Home Health RN: Care Coordination & Case Management

Atrium Health; Monroe (NC); On-site; USD 70,000 - 95,000; Full time

Job summary

Atrium Health is seeking a Registered Nurse to manage an assigned home health caseload, coordinating care and ensuring timely documentation per physician orders. You will collect and analyze patient data from home visits and EMR systems to identify needs and risks, directing a multidisciplinary team including LPNs and HHAs to achieve high-quality outcomes.

The role requires an active RN license, BLS, and a BSN is preferred.

Qualifications

• Graduate from an accredited School of Nursing. BSN preferred. BLS required per policy guidelines.
• Current RN license or temporary license as a Registered Nurse in the state you work and reside or; if National License Compact state, meet licensure requirements in home state.

Responsibilities

• Manage the daily patient caseload and ensure timely care and documentation per the plan of care and MD orders.
• Collect data from home assessments, telephonic contacts, and EMR information to inform care.
• Analyze data to identify high-risk patients and coordinate case conferencing for appropriate interventions.
• Prioritize multi-issue situations to safeguard patient safety and timely services.
• Identify barriers to resolution (language, literacy, psychology) and engage resources to address them.
• Develop and oversee a plan of care communicated to involved parties for quality outcomes and satisfaction.
• Direct care coordination of a multidisciplinary team, supervising LPNs and HHAs in the caseload.
• Perform ordered treatments, therapies, and procedures per Nurse Practice Act and policies.
• Evaluate progress toward patient-centered goals.

Skills

Care coordination

Clinical leadership

Documentation

Assessment data collection

Education

RN license

BSN preferred

Job description

Atrium Health is seeking a Registered Nurse to manage an assigned home health caseload, coordinating care and ensuring timely documentation per physician orders. You will collect and analyze patient data from home visits and EMR systems to identify needs and risks, directing a multidisciplinary team including LPNs and HHAs to achieve high-quality outcomes.

The role requires an active RN license, BLS, and a BSN is preferred.