Visiting Nurse RN - Home Care Case Manager

Your Health Organization; Suwanee (GA); On-site; USD 70,000 - 100,000; Full time

Job summary

Your Health Organization in the United States is seeking a Registered Nurse to join our visiting nurse team. The Nurse Case Manager will travel to patients' homes and facilities to assess needs, coordinate care, and initiate telemedicine visits.

This full-time role requires strong communication with care teams, documentation accuracy, and a commitment to high-quality in-home care across Gwinnett County and surrounding areas.

Qualifications

• Must be a licensed nurse. Registered nurse preferred. 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.
• 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

Licensed Nurse

Communication

Team Collaboration

Leadership

Travel Ready

Education

RN license (GA)

Tools

EHR systems

Job description

Your Health Organization in the United States is seeking a Registered Nurse to join our visiting nurse team. The Nurse Case Manager will travel to patients' homes and facilities to assess needs, coordinate care, and initiate telemedicine visits.

This full-time role requires strong communication with care teams, documentation accuracy, and a commitment to high-quality in-home care across Gwinnett County and surrounding areas.