Home Health RN Case Manager
Description

Occupational Summary:

Work independently with groups of clients to provide initial and on-going assessment of the client’s skilled needs. Implement individual plans of care and make referrals to others disciplines and /or revise the plan, as necessary. Provide ongoing consultation and education for patient/family member regarding all aspects of care. Communicate and collaborate with family /caregivers and other professionals involved in the care of the client. Supervise Licensed Practical Nurses and Home Health Aides. Reports to the Home Health Manager. 


DUTIES AND RESPONSIBILITIES

  • Complete initial and ongoing comprehensive assessments of the client’s needs, including initiating the plan of care and revising as necessary
  • Provide skilled nursing care services and/or treatments requiring substantial and specialized nursing skill, including intravenous fluids and medications, urinary catheterization, and complex wound care
  • Counsel the client and family in meeting nursing and related needs
  • Initiate appropriate preventive and rehabilitative nursing procedures
  • Prepare clinical and progress notes
  • Coordinate services involved in client’s care
  • Make referrals to other services as needed
  • Inform the physician and other staff of changes in the client’s needs
  • Evaluate outcomes of care and complete the OASIS assessment accurately
  • Supervise LPN/LVNs and Home Health Aides providing services
  • Assign home health aides to a specific patient
  • Participate in in-service programs
  • Participates in quarterly chart reviews
  • Plan for the discharge from service
  • On-call and Holiday hours determined by Home Health Clinical Manager. 
  • Other job duties as assigned



Requirements
  • One year of nursing experience, preferably in Hospice, Home Health, or a Skilled Nursing Facility 
  • Unencumbered State License as a Registered Nurse
  • Current CPR certification (Basic Life Support)
  • Demonstrated ability to read, write and speak English
  • Able to lift, position or transfer patients. Able to lift supplies and equipment
  • Able to reach, stoop, bend, kneel when providing patient care in the home setting
  • Valid state driver’s license
  • Motor Vehicle Driving Record satisfactory to the Agency and its insurance providers
  • Proof of motor vehicle insurance
  • Must complete 12 hours of continued education, annually.