Enfermera titulada Gestora de Casos

Golden Heart Companions; Indianapolis (IN); In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Golden Heart Companions is seeking a compassionate Registered Nurse (RN) Case Manager to deliver skilled nursing care and coordinate home-based services for patients in Indianapolis, IN. You will assess needs, develop individualized care plans, and collaborate with physicians, caregivers, and an interdisciplinary team to improve outcomes.

The role requires an active Indiana RN license, CPR certification, and at least two years of nursing experience.

Competenze

• Graduate of an accredited nursing program.
• Active RN license in the State of Indiana.
• Current CPR certification.
• Minimum of two years of nursing experience.
• Valid driver’s license and transportation.
• Ability to pass a criminal background check.

Mansioni

• Conduct comprehensive nursing assessments and reassessments.
• Perform skilled nursing visits and complete required assessments.
• Develop, implement, and revise individualized Plans of Care (POC).
• Coordinate services and monitor patient health status.
• Provide medication management and patient/caregiver education.
• Collaborate with physicians, therapists, caregivers, and community resources.
• Supervise Home Health Aides, LPNs, and other staff; support orientation and training.
• Complete timely clinical documentation including visit notes and progress reports.

Conoscenze

Clinical assessment

Communication

Caseload management

EMR proficiency

Formazione

RN license Indiana

CPR certification

Strumenti

EMR systems

Descrizione del lavoro

Join Our Team

We are seeking a compassionate and experienced Registered Nurse (RN) Case Manager to provide skilled nursing care and case management services to patients in their homes and community settings. This role is ideal for a dedicated nurse who enjoys working independently while collaborating with physicians, caregivers, and interdisciplinary healthcare professionals to improve patient outcomes and quality of life.

As an RN Case Manager, you will assess patient needs, develop individualized care plans, coordinate services, and provide skilled nursing interventions that promote health, safety, and independence.

Key Responsibilities

Patient Care & Clinical Services

• Conduct comprehensive nursing assessments, including initial, annual, follow-up, and reassessment visits.
• Perform skilled nursing visits and complete OASIS assessments.
• Develop, implement, and revise individualized Plans of Care (POC).
• Monitor patient conditions and respond appropriately to changes in health status.
• Provide medication management and patient/caregiver education.
• Conduct home safety assessments and identify risks affecting patient care.
• Evaluate ADLs, IADLs, and need for Home Health Aide services.

Care Coordination

• Collaborate with physicians, therapists, caregivers, and community resources.
• Coordinate interdisciplinary services to ensure continuity of care.
• Participate in case conferences and care planning meetings.
• Educate patients and families regarding treatment plans, services, and available resources.

Leadership & Supervision

• Supervise Home Health Aides (HHAs), Licensed Practical Nurses (LPNs), and other assigned personnel.
• Provide guidance, mentoring, and support to clinical staff.
• Assist with orientation and training of newly hired nursing personnel.

Documentation & Compliance

• Complete timely and accurate clinical documentation, including visit notes, OASIS assessments, care plans, and progress reports.
• Ensure compliance with agency policies, HIPAA requirements, and state/federal regulations.
• Participate in quality assurance and performance improvement activities.

Qualifications

Required

• Graduate of an accredited nursing program.
• Active Registered Nurse (RN) license in the State of Indiana.
• Current CPR certification.
• Minimum of one (2) year of nursing experience.
• Valid driver's license, reliable transportation, and proof of insurance.
• Ability to pass a criminal background check.

Preferred

• Home Health experience.
• Case Management experience.
• Experience with Medicaid Waiver programs and Home & Community-Based Services (HCBS).
• OASIS documentation experience.

Skills & Competencies

• Strong clinical assessment and critical thinking skills.
• Excellent communication and patient education abilities.
• Knowledge of home health regulations and care planning.
• Ability to work independently and manage a caseload effectively.
• Proficiency with EMR and electronic documentation systems.

Work Environment

• Primarily conducted in patient homes and community settings.
• Frequent local travel required.
• Opportunity to make a meaningful impact by helping patients remain safe and independent in their homes.

Physical Requirements

• Ability to stand, walk, bend, kneel, and climb stairs as needed.
• Ability to lift, transfer, or assist patients with appropriate support and equipment.
• Ability to travel between patient homes and agency locations.

Compensation

Per-Visit Compensation Available

Why Join Us?

• Flexible scheduling options
• Supportive clinical leadership
• Opportunity for professional growth
• Meaningful one-on-one patient care
• Collaborative team environment