Fairfax RN (Registered Nurse) Case Manager

Alternate Solutions Health Network•Fairfax, VA

1d•Onsite

About The Position

The Registered Nurse Case Manager (RNCM) is accountable for leading patient assessments and plans of care. The RNCM provides case management and clinical care, coordinates the disciplines involved in delivering quality, cost-effective, billable care, and provides direct care and supervision under physician direction. The role includes educating patients and their families, promoting patient safety, maintaining accurate documentation, complying with applicable laws and regulations, and practicing within the state-defined scope of practice. This home health position serves an assigned geographic territory and requires travel to patients’ homes. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with on-call requirements. The RNCM participates in case conferences, agency meetings, and training, and completes clinical documentation within specified timelines and agency, Medicare, and federal requirements.

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, and accommodating; compassionate and caring approach to working with patients.
Knowledge of nursing best practices and ability to make appropriate nursing judgments.
Ability to identify situations and select appropriate solutions.
Detail-oriented and observant work style.
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 is desired.

Responsibilities

Oversee the patient’s care throughout the episode, including coordination of applicable multidisciplinary care.
Update physician orders in the patient chart and notify the physician of significant changes in the patient’s condition.
Provide skilled nursing care in patients’ homes as ordered by the attending physician; observe and monitor patient conditions and administer prescribed medication.
Perform OASIS assessments, develop individualized plans of care, and adjust plans 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 families and involve them in developing the plan of care.
Oversee and supervise care provided by nurse aides and LPNs; evaluate treatments and medical conditions against the plan of care and determine whether the level of care meets patient needs.
Communicate supervisory visit results to LPNs and nurse aides.
Complete accurate clinical documentation, including documentation of treatments, assessments, and patient education, in accordance with agency protocols and Medicare and federal guidelines.
Document start-of-care and subsequent, discharge, evaluation, recertification, and resumption-of-care visits within 24 hours; submit required documentation within company timelines.
Maintain an active RN license and follow the plan of care within the RN scope of practice.
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.
Travel to patients’ primary locations and complete RN visits in the assigned geographic area based on patient needs and federal and state requirements.
Perform other duties as assigned.