RN Case Manager Homecare - Janesville

Agrace • Janesville, WI

7d • Onsite

About The Position

The RN Case Manager provides patient- and family-centered nursing care and case management in accordance with Agrace’s philosophy, goals, standards, regulations, and policies. The role supports patient and family satisfaction through assessment, care planning, interventions, communication, and documentation. The position is based in Janesville, Wisconsin, and includes driving to provide care. The schedule is full-time, day shift, Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call coverage one weekend per quarter and rotations for weekends (every eighth weekend) and holidays (two per year). A $6,000 sign-on bonus is offered.

The Nurse Case Manager assesses patients’ and families’ physical, pain, psychosocial, emotional, spiritual, environmental, and educational needs; responds to changes in condition; provides and evaluates interventions, treatments, pain management, and education; and develops and revises individualized plans of care in collaboration with the interdisciplinary team, patient, and family. The role also documents care and outcomes in the electronic health record, coordinates visits, oversees CNAs and LPNs, participates in service-planning meetings, and precepts new staff and students.

Requirements

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN).
• 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 is preferred.

Responsibilities

• Assess patient and family 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, document, and report assessment findings and significant changes in condition or unusual incidents to the appropriate interdisciplinary team member.
• 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 requests for acute patient intervention.
• Provide interventions, treatments, and pain management to address patient and family needs.
• Evaluate the effectiveness of pain management and other interventions, adjusting care as needed.
• Educate patients and families about pain, symptom management, end of life, and related topics; evaluate and adjust education as needed.
• Formulate, implement, and revise individualized plans of care with the interdisciplinary team, patient, and family.
• Establish achievable outcome measures and priorities for planning and delivering 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 (0.7 FTE or greater).
• 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
• Education Level: Associate degree