Mobile Nurse Case Manager — Home & Facility Visits

Your Health Organization; Jasper (AL); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Competitive pay

401K matching

HDHP insurance with prescriptive 1

Job summary

Your Health Organization seeks a Registered Nurse to service patients in the Athens area. The Visiting Nurse (Nurse Case Manager) will travel to patients’ homes and facilities, coordinating with providers and initiating telemedicine visits as needed.

This full-time role requires reliable transportation, 8-hour shifts Monday-Friday (8am-5pm), and a commitment to delivering high-quality care within regulatory guidelines.

Qualifications

• Must be a licensed Registered nurse. 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. Work in conjunction with care team to keep the patients Care Management care plans up to date.
• On call maybe required

Skills

Communication skills

Team collaboration

Written and verbal skills

Basic computer knowledge

Leadership

Interdisciplinary care

Education

Registered Nurse license

Job description

Your Health Organization seeks a Registered Nurse to service patients in the Athens area. The Visiting Nurse (Nurse Case Manager) will travel to patients’ homes and facilities, coordinating with providers and initiating telemedicine visits as needed.

This full-time role requires reliable transportation, 8-hour shifts Monday-Friday (8am-5pm), and a commitment to delivering high-quality care within regulatory guidelines.