RN Case Manager

Case Manager Responsibilities Develops, delivers/implements, revises, and evaluates individualized patient‑centered care plans under the supervision of a physician. Provides case management to an assigned group of patients and ancillary staff. Understands and submits required data collection sets (OASIS, PAR, etc.) and other documentation as requested by the state, federal government, and insurance payers within required timeframes. Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs per state and payer requirements. Acts as an advocate for patient welfare, coordinating care between patients, their families/caregivers, authorized representatives, the agency, and other healthcare providers/facilities. Furnishes services requiring substantial specialized nursing skill according to competency level. Demonstrates problem‑solving abilities and positive interpersonal communication skills. Identifies care preferences of patients and verifies that interventions meet the patient’s needs and treatment goals. Initiates appropriate preventive and rehabilitative nursing procedures. Prepares clinical and progress notes for each patient visit and summarizes findings. Attends case conferences as assigned. Informs physician and other personnel of changes in the patient’s condition and needs. Counsels the patient and family/significant others in meeting nursing and related needs. Educates on proper home health strategies and procedures using community resources as applicable. Observes and reports patient symptoms, reactions to treatments, drugs, and changes in the patient’s physical or emotional condition; responsible for medication reconciliation. Participates in in‑service programs, supervising and teaching other nursing personnel as assigned. Administers medication per agency policy and physician orders. Provides written instructions for aides or other ancillary disciplines caring for the patient. Processes orders and notifies physician of patient needs and changes in condition. Refers cases with physician orders to Physical Therapist, Speech–Language Pathologist, Occupational Therapist, and Medical Social Worker when specialized skills are required. Understanding and adhering to Policy/Procedure, Best Practices, Infection Control Plan, EMS Plan, and the Compliance Plan. Participates in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. Reports and records all applicable infections, occurrences, and complaints. Submits documentation within 24 hours or as per state requirements. Maintains confidentiality of patient, employee, and agency matters. Provides on‑call duty nights, weekends, and holidays as assigned; acts as the after‑hours supervising nurse when on‑call. Immediately reports to Nursing Supervisor any patient incidents, variances, or complaints. Demonstrates competent performance of technical skills according to established procedures. Maintains acceptable attendance status per Agency policy. Reports all incomplete work assignments to Nursing Supervisor. Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments. Ensures that visit schedule, medication profile, treatments administered by agency staff, and other pertinent instructions are given in writing to the patient, caregiver, or representative. Performs all other duties as assigned. Required Skills, Abilities & Knowledge Average computer skills with competency in media communications. Physical ability to perform the described duties. Ability to organize work procedures through time management, assume responsibility, and effectively supervise ancillary disciplines per state requirements. Capability to secure transportation and travel as required. Application of professional training to critically think through patient needs, follow physician’s orders, and produce accurate records of nursing activity within agency guidelines. Acceptance of the agency’s philosophy and goals. Ability to exercise initiative and independent judgment. Compliance with health requirements for clearances and current CPR. Maintenance of licensure and continuing education as applicable. Excellent verbal and written communication. Education, Experience, Licenses & Certifications Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing. One (1) year nursing experience and home care experience is preferred. Benefits & Compensation Family Medical, Dental, and Vision Insurance Paid Time Off and Paid Sick Time 401(k) Referral Program Pay Range: $70,000 - $85,000 / salary with bonus Team Select Home Care is a diversity‑focused, equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, disability, political belief, veteran status, age, or any other status protected by law. #J-18808-Ljbffr Team Select Home Care of Colorado, LLC