RN Case Manager — Home Health & Discharge Planning

Benefits Generous 401K with matching contributions Continuing education reimbursement for professional growth Ample vacation, sick leave, and holidays Over-productivity pay Employee recognition program with financial rewards Mileage reimbursement Comprehensive medical, dental, and supplemental insurance Highly competitive compensation Location of Service Area San Antonio, TX Job Summary The overall purpose of the RN Case Manager position is to conduct all aspects of supervision and management of patient care, including LVN and HHA supervision, case conferences and discharge planning to enable the agency to identify the medically related social and emotional needs of the patients. This position will promote patients’ potential during their home health episode and collaborates with physician, clinical team and patient in preparation for discharge. Qualifications Registered Nurse, licensed per the state requirements. 2 years of experience in Home Health preferred. HomeCare HomeBase experience preferred. Good communication skills, assessment skills, and strong clinical documentation skills. Ability to read, write, and speak the English language. Reliable transportation; valid and current auto liability insurance. Case Manager Essential Functions Supervises and manages all aspects of patient care, including LVN and HHA supervision. Coordinates the distribution of visits among all disciplines (SN, PT, OT, ST, MSW, HHA) after the Start of Care, Recertification or Resumption of Care is completed, and coordinates POC with the physician. Ensures all visits are provided as ordered. Initiates referrals to appropriate ancillary services (e.g., podiatry, community services). Facilitates interdisciplinary communication to ensure that patients’ needs and expectations for services provided are understood and to ensure optimization of service delivery and patient progress. Leads weekly interdisciplinary case conferences for patient caseload, and contributes to the development of care plans for patients. Establishes specific social action plans and realistic goals for each patient consistent with medically related social and emotional needs. With the Administrator, interprets and promotes patients' rights and the "Patients' Bill of Rights". Coordinates all aspects of discharge planning with patients, clinical team and agency. Provides individual and group help for patients/residents and families at times of adjustment, crisis or particular need. Completes all necessary and supportive documentation—assessments, evaluations, visit notes and discharges—in accordance with state and federal regulations. Ability to function as a team leader/role model. Serves on various committees as requested by Administrator. Has reviewed TheraCare Home Health Clinical Policies and Procedures on Abuse Prevention and knows the employee's responsibility to enforce it. Responsible for ensuring patient safety. Performs other duties/tasks as assigned. We are an Equal opportunity employer; we offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance plans as well as a highly competitive compensation package. #J-18808-Ljbffr Cantex