Home Health Case Manager

Shannon Medical Center; San Angelo (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

Shannon Medical Center in Texas is seeking an RN Case Manager for Home Health to coordinate comprehensive patient care from admission to discharge. This role requires effective collaboration with clinicians, social workers, and families to implement plans of care in a cost-efficient manner.

The position emphasizes adherence to HIPAA, robust documentation, and proactive care coordination across settings. Candidates should have RN licensure in Texas and a valid driver’s license, with BLS required

Qualifications

• One year of experience in Nursing.
• One year of experience in Home Health.
• Valid Texas Driver’s License.
• BLS Certification within 90 days of start date.
• RN licensure in Texas required.

Responsibilities

• Make decisions and take appropriate action with supervision as needed.
• Coordinate patient care with providers, nurses, therapists, social workers, aides and families.
• Develop and adjust the plan of care, monitor progress, and document in the chart.
• Ensure HIPAA/privacy compliance and maintain patient confidentiality.
• Utilize resources to minimize costs and ensure quality patient care.

Skills

Nursing

Case management

Home Health

Patient care

Education

Registered Nurse license (TX)

Job description

Assess, plans, implements and provides direct nursing care. The case manager is responsible for facilitating the patient’s plan of care from admission through discharge. The RN case manager coordinates the patient care with providers, nurses, therapists, social worker, aids, outsides (insurance’s, DME’s, pharmacies, APS, AAA, Meals for the Elderly, Specialized Transportation, etc.) and the patient’s family and/or caregivers as needed in an efficient and cost effective.

Supervises the Following Positions

Positions: N/A

Physical Requirements

• The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
• The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
• Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
• Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.
• May be exposed to infectious or contagious disease.
• May have to handle emergency situations.
• May be subject to irregular hours.
• May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.
• May be exposed to toxic/caustic/chemicals/detergents.
• Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.
• Activity Conditions (Occasionally, Frequently, Continuously):
  • Sitting- Occasionally
  • Walking- Frequently
  • Standing- Frequently
  • Bending-Occasionally
  • Squatting - Frequently
  • Climbing-Occasionally
  • Kneeling-Occasionally
  • Twisting-Occasionally
• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance

Working Conditions

Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. This role may include working in less-than-ideal home conditions, which can include exposure to extreme temperatures and environments that may not meet typical cleanliness standards such as clutter, unkept surfaces, and homes with pets. Works in various conditions.

Performance: Essential Functions

Decision Making: Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.

Time Management: Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.

Quality & Quantity: Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output and time utilization of job duties.

Computer Knowledge & Electronic Equipment Use: Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.

Resource Utilization: Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.

Confidentiality: Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy.

Performance: Position Specific Essential Functions

• Assumes responsibility for preventing incidents that could lead to injury, promptly reports unsafe conditions that require actions from others, promptly report incidents and completes paperwork, and consistently utilizes equipment properly.
• Interacts with people openly, directly, tactfully, and cooperatively, accepts criticism and is not defensive. Considers the impact of the decisions on others and involves them. Shares information and resources with others, works effectively with others to achieve a desired result, is patient, and uses humor. Knows how to utilize appropriate channels of communication and chain of command, identifies patients and families physical, psychosocial, financial, discharging needs, and obtains to refer/consult HH Therapists, Social Worker and aides indicated.
• Demonstrates knowledge and judgment needed to meet the nursing needs of the patient. Demonstrates knowledge of diagnosis coding appropriate to the Plan of Care. Demonstrates knowledge of coverage criteria under Medicare, Medicaid, VA, and commercial insurance.
• Looks for ways to continually improve processes in order to positively affect outcomes such as customer satisfaction, clinical financials, etc. Demonstrates the quality work with of ‘doing the right thing in the right way’ also is flexible and responsive to change.
• Demonstrates understanding of Patient Rights and delivers care in accordance with policies and procedures regarding patient confidentiality, advance directives, informed consent, personal privacy, patient values/beliefs, and resolution to patient complaints.
• Demonstrates the knowledge, skills and abilities necessary to perform nursing procedures for patients in the following age groups: newborn, children, adolescents, adults, and geriatric). Utilizes established criteria to determine appropriateness of Home Health admission. Identifies patient needs and health status from assessment data including physician’s history, physical assessment, lab data, etc. Develops a plan of care/discharge plan in collaboration with other members of the healthcare team, analyzes clinical and assessment data to report/discuss with HH staff, physicians, third parties to make adjustments as needed for continued authorization of treatment plans. Demonstrates active collaboration and leads staff as indicated to ensure that there is completion and reporting of lab testing, treatment orders, maintaining accurate medication list, scheduling of visits for the HH episode of care and development/maintenance of the problem/intervention lists. Ensures adequate patient/caregiver knowledge of disease processes, medications, skilled and non-skilled procedures, treatment and discharge planning.
• Completion of an accredited Nursing program

Experience:

• Required
  • One year of experience in Nursing
  • One year of experience in Home Health

Certification/Licensure:

• Required
  • Registered Nurse (RN), with authorization to practice in the State of Texas
  • Basic Life Support (BLS) Certification
    • Must obtain within ninety (90) days of start date
  • Valid Texas Driver’s License
  • Auto Insurance