RN (Registered Nurse) Case Manager

Alternate Solutions Health Network•Detroit, MI

7d•Onsite

About The Position

The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for assessing patient condition and developing the plan of care. The RNCM provides case management and clinical care, coordinating all disciplines involved in delivering quality, cost-effective, billable care through direct care and supervision under the physician’s direction. The RN educates patients and family members, promotes patient safety, completes accurate documentation, complies with applicable legal rules and regulations, and performs duties within the state-defined scope of practice. The position serves patients in Troy, Royal Oak, Madison Heights, Clawson, and Berkley. The regular schedule is Monday through Friday, 8 a.m. to 5 p.m., with on-call coverage for two weekend shifts and three weekday shifts per month, plus one winter and one summer holiday on call. The role involves driving to assigned patient locations and attending visits in the assigned geographic area.

Requirements

At least one year of experience as an RN in an acute care setting.
Current Registered Nurse license in the state of employment.
Valid driver’s license and auto insurance listing the employee as a driver.
Ability to communicate effectively and create positive impressions with patients, families, physicians, and coworkers.
Ability to remain calm, patient, accommodating, compassionate, and caring when working with patients.
Knowledge of nursing best practices and ability to make appropriate nursing judgments.
Ability to identify situations and determine an appropriate solution.
Detail-oriented and observant.
Disciplined work ethic, with the ability to prioritize and be timely.
Ability to follow directions and work as a team member.

Nice To Haves

Home care experience.

Responsibilities

Oversee the patient’s care from the beginning to the end of the episode.
Update physician orders in the patient chart and notify the physician of significant changes in the patient’s condition.
Manage multidisciplinary care as applicable.
Provide skilled nursing care in the patient’s home as ordered by the attending physician; observe and monitor patient condition and administer prescribed medication.
Perform OASIS assessments, develop individualized plans of care, and adjust them as patient needs change.
Help reduce rehospitalizations by front-loading visits for high-risk patients and teaching patients preventative measures and sound decision-making.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about disease or injury processes and how to manage them; listen to patients and family members and involve them in care-plan development.
Oversee and supervise care delivered by nurse aides and LPNs, evaluate treatments and medical condition against the plan of care, determine whether the level of care meets patient needs, and communicate supervisory visit results to LPNs and nurse aides.
Complete clinical documentation in accordance with agency protocols and Medicare and federal guidelines, including documentation of treatments, assessments, patient education, and required visit types within 24 hours.
Maintain an active RN license and complete required documentation within company timelines.
Communicate schedule changes outside the normal schedule to the scheduler.
Participate in on-call requirements and case conferences; attend in-service trainings and mandatory agency meetings.
Drive to the patient’s primary location for scheduled visits and attend assigned visit locations daily.
Provide RN visits in the assigned geographic area according to patient need and federal and state requirements, following the plan of care within the RN scope of practice.
Perform other duties as assigned.