RN Case Manager

General Purpose:

To assure quality patient/client care and services are provided to in home clients.  Accountable for making decisions based on his/her educational preparation and experience in nursing.

Essential Functions:

• Performs assessments and procedures, which require substantial specialized knowledge, judgment, and nursing skill based upon principles of psychological, biological, physical and social sciences.
• Develops working relationships with discharge planners and social service workers.
• Assesses and reviews the matching of employee skills to client needs.
• Visits in home clients to evaluate the quality of care being provided and reviews clinical notes.
• Completes nursing initial and ongoing assessments of all in home clients within specified deadlines.
• Participates in ongoing interdisciplinary assessment of the patient.
• Participates in the development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s).
• Obtains physicians plans of treatment and orders, and initiates their execution.
• Provides services that are ordered by the physician as indicated in the plan of care.
• Counsels and educates the patient/client and family in meeting healthcare related needs.
• Completes timely and accurate clinical notes including addressing the patient’s/client’s progress.
• Effectively communicates with other members of the interdisciplinary healthcare team providing care to promote coordination of patient/client care and planning for discharge.
• Communicates with all physicians involved in the plan of care and other health care practitioners (as appropriate) related to the current plan of care.
• Supervises paraprofessional and licensed professional team members.
• Secures equipment and supplies and coordinates placement for use in the home.
• Refers to other services as needed.
• Completes other assignments as requested and assigned.
• Participates in Quality Assessment and Performance Improvement (QAPI) program.
• Participates in in-services or training, as requested.
• Participates in the Office’s Emergency Preparedness program, as requested.
• Follows accepted standards of nursing practice.
• Uses clinical decision making to efficiently and effectively manage an assigned patient population.
• Accesses personal health information (“PHI”) necessary to fulfill the above duties and responsibilities.  Access to use and ability to disclose PHI is further defined by each organization/department.

Minimum Education & Experience Requirements:

• Graduate of an accredited school of nursing and has a current license as a Registered Nurse in the state(s) in which he/she practices.
• Two (2) years of current nursing experience preferred.
• One (1) year management experience preferred.
• Preferred:  Community health and a wide range of Medical-Surgical experience.

Knowledge, Skills & Abilities Required:

• Able to perform and evidence of current CPR certification for adults, children and infants.
• Able to demonstrate basic understanding of computers and workplace software.
• Able to work with people, function well under stress, use clinical judgment, be creative and accept challenges.
• Able to effectively communicate in English with all levels of the workforce, both clinical and non-clinical.
• Able to perform and prioritize multiple functions or tasks.
• Able to read and interpret technical instructions related to the care of the patient.
• Able to visually and aurally observe and assess the patient.
• Able to effectively deal with multiple changes based on patient needs and scheduling.
• Able to provide proof of valid driver's license, if applicable.
• Able to provide proof of valid auto liability insurance if assignment(s) include driving own vehicle to transport patient.

Working Conditions & Physical Effort: 

• Able to occasionally travel within geographic area serviced by office.
• Meets the applicable health requirements to provide patient care per applicable law or regulation.
• Work is normally performed in a typical interior/office work environment but may require frequent visits to patient/client homes.
• Occasional exposure to communicable diseases, bloodborne pathogens and/or other potentially infectious or hazardous materials and situations that require following extensive safety precautions and may include the use of protective equipment.
• Able to constantly stand, walk, bend, stoop, squat, kneel and reach freely.
• Able to frequently lift, reposition, and transfer patients. 
• Able to constantly grasp with thumb in opposition to fingers of palm, i.e. manipulate pen, knobs or objects.
• Medium physical activity that may require occasional lifting, pushing or pulling up to 50 lbs. in order to carry out daily job functions and related activities that may be required.