Home Health RN Case Manager: Care & Coordination Leader

Alternate Solutions Homecare of Cincinnati, LLC; Cincinnati (OH); On-site; USD 75,000 - 105,000; Full time

Job summary

Alternate Solutions Homecare of Cincinnati, LLC is seeking a Registered Nurse Case Manager (RNCM) to lead comprehensive patient assessments, care planning, and coordination across disciplines in patients’ homes across the Cincinnati area.

The RNCM will educate patients and families, ensure safety, maintain compliant documentation, and supervise care teams to optimize outcomes and cost-effective care under physician direction.

Qualifications

• Minimum of one year RN experience in an acute care setting.
• Home care experience is desired.
• Ability to communicate effectively with patients, families, physicians and co-workers.
• Ability to remain calm, patient and accommodating.
• Compassionate and caring bedside manner.
• Knowledgeable on nursing best practices.
• Ability to make appropriate nursing judgments.
• Ability to identify a situation and handle it with sound solutions.
• Detail-oriented and observant.
• Disciplined work ethic with prioritization and timeliness.
• Ability to follow directions and work as a team member.
• Valid driver’s license and auto insurance with your name as a listed driver.

Responsibilities

• Oversees the overall care of the patient from beginning to end of episode.
• Updates all doctor orders in patient chart accordingly.
• Notifies doctor of any significant changes of the patient’s condition.
• Manages multi-disciplinary care as applicable.
• Provides skilled nursing care in a patient’s home as ordered by the attending physician.
• Observes and monitors patient conditions.
• Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change.
• Administers medication as prescribed by the physician.
• Helps decrease re-hospitalizations by front loading visits for high risk patients.
• Promotes continuity of care with appropriate admissions, transfers and discharges.
• Counsels patient and family on the disease/injury processes and how to manage.
• Incorporates patient and family in development of plan of care.
• Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions.
• Listens to patient and family members.
• Oversees and supervises total care of patient provided by nurse aides and LPNs.
• Evaluates the treatments and medical condition of the patient according to the plan of care.
• Determines if the level of care being provided meets the patients’ needs.
• Communicates with the LPNs and nurse aides on supervisory visit results.
• Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines.
• Documents all aspects of treatment, assessments, and patient education.
• Maintains active RN license.
• Communicates with scheduler any changes outside the normal.
• Participates in all on-call requirements and case conferences.
• Attends in-service trainings and mandatory agency meetings.
• Drives to patient’s primary location per scheduled visit.
• Daily attendance at assigned visit locations.
• Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits.
• Documents all aspects of start of care visits within 24 hours of visits.
• Completes and submits all required documentation within specified company requirements.
• Follows plan of care as permitted within the scope of practice for a Registered Nurse.
• Fulfills RN visits in assigned geographic location per patient need within federal and state specifications.
• Other duties as assigned.

Skills

Communication

Calm under pressure

Compassionate

Nursing judgment

Attention to detail

Teamwork

Driver's license

Education

RN license

Job description

Alternate Solutions Homecare of Cincinnati, LLC is seeking a Registered Nurse Case Manager (RNCM) to lead comprehensive patient assessments, care planning, and coordination across disciplines in patients’ homes across the Cincinnati area.

The RNCM will educate patients and families, ensure safety, maintain compliant documentation, and supervise care teams to optimize outcomes and cost-effective care under physician direction.