Registered Nurse Case Manager

Job Responsibilities Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes responsibility for coordination of care. Completes initial and ongoing assessments to identify the physical, psychosocial, and environmental needs of home health patients/clients. Completes assessments at appropriate time points, including Outcome and Assessment Information Set (OASIS) or other assessments as appropriate to the patient. Regularly re‑evaluates the patient's/client's nursing needs and evaluates the outcomes of care. Develops, initiates, and revises the plan of care as necessary to ensure quality and continuity of care. Initiates appropriate preventive and rehabilitative nursing procedures, refers to other services as needed, and plans for the discharge of the patient/client from services. Furnishes those services requiring substantial and specialized nursing skill, counsels the patient/client and their family in meeting nursing and related needs. Uses infection control measures that protect both the staff and the patient (OSHA). Coordinates services, informs the physician and other personnel of changes in the patient's/client's condition and needs, monitors assigned cases to ensure compliance with requirements of third‑party payors, prepares clinical and progress notes, and completes appropriate documentation in a timely manner. Demonstrates commitment and professional growth by participating in in‑service programs and maintaining or improving competency. Supervises, teaches, and provides clinical direction to other nursing personnel, assigns home health aides to specific patients, supervises LPNs/LVNs and paraprofessionals providing services to patients/clients, and may only conduct aide competency evaluations if qualified with two years of clinical experience and one year of home health experience. Promotes the Agency's philosophy and administrative policies, performs on‑call responsibilities and provides on‑call services to patients/clients and their families as assigned, and provides effective communication to patients/clients, their family members, team members, and other health care professionals. Job Qualifications Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing. Current state license as a Registered Nurse and a current driver's license. One year of experience as a Registered Nurse in a clinical care setting required; home health experience preferred. Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Proof of current CPR. Environmental and Working Conditions Works in patients' homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; must have the ability to work a flexible schedule and the ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psychosocial needs. Requires hand‑eye coordination and manual dexterity. Benefits Full range of health insurance—medical (BCBS with 3 medical plan options), dental & vision. Health Savings Account with employer contribution. Company‑sponsored life insurance. Supplemental life insurance. Short and long‑term disability insurance. Accident & Critical Illness coverage. Employee Assistant Program. Generous PTO that increases with tenure. 401(k) retirement plan with employer match. Mileage reimbursement. Continuing education opportunities. Equal Employment Opportunity Statement Traditions Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination of any kind based on race, color, sexual orientation, national origin, disability, genetic information, pregnancy, or any other legally protected characteristic. Additional Information Candidates selected for this position will transition to employment with The Care Team effective January 1, 2026. Compensation $77,550.00 – $91,650.00 #J-18808-Ljbffr