RN Home Health Case Manager (Franklin and Surrounding Areas)

Advocate Health and Hospitals Corporation•Franklin, WI

5d•Remote

About The Position

This position assumes responsibility for caseloads consisting of patients in specialty areas. The RN Home Health Case Manager conducts initial assessments to obtain thorough physical, social, and environmental data. They establish the plan of care in accordance with physician orders and patient needs, provide direct patient care, and adjust nursing care processes as needed. The role involves identifying problems, modifying nursing care plans, and evaluating outcomes. The Case Manager advises and consults with family and other personnel, provides ongoing assessment of patient response to treatments and teaching, and applies interventions as appropriate. They update and revise the plan of care as indicated and complete documentation including visit assessment, OASIS, 485, and verbal orders accurately and promptly. Communication with physicians is key to confirm and update patients' plan of care, providing status updates and ensuring ongoing communication with the physician and other members of the health care team. The role also facilitates the discharge planning process according to standards and utilizes resources to assure continuity of care after discharge, participating in developing the discharge plan with the patient/family, physician, social worker, and other staff members as appropriate. Additionally, the RN participates in chart audits and continuous quality improvement activities, identifies, develops, and participates in process improvement opportunities to enhance service quality, and maintains and updates accurate clinical and patient records according to agency, state, and federal guidelines. The role requires the ability to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served, understanding the principles of growth and development over the life span and assessing data reflective of the patient's status to identify age-specific needs.

Requirements

Registered Nurse license issued by the state in which the team member practices
Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required
A valid drivers license issued by the Division of Motor Vehicles
Associate's Degree in Nursing.
Typically requires 3 years of experience in clinical nursing.
Excellent communication skills.
Strong interpersonal skills and the ability to work with a variety of clients with patience and respect.
Good organizational, analytical and problem solving skills.
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.
Proficiency in clinical skills with the ability to work under direction and make sound judgments.
Ability to operate the necessary equipment to perform the job, i.e., FAX, computer, copier, telephone system.
Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs.
Must have a tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families.
Must be capable of the manual dexterity required to use and operate a variety of equipment.
Must have the physical ability to move about in confined spaces, including bending, twisting, kneeling, squatting and occasionally reaching one or both arm overhead.
Must be able to work safely with people of various sizes and weight with diverse and complex medical conditions and physical limitations.
Must be able to sit, stand, walk and climb stairs for limited to prolonged periods of time to complete required paperwork, gain entry to patients’ residences, travel from assigned visits and attend a variety of work related activities.
Must have the physical stamina to attend to patient care requirements over a period of three or more hours without complete rest.
Must have accurate vision to read gauges and measuring devices and to interpret written instructions.
Lift up to 50 lbs from floor to waist.
Lift up to 20 lbs from waist to overhead.
Lift and carry up to 40 lbs. at waist height reasonable distance.
Push/pull with 30 lbs. of force.
Perform a sliding transfer of 150 lbs. with a second person present.

Responsibilities

Assumes responsibility for caseloads consisting of patients in specialty areas.
Conducts initial assessment to obtain thorough physical, social and environmental data.
Establishes the plan of care in accordance with the physician orders and patient needs.
Provides direct patient care and adjusts nursing care processes as needed.
Identifies problems, modifies nursing care plan, and evaluates outcomes within an appropriate time frame.
Advises and consults with family and other personnel, as appropriate.
Provides on-going assessment of patient response to treatments and teaching and applies interventions as appropriate.
Updates and revises plan of care as indicated.
Completes documentation including visit assessment, OASIS, 485 and verbal orders accurately and promptly and within the standards.
Communicates with physicians to confirm and update patients' plan of care.
Provides status updates and ensures ongoing communication with the physician and other members of the health care team.
Facilitates the discharge planning process according to standards and utilizes resources to assure continuity of care after discharge.
Participates in developing the discharge plan with the patient/family, physician, social worker, and other staff members as appropriate.
Participates in chart audits and continuous quality improvement activities as requested.
Identifies, develops and participates in process improvement opportunities that will enhance the quality of the services provided.
Maintains and updates accurate clinical and patient records according to agency, state, and federal guidelines.

Benefits

Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program