RN - Case Manager

Registered Nurse Case Manager

The Registered Nurse Case Manager develops and revises plans of treatment and discharge in collaboration with patients, families, physicians, and care delivery teams. They complete and submit OASIS assessments, reassessments, transfers, resumptions of care, discharges, and significant changes in condition according to defined time frames. The nurse processes orders and informs physicians of patient needs and changes in condition. They ensure an environment that promotes respect for patient privacy, confidentiality, and property. Initiating appropriate preventive and rehabilitative strategies is a key responsibility. They provide specialized nursing skills and educate patients and families regarding disease processes, self-care techniques, and preventive strategies. Supervision of LPNs is included to ensure patient health, safety, and compliance with care plans. The nurse coordinates, evaluates, and supervises the quality of patient care services provided. They interact with patients, physicians, referral sources, and others to maintain positive relationships. The role supports customer-focused planning and case management designed to meet individual health and service needs. They complete all necessary clinical records for compliance with legislation and service delivery within established timeframes. Maintaining current knowledge of available services is essential. Flexibility in visiting patients based on need rather than geography is required. They ensure problem resolution at the point of contact. Authorization and release of information forms must be signed by patients or responsible parties. Attendance at patient care conferences regarding assigned patients is expected. The Registered Nurse Case Manager participates in attaining operational and financial objectives. They monitor progress and take corrective action on quality indicators, including customer satisfaction. Understanding the impact of the RN function on patient care, readmission, productivity, and revenue is crucial. Efforts to reduce avoidable costs and errors are pursued actively. The nurse responds to findings from quality management reviews and ensures resolution of potential problem areas. Participation in peer reviews and quality assessment and performance improvement activities is necessary. Maintaining productivity requirements is essential. They ensure appropriate visit authorizations are in place and that documentation reflects medical necessity for home care. The role contributes to an environment of professional growth, learning, trust, and mutual respect. Promoting recognition and respect for workforce diversity is important. Participation in education programs and self-development is expected. Demonstrating commitment, professional growth, and competency is essential. Responsibilities include performing other duties as requested.