RN (Registered Nurse) Case Manager

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

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.SCHEDULE: Mon-Fri, 8am-5pm. On call 2 weekend shifts, 3 weekday shifts per month. One winter, one summer holiday on call. Paid holidaysAGENCY: Beaumont Home HealthCOVERED TERRITORY: Troy, Royal Oak, Madison Heights, Clawson, Berkley.SUMMARY:The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for the assessment of the patient condition and plan of care. The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state.KEY RESPONSIBILITIESOversees the overall care of the patient from beginning to end of episodeUpdates all doctor orders in patient chart accordinglyNotifies doctor of any significant changes of the patient’s conditionManages multi-disciplinary care as applicableProvides skilled nursing care in a patient’s home as ordered by the attending physicianObserves and monitors patient conditionsPerforms OASIS assessments to develop an individualized plan of care and makes adjustments as needs changeAdministers medication as prescribed by the physicianHelps decrease re-hospitalizations by front loading visits for high risk patientsPromotes continuity of care with appropriate admissions, transfers and dischargesCounsels patient and family on the disease/injury processes and how to manageIncorporates patient and family in development of plan of careHelps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisionsListens to patient and family membersOversees and supervises total care of patient provided by nurse aides and LPNsEvaluates the treatments and medical condition of the patient according to the plan of careDetermines if the level of care being provided meets the patients’ needsCommunicates with the LPNs and nurse aides on supervisory visit resultsCompletes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelinesDocuments all aspects of treatment, assessments, and patient educationMaintains active RN licenseCommunicates with scheduler any changes outside the normalParticipates in all on-call requirements and case conferencesAttends in-service trainings and mandatory agency meetingsDrives to patient’s primary location per scheduled visit.Daily attendance at assigned visit locations.Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits.Documents all aspects of start of care visits within 24 hours of visits.Completes and submits all required documentation within specified company requirements.Follows plan of care as permitted within the scope of practice for a Registered Nurse.Fulfills RN visits in assigned geographic location per patient need within federal and state specifications.Other duties as assigned.QUALIFICATIONSMinimum 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.Knowledgeable on nursing best practices.Ability to make appropriate nursing judgments.Ability to identify a situation and handle it with the best possible solution.Detail-oriented and observant.Disciplined style of work ethic with the ability to prioritize and be timelyAbility to follow directions and work as a team member.Valid driver’s license and auto insurance with your name as a listed driver.EDUCATION AND CREDENTIALSRegistered Nurse with current license in the state of employment.PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations.KnowledgeReading, Speaking, Writing English - Constantly 66%-100%Communications Skills - Constantly 66%-100%Computers / PDA - Constantly 66%-100%PhysicalWalking - Frequently 34%-66%Bending - Occasionally 2%-33%Standing - Occasionally 2%-33%Sitting - Frequently 34%-66%Driving - Frequently 34%-66%Lifting up to 50 lbs. with or without assistance - Occasionally 2%-33%Stretching/Reaching - Occasionally 2%-33%Climbing - Occasionally 2%-33%Hand/finger dexterity - Constantly 66%-100%Stooping (bend at waist) - Occasionally 2%-33%Sensory ActivitiesDistinguish smell/temperature - Occasionally 2%-33%Hearing/Seeing - Constantly 66%-100%Talking in person - Constantly 66%-100%Talking on the telephone - Frequently 34%-66%Hearing in person - Constantly 66%-100%Hearing on the telephone - Frequently 34%-66%Vision for close work - Constantly 66%-100%Other Sensory ActivitiesN/AWe’ll help you put your passion for patient care to work. Apply today!This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.We are an Equal Opportunity Employer.