care provided every two (2) weeks.
Supervises Licensed Practical Nurses (LPNs)/ Licensed Vocational Nurses (LVNs) and/or Home Health Aids (HHAs)/Certified Nursing Assistants (CNAs), as directed.
Providing skilled, one-on-one nursing care in patients’ homes
Educating and supporting patients and caregivers
Managing medications, symptoms, and complex clinical needs
Collaborating closely with physicians and care teams
Supervising LPNs and CNAs as appropriate