Registered Nurse, Case Manager

Job Title Registered Nurse, Case Manager Location Mifflinburg, PA, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description Essential Duties and Responsibilities include the following. Other duties may be assigned as necessary. Review the home health referral, updating & communicating any changes to other disciplines and to customer service center. Perform assessments within 24-48 hours of receiving a referral. Complete all documentation and forward to the office promptly within 24 hours of completion of in home visit. Develop rapport with the client and family ensuring privacy and confidentiality while obtaining accurate client history. Complete a physical assessment and communicate the findings and plan of care to the physician. Initiate evaluations to other disciplines (PT,OT,SLP,LPN,MHRN,MSW,RD,HHA ) or support services when indicated. Conduct Home health aide supervisory duties as required by internal policy. When appropriate, enter insurance authorization requests within 24 hrs of initial evaluation and continue to enter additional requests at the end of each authorization period. Organize daily assignments, setting priorities based on individual and overall needs of the clients while traveling to each home as scheduled. Ensure the clients have prescribed medications and/or treatment supplies, updating file as changes occur. Identify appropriate actions that will provide for continuity of care, an individualized teaching plan and the involvement of the individual and family/caregiver whenever possible. Formulate a plan of care to achieve expected outcomes through short and long term goals that are realistic and feasible in terms of resources, time, material, people and cultural relevancy. Revise the plan of care in response to changes in the individual’s status or to adjust to the individual’s response to care, and communicate and update with all disciplines, including PPL. Coordinate discharge planning with direct involvement of client, family/caregiver. Document any communication and/or orders from the physician. Attend PCH/ALF case conferences as scheduled providing weekly client reports to team and provide PCH/ALF monthly educational in-services as requested by facility. Maintain a high level of competency, growth and development, including ensuring license, CPR, TB testing, etc are current and in good standing at all times. Attend nursing staff meetings, quarterly educational in-services and yearly competency day. Perform on-call duties per agency requirements/assignment for non-business hours. Position may require after hours patient visits to achieve positive patient outcomes. Follows agency policies and procedures as per the Policy and Procedures of the company. Adhere/assist with company outcome goals as indicated by QI/home health compare tracking. Follow guidelines as indicated in employee handbook Participate in QA/OBQI initiatives with problem-solving via action items. Coordinate with Corridor to manage alerts and change requests Perform other duties as assigned by management. Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to meet the physical demands of providing nursing care, ambulating patients, transferring patients, assisting with exercises, etc. Must be able to transfer patients as needed according to proper techniques of body mechanics to promote patient and staff safety. Must be able to use good and sound clinical judgment. Must be able to document accurately and appropriately. Must follow up as needed and appropriately with doctor’s office, clinical and management staff pertaining to any concerns regarding patient care. Must hold, in good standing, a license as a Registered Nurse, issued by the state in which you work Must be empathetic, non-judgmental, tactful, responsible, and organized. Must understand the team approach and be a supportive team member. Current CPR certification preferred Current TB screen preferred Education and/or Experience A minimum of one (1) years of experience working as a Registered Nurse including some medical/surgical experience and/or an acute care or home care setting is preferred. Associate Degree from an accredited School of Nursing or higher preferred. Certificates, Licenses, Registrations Must have and maintain in good standing professional license, certificate, or registration, as applicable. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 50 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employee will be required to drive daily for meetings and/or visits to residential homes. Employee will work in varied residential environments based on assigned case load. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions. Comments This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. NOTICE Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. Residential Home Health and Residential Hospice is an Equal Opportunity Employer #J-18808-Ljbffr