Home Health Registered Nurse/Case Manager

Purpose:  Serves as primary case manager for a designated group of patients.  Responsible for the planning, management and provision of care as well as documentation of care, and chart maintenance to meet both regulatory and billing requirements.

 

 Position Requirements:

 

Education:  Graduate of accredited RN or PT program

 

 

Experience: One year of home care experience; two years experience in any clinical setting with a demonstrated ability to manage a group of patients

 

 

Special

Skills:   Working knowledge of Home Care regulatory standards

  Proven track record in delivering and documenting quality care in the home

  Computer literate

  Strong verbal and written communication skills (in English)

  Ability to organize self and others

  Ability to provide direction to others

  CPR certified

 

Licensure: Current RN license

  Valid driver’s license

  Auto liability insurance per company policy

  Current CPR certification

 

 



 

Essential Functions:Clinical Services

1. Performs comprehensive subjective and objective assessment of the patient status that includes physical, psychosocial, and environmental parameters

2. Ensures compliance with federal/state regulations governing home health care services by following policy and procedure consistent with agency standards

3. Formulates individualized plan of care that incorporates analysis of assessment data; modifies and updates as needed.

4. Provides skilled interventions aimed at achieving realistic outcomes within a specified time period.

5. Assures thorough and accurate documentation with all clinical data including but not limited to: admission through discharge, OASIS, HCFA 485, physician’s orders, skilled nursing visits and changes in conditions.

6. Consistently demonstrates competency with technical nursing skills according to the legal scope of practice.

7. Implements teaching specific to patient/family needs and evaluates and modifies as needed.

8. Participates in in-service education programs as required by state law.

9. May assist with quarterly clinical record reviews.

10. Ensures the maintenance and confidentiality of patient records

11. Submits all documentation (clinical and payroll) timely and per branch policy

12. Performs on-call responsibilities as directed by Agency Management

13. Maintains productivity standards as established by the corporate office. Allows time in schedule to do work from agency office.

14. Identifies patients who are appropriate for care conferences.  Leads care conferences.