In-Home RN Case Manager: Lead Care & Coordination

Alternate Solutions Health Network; Cincinnati (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

Alternate Solutions Health Network seeks a Registered Nurse Case Manager to lead patient assessment and plan of care in home health settings. You will coordinate multidisciplinary care, educate patients and families, and ensure compliant documentation and Medicare guidelines.

The role requires an active RN license and at least 1 year of acute care experience; home care is preferred. Schedule includes Monday–Friday 8:15am–5pm with 4 on-call days monthly; field visits across assigned locations.

Qualifications

• Must be a Registered Nurse with current license in the state of employment.
• Minimum of one year of experience as an RN in an acute care setting; home care experience is desired.
• Ability to effectively communicate and create positive impressions with patients, families, physicians and coworkers.
• Compassionate and caring demeanor; ability to remain calm and patient.
• Detail-oriented with strong nursing judgment and prioritization skills.

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 in 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 disease/injury processes and how to manage.
• Incorporates patient and family in development of plan of care.
• Oversees and supervises total care of patient provided by nurse aides and LPNs.
• Evaluates treatments and medical condition according to the plan of care.
• Communicates with LPNs and nurse aides on supervisory visit results.
• Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines.

Skills

Communication

Compassionate

Detail oriented

Team player

Valid driver's license

Education

RN license

Job description

Alternate Solutions Health Network seeks a Registered Nurse Case Manager to lead patient assessment and plan of care in home health settings. You will coordinate multidisciplinary care, educate patients and families, and ensure compliant documentation and Medicare guidelines.

The role requires an active RN license and at least 1 year of acute care experience; home care is preferred. Schedule includes Monday–Friday 8:15am–5pm with 4 on-call days monthly; field visits across assigned locations.