RN Case Manager, Home Health

About This Role

Provide personalized, one-on-one skilled nursing care for home health patients, focusing on case management, care plan development, and coordination with various healthcare personnel to help patients regain independence.

Responsibilities

• Provide admission, case management, and follow-up skilled nursing visits for home health patients
• Administer on-going care and case management for each patient, providing necessary follow-up
• Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment
• Provide hands-on care, management, and evaluation of the care plan and teaching of the patient
• Coordinate appropriate care, encompassing various healthcare personnel (Physical Therapists, Occupational Therapists, Home Health Aides, and external providers)
• Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis
• Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems
• Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers
• Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation
• Prepare appropriate medical documentation on all patients, including case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes

Requirements

• Current and unrestricted Registered Nurse licensure
• Current CPR certification
• Valid driver’s license, auto insurance, and reliable transportation

Qualifications

• Diploma, Associate, or Bachelor Degree in Nursing
• Minimum of one year of nursing experience preferred

Nice to Have

• Minimum of one year of nursing experience
• Strong med surg, ICU, ER, acute experience
• Home Health experience

Benefits

Certifications