Home Health RN Case Manager

Home Health Nurse

Occupational Summary:

Work independently with groups of clients to provide initial and on-going assessment of the client's skilled needs. Implement individual plans of care and make referrals to others disciplines and/or revise the plan, as necessary. Provide ongoing consultation and education for patient/family member regarding all aspects of care. Communicate and collaborate with family/caregivers and other professionals involved in the care of the client. Supervise Licensed Practical Nurses and Home Health Aides. Reports to the Home Health Manager.

Duties And Responsibilities:

• Complete initial and ongoing comprehensive assessments of the client's needs, including initiating the plan of care and revising as necessary
• Provide skilled nursing care services and/or treatments requiring substantial and specialized nursing skill, including intravenous fluids and medications, urinary catheterization, and complex wound care
• Counsel the client and family in meeting nursing and related needs
• Initiate appropriate preventive and rehabilitative nursing procedures
• Prepare clinical and progress notes
• Coordinate services involved in client's care
• Make referrals to other services as needed
• Inform the physician and other staff of changes in the client's needs
• Evaluate outcomes of care and complete the OASIS assessment accurately
• Supervise LPN/LVNs and Home Health Aides providing services
• Assign home health aides to a specific patient
• Participate in in-service programs
• Participates in quarterly chart reviews
• Plan for the discharge from service
• On-call and Holiday hours determined by Home Health Clinical Manager.
• Other job duties as assigned

Requirements:

• One year of nursing experience, preferably in Hospice, Home Health, or a Skilled Nursing Facility
• Unencumbered State License as a Registered Nurse
• Current CPR certification (Basic Life Support)
• Demonstrated ability to read, write and speak English
• Able to lift, position or transfer patients. Able to lift supplies and equipment
• Able to reach, stoop, bend, kneel when providing patient care in the home setting
• Valid state driver's license
• Motor Vehicle Driving Record satisfactory to the Agency and its insurance providers
• Proof of motor vehicle insurance
• Must complete 12 hours of continued education, annually.