RN Case Manager

Summary/Objective

The RN Case Manager is a registered professional nurse who ensures quality of patient/client care in the home. The primary function is the day-to-day operations of assigned agency area and clinical services to ensure quality care and efficient operations. Coordinates with the parent office, the interdisciplinary team, patient/client, their family, and the referring agency. Oversees clinical issues at the branch level and directs staff regarding Agency policies and procedures. Maximizes human, financial and equipment resources.

Essential Functions

• Nursing skills as defined as generally accepted standards of practice.
• Evaluation, management, and coordinates services of assigned agency location and assumes responsibility for continuity, quality, and safety of services delivered.
• Identifies problem areas and reports to the Administrator and the Director of Nursing/Supervising Nurse at the parent office.
• Promotes the philosophy, mission, and administrative policies of the Agency, in an effort to ensure quality of patient/client care.
• Employs, recruits, manages, and directs qualified personnel to carry out the policies and procedures of the Agency.
• Ensures staff education and evaluations.
• Demonstrates commitment, professional growth, and competency.
• Promotes and monitors compliance with fiscal intermediary and/or other third-party payors, federal and state regulations, through education, coaching, the QI program and other assistance as necessary.
• Monitors operational systems for efficiency and compliance with regulations and identifies problem areas to Administrator and Director of Nursing/Supervising Nurse.
• Meets mandatory continuing education requirements of the Agency and licensing board.
• Provides communication to the parent office regarding needs of assigned area to include personnel needs, financial needs, professional practices, quality issues and planning.
• Uses effective interpersonal relations and communication skills; facilitates the use of these skills by other team members to achieve desirable outcomes.

Preferred/Required Education and Experience

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current Texas State license as a Registered Nurse or a multi-state license issued by a state member of the National Nurse Licensure Compact (NLC), current Texas driver’s license.
• Minimum one year's experience as a registered nurse and one year's experience in home health and pediatrics strongly preferred. Management or supervisory experience of one year strongly preferred.
• Required proof of current BLS for Healthcare Provider CPR.
• Ability to complete skills check off upon hire.
• Willingness and ability to drive to patient’s homes and office for patient care/supervisory responsibilities.
• Strong time management skills
• Attention to details and ability to perform timely documentation.
• Critical thinking skills
• Ability to manage conflict resolution.
• Experience managing work life balance including flexibility of job demands and salaried position to ensure deadlines met.

Supervisory Responsibility

Yes

Work Environment

• Performs duties in an office and patient home environment during Agency operating hours and to make patient/client visits in patients’/clients’ homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; must have the ability to work a flexible schedule, and to travel required based on patient location/need (maybe extensive at times across state); some exposure to unpleasant weather; on call rotation required; driving required to assigned area.

Physical/Mental Demands

• Prolonged sitting is required. Requires ability to always handle stressful situations in a calm and courteous manner.
• Requires working under some stressful conditions to meet deadlines and agency needs.
• If required to make patient/client visits, prolonged standing and walking required, with ability to lift up to 50 lbs. and move patients/clients. Requires working under some stressful conditions to meet deadlines and patient/client needs, and to make quick decisions and resource acquisition.

Position Type/Expected Hours of Work

• This is a full-time salaried exempt position. Typical days and hours of work are Monday through Friday, 8:00 a.m. to 5 p.m. with On-Call rotation.

Travel

• Required driving.
• Reliable transportation.
• Valid and current auto liability insurance.
• Travel outside of assigned area may be required for training.

Organizational Requirements

1. Experience recognizing the needs and concerns of individuals.
2. Effectively communicate orally and in writing.
3. Ability to follow verbal and written instruction.
4. Professional telephone & email etiquette
5. Able to work in fast-paced, self-directed environment.
6. Detail oriented with excellent time management skills.
7. Decision-making, problem resolution and creative thinking skills.
8. Responds well to multitasking while providing exceptional customer service, support, and responsiveness.
9. Should be honest, competitive, energetic, enthusiastic, professional, and systematic.
10. Ability to demonstrate and educate to patient family members on all equipment necessary.

Statement of Understanding

All personnel and staff who have direct contact with patients have read, understand, and agree to follow all agency policies per TAC reg. 558.245.