What are the responsibilities and job description for the RN Case Manager Homecare position at SimplyApply?
Job Description for RN Case Manager
Agrace is a nationally recognized nonprofit, community healthcare organization that serves people across southern Wisconsin who are aging, seriously ill or grieving.
About Agrace
We have a strong culture of employee engagement and are proud to be named the Top Workplace by the Wisconsin State Journal and Energage in 2023.
Work Schedule
Monday-Friday 8am-5pm with rotation on:
- Every Eighth Weekend
- Two Holidays/Year
- One Weekend/Quarter On Call Rotation
Benefits
$7,000 Bonus Eligibility
Collaborative Team Environment
The RN Case Manager works with a team including Social Workers, RNs, CNAs, Volunteer Coordinators, and Clinical Assistants.
Essential Functions
The RNCM is responsible for patient and family satisfaction through nursing care and case management by conducting assessments, creating and updating plans of care, providing interventions, communicating, and documenting.
Patient and Family Assessments
Assess patients and families' physical, pain, psychosocial, emotional, spiritual, environmental, and educational needs as outlined by the plan of care (POC).
- Collect data from the patient, family, significant other, or other members of the interdisciplinary team and other healthcare professionals.
- Document and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms, or violence, etc.
- Collaborate with IDT and primary care provider to create HES for determination of hospice eligibility.
Patient Visits
Respond to patient and family needs or change in condition or need for acute patient intervention.
- Provide interventions, treatments, and pain management to patient and family to meet needs. Evaluate the effectiveness of pain management or other intervention and adjust to meet needs.
- Provide patient and family education on pain, symptom management, end of life, etc. Evaluate the effectiveness of education and adjust to meet needs.
Plan of Care
Formulate, implement, and revise individualized POC in collaboration with Interdisciplinary Team (IDT), patient, and family.
- Develop reasonable and achievable outcome measures and establish priorities in the planning and provision of care.
- Read, understand, and follow the plan of care. Document interventions, outcomes, and changes in patient condition in electronic health record (EHR).
Qualifications
ADN or BSN required.
- Current, unrestricted Registered Nursing License in state of employment.
- One-year nursing experience, preferred.
- Valid drivers license, auto insurance, and access to a reliable vehicle.
- Ability to develop, maintain, and apply knowledge of hospice and end of life process.
- Ability to maintain professional boundaries with patients, families, and co-workers.
- Basic Microsoft Office skills.
- Intermediate electronic health records skills; Epic preferred.
