Home Health RN Case Manager

Bethesda Living; Willmar (MN); On-site; USD 70,000 - 90,000; Full time

Job summary

Bethesda Living is seeking a Registered Nurse Case Manager to provide, coordinate, and monitor health care services for agency clients. You will ensure safe delivery of quality care and compliance with regulatory requirements, while supervising Home Health Aides and Homemakers.

The role requires a Minnesota RN license, strong nursing skills, and excellent communication with patients, families, and medical staff. Flexibility for on-call coverage and local travel may be required.

Qualifications

• Graduate of an accredited school of nursing.
• Current Minnesota registration as a Registered Nurse.
• Strong proficiency in nursing skills; Home Health experience preferred with geriatric focus.
• Highly developed communication skills (oral and written).
• Knowledge of infection control practices and Nurse Practice Act.

Responsibilities

• Coordinate and monitor client care to ensure continuity and quality.
• Assess admissions, transfers, and current clients to ensure proper services.
• Monitor health changes and communicate with doctors, families, and staff.

Job description

Job Summary:

The RN Case Manager is responsible to provide, coordinate, and monitor the health care services of agency clients. Ensures the safe delivery of quality care and regulatory requirements are met.

Job Relationships:

• Reports to: Home Health Director (or designated Home Health Administrator in the absence of the Director
• Supervisory Responsibilities: Home Health Aides and Homemakers
• Internal Relationships: Other RN Case Managers and nurses, Scheduler, Bethesda Social Service departments, Adult Day Director, Housing Managers and Coordinators, and Contracted Therapists.
• External Contacts: Medical Director, Physicians, Pharmacists, Health Service personnel in surrounding area, Kandiyohi County Family Services Social Workers and Public Health Nurses, Nursing Home Social Workers, Hospital Discharge Planners, Insurance Company personnel, Clients and Family members, and other community providers.

Hours of Work:

Must be flexible for client needs. Rotating on-call duties when office is closed.

Dress Code:

Nursing uniform and identification badge.

Essential Requirements of Work:

• Education:
• Graduate of an accredited school of nursing.
• Current Minnesota registration as a Registered Nurse.
• Experience:
• Strong proficiency in nursing skills.
• Home Health experience preferred, with a strong interest in geriatric nursing.
• Personal:
• Highly developed communication skills (oral and written).
• Understanding of basic quality principles.
• Adaptable to various work settings.
• Self-motivated.
• Ability to direct and supervise.
• Ability to insure confidentiality.
• Ability to learn from mistakes.
• Provide a pleasant attitude and cheerful disposition towards staff, clients, and families.
• Own vehicle, current driver’s license and current automobile insurance.
• Job Knowledge:
• Knowledge of nursing policies and procedures.
• Knowledge of infection control practices.
• Knowledge of State Federal regulatory requirements.
• Knowledge of the Nurse Practice Act.
• Ability to assess client’s condition with knowledge to provide necessary action.
• Supervisory knowledge and abilities.
• Philosophical understanding of quality of life and quality process management.
• Computer knowledge.

Physical Demands of the Job:

• Repeated bending, squatting, stooping, sitting, climbing stars.
• Occasional pushing/pulling movements of wheelchairs or clients weighing 100-250 pounds.
• Frequent exposure to infection.

Principle Job Responsibilities:

Responsibility: Provide and monitor quality care.

Tasks:

• Follow State and Federal regulations and agency policies and procedures.
• Provide coordination of client care to ensure continuity and quality care.
• Assess new admissions, transfers, and current clients to ensure proper services are in place.
• Monitor all health changes of clients.
• Communicate changes in client’s health to their doctor, family, and other appropriate personnel.
• Assist with the scheduling of clients to Home Health Aides and Homemaker staff.
• Review documentation of Home Health Aides and Homemakers.
• Supervises Home Health Aides and Homemakers and complete supervisory visit documentation as required. Give feedback to the Home Health Aide and Homemaker as needed.
• Follow infection control guidelines to prevent the spread of disease and infection.
• Provide assistance to LPN, Home Health Aides and Homemakers in new or difficult situations.
• Select appropriate client for Telemonitoring. Use and monitor results from Telemonitoring system.

Responsibility: Appropriately and safely perform procedures and treatments as ordered by Physician.

Tasks:

• Procedures and treatments include but not limited to:
• Medication set-up and administration.
• Dressing changes.
• Catheterizations and catheter care.
• Tube feedings.
• IV administration and site care.
• Vital Signs.
• Respiratory therapy including nebulizer treatments.
• Blood glucose monitoring.

Responsibility: Perform all documentation with accuracy and timeliness.

Tasks:

• Complete necessary paperwork for admissions, transfers, deaths, and discharges.
• Complete all required assessments.
• Document each visit in EMR.
• Complete Comprehensive and OASIS assessment in EMR when required.
• Complete 485s and physician orders in EMR as required.
• Complete Home Health Aide and Homemaker Care Plans prior to the initiation of those services.
• Complete Communication Log after communications with client, family, health care providers, or staff.

Responsibility: Provide on-call nursing services on rotating basis when office is closed.

Tasks:

• Carry on-call cell phone at all times during assigned rotation.
• Respond to calls received, assess the situation, and provide direction.
• Document all phone calls.
• Perform Skilled Nursing Visits as needed.

Responsibility: Marketing agency services

Tasks:

• Present self in a professional manner.
• Take referral as needed.
• As opportunities arise, promote agency services to discharge planners, physicians, potential clients/families, and the general public.

Professional and Personal Growth:

• Report for and leave the work area on a timely basis.
• Participate in annual performance evaluation process.
• Write yearly personal goals.
• Participate in all required in-service programs at Bethesda.
• Maintain a professional conduct and pleasant, friendly attitude towards staff, residents, and visitors.
• Be willing to learn and change to meet needs that arise.