The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for the assessment of the patient condition and plan of care. The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state.
Responsibilities
Oversees the overall care of the patient from beginning to end of episode
Updates all doctor orders in patient chart accordingly
Notifies doctor of any significant changes of the patient's condition
Manages multi-disciplinary care as applicable
Provides skilled nursing care in a patient's home as ordered by the attending physician
Observes and monitors patient conditions
Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change
Administers medication as prescribed by the physician
Helps decrease re-hospitalizations by front loading visits for high risk patients
Promotes continuity of care with appropriate admissions, transfers and discharges
Counsels patient and family on the disease/injury processes and how to manage
Incorporates patient and family in development of plan of care
Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions
Listens to patient and family members
Oversees and supervises total care of patient provided by nurse aides and LPNs
Evaluates the treatments and medical condition of the patient according to the plan of care
Determines if the level of care being provided meets the patients' needs
Communicates with the LPNs and nurse aides on supervisory visit results
Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines
Documents all aspects of treatment, assessments, and patient education
Maintains active RN license
Communicates with scheduler any changes outside the normal
Participates in all on-call requirements and case conferences
Attends in-service trainings and mandatory agency meetings
Drives to patient's primary location per scheduled visit.
Daily attendance at assigned visit locations.
Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits.
Documents all aspects of start of care visits within 24 hours of visits.
Completes and submits all required documentation within specified company requirements.
Follows plan of care as permitted within the scope of practice for a Registered Nurse.
Fulfills RN visits in assigned geographic location per patient need within federal and state specifications.
Other duties as assigned.
Requirements
Minimum of one year of experience as an RN in an acute care setting. Home care experience is desired.
Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers.
Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients.
Knowledgeable on nursing best practices.
Ability to make appropriate nursing judgments.
Ability to identify a situation and handle it with the best possible solution.
Detail-oriented and observant.
Disciplined style of work ethic with the ability to prioritize and be timely
Ability to follow directions and work as a team member.
Valid driver's license and auto insurance with your name as a listed driver.
EDUCATION AND CREDENTIALS
Registered Nurse with current license in the state of employment.
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This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
We are an Equal Opportunity Employer.
Benefits
Health insuranceVision insurance
Additional Information
Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.
Schedule: Monday through Friday 8:30 am to 5:00 pm
Company: Summa Health at Home
Ashealthnet · Akron, OH