Home-Visit RN Case Manager – Wound Care

Your Health; Pooler (GA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Vehicle allowance

Competitive compensation package

Job summary

Your Health is seeking a Registered Nurse to serve wound care patients across the Savannah area. The Visiting Nurse Case Manager will visit patients at home and in care facilities, coordinating with providers and initiating telemedicine when appropriate.

Responsibilities include reviewing records, enrolling patients in Care Management, developing Plans of Care, coordinating with the care team, and documenting activities. Travel is required daily, with 10-hour shifts Monday-Thursday, 7am-6pm.

Qualifications

• Must be a licensed nurse.
• Registered nurse preferred.
• License must be in good standing with appropriate board/issuer.
• A minimum of three (3) years clinical experience preferred.
• Experience in community settings preferred.
• Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
• Strong written and verbal skills.
• Basic computer knowledge.
• Ability to manage and demonstrate effective leadership skills.
• Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
• Ability to foster a cooperative work environment.
• Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
• Must be able to work flexible hours and travel between offices, facilities, etc.
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.

Responsibilities

• Facilitate receiving all medical records from the patient’s primary provider and specialists.
• Review medical records.
• Complete consents with patients.
• Enroll patients in Care Management, if they meet eligibility criteria.
• Initiate a Care Management Plan of Care, if the patient is eligible.
• Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
• Complete AWV’s to be reviewed by the provider.
• Complete cognitive impairment screenings.
• Complete Social Determinants of Health (SDoH) assessments and/or screenings.
• Complete ACP’s to be reviewed with the patient by the provider.
• Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
• Evaluate for RPM devices, resources, or tools that may improve the patient’s quality of life.
• Communicate and coordinate care.
• Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
• Provide post-discharge education.
• Evaluate for adaptive equipment and DME.
• Evaluate for safe environment.
• Evaluation of acute condition(s) or follow-up from previous visit.
• Appropriately and accurately document and log Care Management activities.
• On call maybe required

Skills

Licensed nurse

RN preferred

Interdisciplinary communication

Leadership

Teamwork

Flexibility

Travel

Job description

Your Health is seeking a Registered Nurse to serve wound care patients across the Savannah area. The Visiting Nurse Case Manager will visit patients at home and in care facilities, coordinating with providers and initiating telemedicine when appropriate.

Responsibilities include reviewing records, enrolling patients in Care Management, developing Plans of Care, coordinating with the care team, and documenting activities. Travel is required daily, with 10-hour shifts Monday-Thursday, 7am-6pm.