Registered Nurse (R.N.) Desk Case Manager (Full-time, Days)

Rochester Regional Health

5d•$36 - $48•Onsite

About The Position

The Desk Case Manager manages the delivery of care to a set of assigned patients during their home care admission. This role involves coordination with the care team and combined with virtual contacts to assess the needs of patients and their families. Responsibilities include developing, implementing, evaluating, and adjusting an appropriate Plan of Care based on the patient’s clinical needs. The Desk Case Manager identifies appropriate interdisciplinary services needed, and coordinates required services.

Requirements

Diploma or Associate’s Degree in Nursing required
A minimum of 1 year experience of home health, clinical or direct patient care
Current Registered Nurse license in New York State.

Responsibilities

Identifies and prioritizes health problems based on in home assessments with additional virtual contacts, as well as report from the care team and clinicians performing in-home visits.
Develops and facilitates an patient centered interdisciplinary Plan of Care based on the needs identified during the assessment taking into consideration input from the patient (and their caregivers as applicable) as well as clinicians performing in-home visits
Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care
Schedules nursing visits at appropriate frequency based on clinical need
Aware of and considering the timing of episodes and periods for effective LUPA prevention
Recognizing and managing the risk of hospitalization
Keeps track of medical appointments and follow-up requirements.
Notifies the relevant care team members of any changes in patient status or service needs and ensures that timely and appropriate actions are taken.
Facilitates the development and implementation of patient discharge plans
Documents all patient care and coordinating activities per agency standards
Practices according to Agency and community standards
Consistently demonstrates high standards of integrity by supporting the Rochester Regional Health Companies’ mission and values and adhering to the Corporate Code of Conduct.
Maintains high regard for patient privacy in accordance with the corporate privacy policies and procedures.
Regular and reliable attendance is expected and required.
Performs other job-related duties as assigned by management.