Home Health RN Case Manager

Role Overview

• 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
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served

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 or Driver license issued by the state of Illinois
• 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

Benefits

• Health and welfare benefits such as medical, dental, vision, life, and Short
• and Long-Term Disability
• Paid Time Off programs
• 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