RN Case Manager- Home Health

LeadingAge Virginia; Virginia; On-site; USD 46,000 - 69,000; Full time

Benefits offered by this job

Mileage reimbursement

Company equipment

Job summary

Carilion Clinic is seeking an RN Case Manager for Home Health. The role covers weekend shifts and requires managing nursing care for patients of all ages, with plan of care development and coordination with the interdisciplinary team.

Responsibilities include care coordination, patient education, documentation in EMR, and ensuring visit frequencies align with provider orders and evidence-based practice. Mileage reimbursement and company equipment are provided.

Qualifications

• Graduate of accredited Registered Nurse Program.
• Currently licensed as Registered Nurse in Virginia or a compact state.
• Must have valid driver's license and personal vehicle for home visits.

Responsibilities

• Assesses, plans, implements, and evaluates patient care to achieve optimum outcomes.
• Collaborates with the health care team, patient, and family to develop the interdisciplinary plan of care.
• Administers and documents treatments and medications using EMR systems.

Skills

Critical thinking

Nursing care

Education

Registered Nurse license

Tools

EMR (Electronic Medical Records)

Job description

RN Case Manager- Home Health

Employment Status:

Full time

Shift:

Weekends Only (United States of America)

Facility:

35 Medical Ct - Hardy

Requisition Number:

R160442 RN Case Manager- Home Health (Open)

How Youll Help Transform Healthcare:

The RN Case Manager, Home Health and Hospice manages nursing care and provision of individualized care for patients of all ages. Utilizes delegation and critical thinking skills to provide quality service through a team oriented, collaborative approach to patient care. Assesses, plans, implements, and evaluates patient care in order to achieve optimum patient outcomes for patients of all ages as appropriate to service area.Age specific admission and ongoing assessments are completed, documented and used to develop a plan of care.

The RN Case Manager, Home Health. Weekends. Company equipment. Mileage reimbursement.

• Assumes primary accountability for managing nursing care and providing individualized care for patients of all ages.
• Assesses, plans, implements, and evaluates patient care to achieve optimum outcomes.
• Completes and documents age-specific admission and ongoing assessments to support the plan of care.
• Collaborates with the health care team, patient, and family to develop, implement, and revise the interdisciplinary plan of care.
• Administers and documents treatments and medications using electronic medical record systems.
• Ensures patient care orders are current, accurate, implemented, and evaluated for effectiveness.
• Identifies, implements, and documents patient and caregiver education needs.
• Promotes patient safety, patient-centered care, and positive outcomes during transitions of care.
• Serves as a patient advocate and supports patients psychological, social, and cultural needs.
• Applies knowledge of growth and development to care for assigned patients.
• Utilizes clinical expertise in rapidly changing circumstances.
• Plans strategies to prevent avoidable rehospitalizations, reduce resource use, and improve patient outcomes.
• Manages resources, establishes priorities, and seeks supervisory direction as needed.
• Uses problem-solving skills to resolve patient care and staff issues.
• Participates in performance improvement activities and assigned projects.
• Assists with providing orientation to new employees and serves as a clinical role model.
• Manages all aspects of assigned patient care, including case conferences and care coordination.
• Supervises LPNs and Home Health Aides as required by regulatory guidelines.
• Maintains accurate and current case management documentation.
• Ensures visit frequencies reflect provider orders and evidence-based practice.
• Collaborates with scheduling, billing, and other departments to support care coordination, authorization, and communication of patient financial obligations.
• Performs skilled visits, including OASIS and recertification visits, as needed.
• Coordinates required forms, including BIPA, ABN, HHABN, or other forms required by CMS or agency policy.
• Securely uses electronic devices to access, transfer, and synchronize information to support communication and continuity of care.
• Coordinates hospice patient and family care in collaboration with the hospice interdisciplinary team, Medical Director, and attending physician.
• Utilizes understanding of hospice care concepts and issues related to caring for terminally ill patients.
• Provides competent, compassionate care in a variety of settings.
• Complies with hospice policies and procedures.
• Participates in special hospice events, such as grief camps and memorial services.

What We Require:

Education: Graduate of accredited Registered Nurse Program.
Experience: none
Licensure/Certifications/Registration: Currently licensed as Registered Nurse in the state of Virginia or approved compact state. Must have valid drivers license, automobile insurance, and personal vehicle for making home visits.
Other Minimum Qualifications: Keyboarding skills required for automated computer systems, including electronic medical records. Demonstrates knowledge of the principles of life span growth and development and assesses data reflective of the patients status.Interprets the appropriate information needed to identify each patients requirements relative to his or her age specific needs and provides care according to departmental policies and procedures. Work involves application of advanced knowledge and skills of patient care. Strong critical thinking skills are necessary and needed to interpret laws and regulations related to CHCS and Carilion Clinic. Work is performed in a patient care environment and is often fast paced, requiring use of prioritization skills. Applies knowledge of growth and development to appropriately care for patients served.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Compensation Range: $33.52 - $50.28

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. Thats why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life at work and when youre away.

When you make your tomorrow with us, well enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training

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