Home Health RN Case Manager

Home Health RN Case Manager

Job Details
Working title
:
Home Health RN Case Manager
Classification title
:
Registered Nurses (29-1141)
Division
:
Home Health
Program
:
Home Health
Reports to
:
Home Health Clinical Manager
FLSA status
:
Non-Exempt:
Full-Time or Part-time
Schedule: Monday-Friday; 8am-5pm
Wage Range: $31.48 to $44.37 hourly, including $2 Case Management stipend; due to years of transferrable experience and internal equity

River Stone Health
Serving the Yellowstone County community and south-central Montana for nearly 50 years, River Stone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection – HELP is what we do. From medical, dental and behavioral healthcare;
Home Health and Hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. Underlying principles of access, affordability, compassion and quality in all interactions, River Stone Health improves life, health and safety for all communities we serve.

Home Health Overview
River Stone Health Home Health Services provides medical treatment for an illness or injury, to help patients recover, regain independence, and become as self-sufficient as possible. Home health care helps patients manage chronic conditions like heart disease, diabetes, pain management, or chronic obstructive pulmonary disease (COPD) and provides personal care services. Home Health Services may be requested by physicians, the patient or family member, or a hospital discharge planner.

Through consultation with the patient’s healthcare provider, Home Health Services develops a plan of care to meet the patient’s individual healthcare needs. The team includes nurses, physical therapists, occupational therapists, speech therapists, medical social workers, and certified home health aides.

Job Summary
The home health nurse case manager is responsible for the delivery of quality patient care through the nursing process of assessment, nursing diagnosing, planning, implementation, and evaluation. In tandem with the clinical manager and clinical nursing staff, the nurse case manager helps to oversee patient care, nursing case management, clinical documentation (OASIS), referral staff, and customer satisfaction with home health patient care services.

The incumbent brings content expertise and knowledge surrounding the program elements, deliverables, and metrics. The work environment is typically fast paced. Work is performed to ensure efficiency of program delivery, incorporating integrity and innovation to ensure a high level of customer service.

• Case Management 95%
  • The ability to work independently and collaboratively to provide and direct skilled comprehensive nursing care and instruction for patients and families based on established clinical nursing practice standards. This includes but not limited to:
    • Administering care, treatments, medication in compliance with physician’s orders
    • Monitoring and interpreting symptoms and treatments; developing a plan of care in collaboration with other health care providers
    • Providing education to patients and families
  • Responsible for completing admissions and home visits assigned. This includes:
    • Initiating the plan of care and priority setting to ensure effective and efficient patient care delivery and achievement.
    • Consult and coordinate with the health care team members to assess, plan, implement and evaluate patient’s plan of care.
    • Following a plan of care that assures the patient and family needs are identified, prioritized, and met in order to achieve desired clinical outcomes/goals.
  • Regularly reevaluates the patient’s nursing needs and makes the necessary revisions in the plan of care.
  • Assures that care, educational and discharge planning needs of patients are met.
  • Teach patients and families preventative care, disease prevention, medical and psychological care, and medication review.
  • Monitors ongoing patient care, through care conferencing and review of documentation, to determine care,…