Home Health RN Case Manager

Ohio Living; Toledo (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

Ohio Living is seeking an RN Case Manager for Home Health to plan, coordinate and deliver high-quality home health services. You will ensure compliance with company standards and regulatory guidelines while developing comprehensive care plans for patients in homes and facilities.

The role requires one year of acute care or medical-surgical nursing experience, Ohio RN license, and proficiency with Windows/Microsoft Office; EMR experience is a plus.

Qualifications

• Current unencumbered Ohio RN license to practice.
• One year of acute care or medical-surgical nursing experience required.
• Medicare-certified home health agency experience preferred.
• Proficiency with Windows and Microsoft Office; EMR experience preferred.

Responsibilities

• Care management and service delivery in patients' homes or facilities; develop care plans.
• Monitor patient needs and adjust care plans; communicate with team leaders.
• Quality and compliance activities; maintain accurate patient records.
• Education for patients and caregivers; ensure professional standards.
• Coordinate with other providers to ensure continuity of care.

Skills

Windows

Microsoft Office

EMR proficiency

English language

Education

Registered Nurse license (Ohio)

Tools

EMR software

Laptop/computer use

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!

Our intention is to have employees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do in your job.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care.

The RN Case Manager - Home Health is responsible for the planning, coordination and delivery of quality home health care and services, ensuring compliance in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

Essential Activities And Tasks

Care Management and Service Delivery - 70%

• Provides ongoing assessment and nursing care to patient in homes and health care facilities. Ensures an accurate evaluation of patient needs, develops and implements a comprehensive care plan that addresses current needs. For home health, identifies when patients need or qualify for additional services and notifies appropriate team member or team leader.
• Follows current nursing professional standards of practice and agency approved protocols for home health.
• Provides quality plan and symptom management for the comfort of patients.
• Communicates with other health care providers about changes in condition and patient needs.
• Assesss patient and caregiver needs and provides education when necessary.
• Commitment to high quality customer service for internal and external customers.
• Oversees the implementation of the patient’s plan of care. Evaluates the effectiveness of the plan on an ongoing basis.

Quality and Compliance Management - 30%

• Audits and maintains current and accurate patient records through use of laptop computers and paper/chart documentation in accordance with policies, federal, state, and local guidelines.
• Participates in quality improvement projects as needed.
• Maintains knowledge of requirements of regulatory agencies, accrediting bodies, and third party payers.

Qualifications

All other duties as assigned.

Education

• Current unencumbered license for the state of Ohio to practice as a Registered Nurse (RN) required.

Experience

• One year experience in acute care or medical-surgical nursing required.
• Experience in a Medicare-certified home health agency preferred.
• Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
• Proficiency with electronic medical records (EMR) preferred.

Other Requirements

• Must be able to read, write, speak, and understand the English language.
• Must possess a valid driver's license and acceptable driving record. Must be insurable under professional liability and crime coverage policies as specified by insurance carrier underwriting standards.

Working Conditions And Special Requirements

• Sitting - Up to 4 hours/day
• Standing - Up to 8 hours/day
• Walking - Up to 6 hours/day
• Lifting, transferring, pushing or pulling patients or equipment/supplies - Up to 50 pounds
• Driving - Up to 6 hours/day
• Work weekends, evenings, and holidays - Required as scheduled
• On-call availability - 24/7 for emergencies
• Subject to falls, burns from equipment, odors, and cuts - Work day
• Subject to patients with various disease processes - Occasional
• May be exposed to infectious waste, disease, conditions, etc. including exposure to the AIDS and Hepatitis B viruses - Work day
• Risk Category for Exposure to Bloodborne Diseases - I