RN Field Case Manager - Home Care

RN Field Case Manager - Home Care at Carle Health summary:
The RN Field Case Manager provides skilled nursing care and coordinates patient care plans in home care settings across multiple counties in Illinois. Responsibilities include performing clinical assessments, educating patients and families, managing complex wound care, intravenous therapies, and ensuring compliance with Medicare and regulatory documentation standards. This role collaborates with interdisciplinary teams to promote patient independence and wellness while supervising home health aides and coordinating physician orders.
Overview
Sign on Bonus Available!!!
$7,500 greater than 1yr of experience
$2,500 Relocation Bonus (greater than 50 miles)
(external candidate only)
Serving patients of all ages through skilled home care nursing visits in Champaign, Vermilion, Edgar, Iroquois, Ford, Coles, Douglas, Piatt, Moultrie, and Macon counties.
Home Care RN/Field Case Managers work independently and as part of an interdisciplinary home care team (LPN, HHA, PT, PTA, OT, OTA, MSW, SLP).
Enjoy working at the top of your practice:
Coordinating care plans, educating patients/family and performing skilled nursing assessments and care in areas such as:

• Complex wound care, wound vac, ostomy

• PICC lines/Ports/Blood Draws

• TPN and Antibiotic Infusion

• Catheters/Tubes/Drains/PleurX

• Tracheostomy management

• Monitor and educate on health conditions to promote independence and wellness
Why Join Us?

• Supportive team environment with 24/7 clinical backup

• Flexible scheduling and autonomy

• Competitive pay and mileage reimbursement

• The reward of building meaningful relationships every day
.
Qualifications

Certifications:

IL RN, BLS 30 days, Drivers License, Proof Auto Insurance ,

Education:

College Diploma Nursing,

Work Experience:

1yr nursing experience
Responsibilities
Demonstrates understanding of Medicare Home Care benefits including covered services, recertifications, transfers, and non-recertifications. Follows regulatory requirements regarding documentation standards.
Comprehends department specific indicators.
Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.
Consistently completes all admission documentation within policy guidelines.
Returns admission documents to office complete and in a timely manner (according to policy).
Completes required OASIS/485 changes within 24 hours of receiving them.
Completes visits notes and telephone conversations records and transmitted timely according to policy (includes physician orders, admission, routine, supervisory, telephone and discharge notes.)
Ensures Physician Orders are written timely, corrections to care plans are entered and transmitted according to time line.
Reviews verbal orders with MD office, written and evidenced as read-back, completed immediately and transmitted within time frame established by policy. Once documented and transmitted orders are never changed. Ensures patient visit string(s) are added to the record to make sure visits are not missed.
Ensures proper acronym is evident on all physician orders.
Completes Home Health Aide supervisory visits.
Acts as the coordinator of the health care team in order to maintain the proper linkages within the continuum of care.
Collaboratively communicates and initiates case conferencing as necessary and documents interacts (other disciplines, MD, care coordinator, insurers, etc.). Communicates pertinent information for patient care conferences on all admits done by him/her.
Practices in a manner sensitive to the needs of patients and families. Provides care according to plan of care and orders.
Directs the activities of the licensed practical nurse.
Makes home health aide assignments, prepare written instructions for the aide and supervises the aide in the patient home.
Demonstrates adequate knowledge of State and Federal regulatory and accreditation guidelines which is evidenced by daily performance.
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