Case Manager

Case ManagerThe Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with physician orders and the plan of care per state Practice Act. In this role, you will report to the Director of Nursing/Director of Patient Care Services/Clinical Supervisor/Nursing Supervisor/Clinical Manager.Duties/Responsibilities:Develops, delivers/implements, revises, and evaluates individualized patient-centered care plans under the supervision of a physicianProvides case management to an assigned group of patients and ancillary staffUnderstands and submits required data collection sets (OASIS, PAR, etc.) and other documentation as requested by the state and/or, federal government and insurance payers within required timeframesMakes the initial evaluation visit and regularly reevaluates the patient's nursing needs per state and payor requirementsActs as an advocate for patient welfare and coordinates care between patients, their families/caregivers and/or their authorized representative, the agency and other healthcare providers/facilities/ outside agenciesFurnishes those services requiring substantial specialized nursing skill according to competency levelDemonstrates problem solving abilities and positive interpersonal communication skillsIdentifies care preferences of patients and verifies that interventions meet the patient's needs and their goals of treatmentInitiates appropriate preventive and rehabilitative nursing proceduresPrepares clinical and progress notes for each patient visit and summariesAttends case conferences as assignedInforms physician and other personnel of changes in the patient's condition and needsCounsels the patient and family/significant others in meeting nursing and related needs. Educates on the proper home health strategies and procedures utilizing community resources as applicableObserves and reports patient symptoms, reaction to treatments, drugs and changes in the patient's physical or emotional condition, responsible for medication reconciliationParticipates in in-service programs, supervising and teaching other nursing personnel as assignedAdministers medication per agency policy and physician ordersProvides written instructions for aides or other ancillary disciplines caring for the patientProcesses orders and notifies physician of patient needs and changes in conditionRefers cases with physician's orders to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker for those patients requiring their specialized skillsUnderstands and adheres to the Policy/Procedure, Best Practices, Infection Control Plan, EMS Plan, and the Compliance PlanParticipates in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. Reports/records all applicable infections, occurrences, and complaintsSubmits documentation within 24 hours or per state requirementsMaintains confidentiality of patient, employee, and agency mattersTakes on-call duty nights, weekends, and holidays, as assigned. When functioning as the on-call RN acts as the after-hours supervising nurse and makes nursing assessment and triage decisions under the guidance of the overall Clinical Supervisor as applicableImmediately reports to Nursing Supervisor any patient incidents/variances or complaintsDemonstrates competent performance of technical skills according to established proceduresMaintains acceptable attendance status, per Agency policyReports all incomplete work assignments to Nursing SupervisorDemonstrates effective time management skills through daily documentation and infrequent overtime for routine assignmentsEnsures that the following information/instruction is given in writing to the patient/caregiver/representative: visit schedule with frequency of visits, complete medication profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient's care needs, name and contact information of the agency's Clinical ManagerPerforms all other duties as assignedRequired Skills/Abilities/Knowledge:Average computer skills with competency in media communicationsMust have the physical abilities to perform the described dutiesAble to organize work procedures through time management, assume responsibility and effectively supervise ancillary disciplines per state requirementsAble to secure transportation and travel as requiredAble to apply professional training to critically think through patient needs, follow physician's orders and produce accurate records of nursing activity within agency guidelinesAcceptance of philosophy and goals of this AgencyAbility to exercise initiative and independent judgmentAble to meet all health requirements for clearances and for current CPRAble to maintain licensure and continuing education as applicableExcellent verbal and written communicationEducation/Experience/Licenses/Certifications:Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicingMinimum (1) year nursing experience required; prior home health experience preferred.Physical Requirements:You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job. Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.Requires the ability to write, dictate or use a keyboard to communicate directives.Utilizes proper body mechanics in multiple environments.Requires the ability to function in multiple environments.FLSA Status: ExemptEEO Status: ProfessionalsBenefits + Perks of Joining the Team Select FamilyMedical, Dental, and Vision InsurancePaid Time Off and Paid Sick Time401(k)Referral ProgramPay Range: $70,000 - $85,000 / salary with bonusTeam Select Home Care reserves the right to change the above job description and qualifications without notice. Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law. Team Select Home Care is an employment-at-will employer.