RN Case Manager

Job Description

As the RN Case Manager for Outreach Health, you are responsible for coordinating the overall care of a caseload of clients, including supervising and management of the multidisciplinary healthcare team comprised of RNs, LVNs, Caregivers, and Auxiliary Personnel. You will oversee the full support of the elderly and disabled who need personal assistance, attendant care, and respite service maintenance in their homes. You will ensure the enrollment of the client in services and meets quarterly after that to ensure that the services meet their health care needs.

Essential Job Functions

·      Completes patient medical assessments and reassessments as assigned, taking the necessary action to ensure our patient’s well-being

·      Provides direct skilled nursing to the patient or makes assignment of staff to provide skilled service

·      Assesses nursing tasks that will be delegated to an unlicensed Outreach Health employee

·      Supervises delegated tasks according to the Board of Nursing Education (BNE) and policies of Outreach Health

·      Communicates patient services needed to the assigned supervisor as assigned

·      Conducts coordination of care concerning patient issues according to licensure regulations and contract standards

·      Make assigned visits to each patient’s home in a timely manner

·      Advises Program Manager of any changes in the patient’s schedule, caregiver, supervisory visits, or skilled nursing visits

·      May substitute as needed and be available during the absence of Field Supervisors as may be assigned by the Supervising Nurse and/or Administrator

·      May act as an Alternate Supervising Nurse when needed

·      Ensures prompt admission of new patients to home health service, with development of the plan of treatment for the patient’s care, scheduling of visits, and developing an organized outcome-based teaching plan

·      Manages physician and patient phone calls with coordination of orders received with the field staff

·      Coordinates supervisory visits of LVNs and Caregivers as needed and according to agency policy

·      Re-evaluates patient care as needed, prepares recertification, plan of care, and conducts multidisciplinary care conferences for each patient

·      Initiate complaint forms for all patient complaints, forwards it on to Supervising Nurse, and participates in the problem resolution

·      Observes all scheduled time frames for submitting accurate paperwork to facilitate operations

·      Evaluates whether LVNs and other clinical team members are following the plan of care

·      Coordinates with the patient/family and the team members the plans for the patient’s discharge when appropriate and completes the discharge summary at the time of discharge

·      Collaborates with other team members to evaluate the effectiveness of the patients’ plan of care and updates the plan of care, as necessary, in coordination with the physician

·      Determines if goals have been met and whether the patient is appropriate for recertification or discharge

·      May be needed for 24 hours on-call support and provide on-call service to patients/families as assigned

·      Other duties as deemed necessary by the Supervisor/Manager

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Required Skills, Education, Certification, License, and/or Experience

·    Must maintain an active (unrestricted) RN license in the working state(s) with at least one (1) year of verified experience in pediatrics or another nursing discipline; a passing score of 80% on written “Pediatrics Review Exam” administered by agency staff; and successful demonstration of the “Basic Pediatric Skills Competency” test

·    Maintains knowledge of all applicable federal, state, and local laws and complaint procedure requirements

·    Must maintain a valid driver’s license, personal transportation, and current auto insurance coverage

·    Must be able to read, write, and comprehend English

·    Must have skills in problem-solving/ interpersonal communication

·    Must be detailed oriented and possess excellent time management skills

·    Must be able to travel to perform field visits or travel between offices if necessary

·    Must understand basics of payor contract rules and regulations for home care and payor contract guidelines for home health coverage and compliance

Preferred Skills, Education, Certification, License, and/or Experience

·    Case Management experience in home healthcare

·    Related Certifications: CCM, CDMS, ACM, LCSW, and/or CRC

·    Background in Nursing, Social Work, Counseling, Occupational Health, Psychology, and/or Chiropractic

·    Affiliation with Case Management related professional associations and networks

Compliance

The RN Case Manager is required to fully comply with applicable healthcare laws and statues (local, state, and federal) and Outreach Health policies and procedures. Must respect clients by recognizing their rights; maintaining confidentiality and work tirelessly to earn and keep their trust. Each team member is expected to perform all duties and demonstrate behaviors and attitudes consistent with Outreach Health’s Mission Statement and Core Values.

Pay Range: $70k

#INDEED

Salary : $70,000