RN (Registered Nurse) Case Manager

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SHIFT: M-F 8:30-5. 3 weeknights per month and one Saturday or Sunday per month. One working holiday and one on call holiday per year. Southwest General Home Health Care The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for the assessment of the patient condition and plan of care. The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state. Oversees the overall care of the patient from beginning to end of episode Updates all doctor orders in patient chart accordingly Notifies doctor of any significant changes of the patient’s condition Manages multi-disciplinary care as applicable Provides skilled nursing care in a patient’s home as ordered by the attending physician Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change Administers medication as prescribed by the physician Helps decrease re-hospitalizations by front loading visits for high risk patients Promotes continuity of care with appropriate admissions, transfers and discharges Counsels patient and family on the disease/injury processes and how to manage Incorporates patient and family in development of plan of care Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions Oversees and supervises total care of patient provided by nurse aides and LPNs Evaluates the treatments and medical condition of the patient according to the plan of care Determines if the level of care being provided meets the patients’ needs Communicates with the LPNs and nurse aides on supervisory visit results Documents all aspects of treatment, assessments, and patient education Maintains active RN license Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits. Documents all aspects of start of care visits within 24 hours of visits. Follows plan of care as permitted within the scope of practice for a Registered Nurse. Fulfills RN visits in assigned geographic location per patient need within federal and state specifications. Minimum of one year of experience as an RN in an acute care setting. Home care experience is desired. Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers. Knowledgeable on nursing best practices. Ability to make appropriate nursing judgments. Valid driver’s license and auto insurance with your name as a listed driver. Registered Nurse with current license in the state of employment. Reading, Speaking, Writing English - Constantly 66%-100% Computers / PDA - Constantly 66%-100% with or without assistance - Occasionally 2%-33% Talking on the telephone - Frequently 34%-66% Hearing on the telephone - Frequently 34%-66% We’ll help you put your passion for patient care to work.