RN Case Manager -Home Visits - Jefferson County Region

Job Description

Job Description

Role and Responsibilities 

The RN Case Manager will administer skilled nursing care to patients requiring professional nursing service. Teach and supervise the family and other members of the nursing team. Perform these services in accordance with the physician’s orders.  

Essential Functions 

• Provide and coordinate quality patient care, maintain a full caseload, maintain productivity goals with consideration of case mix, and accurate, timely documentation.  
• Responsible to manage each patient’s care as efficiently and cost-effectively as possible, to achieve positive patient outcomes regardless of payer.  
• Responsible for the overall plan of care and the outcome of that care, including care delivered by other nursing staff (LPN, HHA) who must be directed and supervised by the RN Case Manager. 
• Conduct admission and manage care of patient to the agency by: 

• Obtaining a medical history, particularly as it relates to the present condition, from the patient and/or family member(s). 
• Conducting a physical examination of the patient including vital signs, physical assessment, mental status, appetite and type of diet, assessment of ADL, and activity of daily living. 
• Evaluating the patient, family member(s), and home situation to determine what health teaching will be required. 
• Evaluating the patient’s environment to determine what assistance will be available from family members in caring for the patient. 
• Evaluating the patient’s condition and home situation to determine if the services of a home health aide will be required and the frequency of this service.