RN Case Manager — Home Health Leader

Alternate Solutions Health Network; Troy (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

Beaumont Home Health in Michigan is seeking a Registered Nurse Case Manager to lead patient assessments, plan of care, and coordination of multi-disciplinary teams in patients’ homes across Troy and surrounding areas.

The RNCM educates patients and families, ensures safety, documents accurately, and remains compliant with state and federal regulations. On-call duties include weekend shifts and holidays, with scheduled on-call requirements and case conferences.

Qualifications

• 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 co-workers.
• Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients.

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.
• 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.

Skills

RN experience

Home health

Communication

Patient education

Education

RN license

Job description

Beaumont Home Health in Michigan is seeking a Registered Nurse Case Manager to lead patient assessments, plan of care, and coordination of multi-disciplinary teams in patients’ homes across Troy and surrounding areas.

The RNCM educates patients and families, ensures safety, documents accurately, and remains compliant with state and federal regulations. On-call duties include weekend shifts and holidays, with scheduled on-call requirements and case conferences.