Home Health Registered Nurse (RN) Case Manager

Job Description

Job Description

Key Responsibilities:

Conducts all scheduled visits and collaborates with interdisciplinary team members as needed.

Performs comprehensive physical, psychosocial, and environmental evaluations of assigned patients, updating the care plan as necessary based on findings from visits. Adheres to a care plan that identifies nursing diagnoses and assesses outcomes within a specified timeframe.

Engages with physicians to confirm and modify the patient's treatment plan as required following assigned visits, and communicates these updates to the RN Case Manager.

Continuously evaluates patient responses to treatments, medications, and educational efforts, implementing appropriate interventions. Revises the care plan as needed.

Works alongside the RN Case Manager to facilitate discharge planning in accordance with agency standards, utilizing interagency and community resources to ensure seamless care post-discharge.

Accurately documents and updates patient records in compliance with agency, state, and federal regulations.

Reports issues to physicians and the RN Case Manager, clearly articulating plans, actions, and objectives to ensure timely updates are reflected.

Adheres to established policies and procedures, regularly reviewing any changes or additions.

Performs various duties related to patient positioning and transportation, which involve lifting and pushing/pulling, while employing proper techniques.

Must demonstrate the knowledge and skills necessary to provide age-appropriate care. This includes understanding growth and development principles across the lifespan and the ability to assess data that reflects the patient's status, interpreting the necessary information to meet each patient's age-specific needs, as outlined in departmental policies and procedures. Further details on age-specific information can be found in departmental job standards.

Licensure, Registration, and/or Certification Requirements:

• Registered Nurse license issued by the state where the team member practices.
• Basic Life Support (BLS) certification for Healthcare Providers from the American Heart Association (AHA) upon hire, unless exempted by the department leader.
• A valid driver's license issued by the Division of Motor Vehicles.

Educational Qualifications:

Completion of an accredited or approved Nursing program.

Experience Requirements:

Generally, a minimum of 1 year of nursing experience is expected.

Knowledge, Skills, and Abilities:

• Strong clinical skills with the ability to work under supervision and make informed decisions.
• Exceptional communication and interpersonal abilities.
• Capability to build rapport and maintain positive, professional relationships with patients, staff, and physicians.
• Proven ability to make critical, independent decisions effectively.
• Strong organizational, prioritization, and problem-solving skills.
• Aptitude for multitasking amidst frequent interruptions.

Physical Requirements and Working Conditions:

Must be able to sit, stand, walk, lift, squat, bend, reach overhead, and twist frequently throughout the workday.

• Must be capable of lifting up to 50 lbs. from floor to waist.
• Must be able to lift up to 20 lbs. overhead.
• Must be able to carry up to 40 lbs. a reasonable distance.
• Must be able to push/pull with a force of 30 lbs.
• Must be able to perform a sliding transfer of 150 lbs. with assistance.

May encounter exposure to chemicals, hazardous waste, blood, body fluids, and communicable diseases; therefore, appropriate protective clothing and equipment must be utilized as necessary.

Must possess functional speech, vision, hearing, and touch, with the ability to perform fine motor skills for various procedures and functions.

Operates all necessary equipment to fulfill job responsibilities.

This job description outlines the general nature and level of work expected from the incumbent. It is not intended to be an exhaustive list of all activities, duties, or responsibilities required. The incumbent may be asked to perform additional related tasks.