Home Health Case Manager

Role Overview

• Coordinate patient care from a distance, primarily using phone or video communication, focusing on assessments, developing care plans, and ensuring patients access necessary resources and support
• Identify process improvement through data collection and auditing
• Skilled in navigating multiple EHR platforms and other applications
• Exhibits clinical excellence, strong communication and ensures the highest quality of care.
• Use home health expertise to triage patient needs and maintain open communication with patients, caregivers and other healthcare providers.
• Follow standardized triage protocols to ensure consistency in patient evaluation and delivery of care
• Manages holistic picture of individual/family/caregiver to promote overall health and wellbeing with focus on patient centered care
• Facilitates health optimization by progressing the plan of care from admission to discharge by determining the appropriate utilization of services
• Responsible for the collaboration between the interdisciplinary care team by identifying goals and coordinating the plan to ensure patient safety
• Creates engagement by taking responsibility for their professional development and other team members as evidenced by leading case conferences, assisting team member in-services, acting as a clinical resource and staff meeting input
• Demonstrate strong understanding of home health regulations, standards and OASIS

Requirements

• Bachelors of Science (BSN)
• minimum of 3 years home health bedside
• EPIC, CIC, Remote Client, SHP, Rover experience preferred
• Current Wisconsin RN license
• American Heart Association Healthcare Provider Basic Life Support (BLS), OASIS Certification preferred

Benefits

• Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
• Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare