RN Nurse Case Manager - Home Visits & Telemedicine

Your Health Organization; Augusta (GA); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Competitive Compensation with Bonus

Employer matched 401K

HDHP Insurance with Free Visit & Presc

Employer matched HSA

Generous PTO

Vehicle allowance

Job summary

Your Health Organization in Augusta, GA is seeking a Registered Nurse to join our Visiting Nurse team as a Nurse Case Manager. The role involves visiting patients at homes and facilities, initiating telemedicine visits, and coordinating with care teams to manage care plans in the Augusta area.

The Nurse Case Manager will travel daily, evaluate patients, review records, enroll in Care Management, and collaborate with providers to ensure quality care across settings.

Qualifications

• Must be a licensed nurse. Registered nurse preferred. Licensure must be in good standing with the appropriate board.
• A minimum of three (3) years of 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.
• 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

Written communication

Verbal communication

Basic computer skills

Leadership

Teamwork

Interpersonal skills

Flexibility

Education

Nursing license

Job description

Your Health Organization in Augusta, GA is seeking a Registered Nurse to join our Visiting Nurse team as a Nurse Case Manager. The role involves visiting patients at homes and facilities, initiating telemedicine visits, and coordinating with care teams to manage care plans in the Augusta area.

The Nurse Case Manager will travel daily, evaluate patients, review records, enroll in Care Management, and collaborate with providers to ensure quality care across settings.