RN Case Manager

The RN Case Manager provides skilled nursing care to patients in their home. This individual is responsible for coordinating care with the interdisciplinary team, patient, family and referring agency, and assumes responsibility for the coordination of care. The RN Case Manager provides service in accordance with the Agency philosophy, standards and policies.

• Initial and ongoing comprehensive assessments of the client’s needs, including Outcome and Assessment Information Set (OASIS) assessments at appropriate time frames.
• Prepare clinical assessment documentation and progress notes within a timely manner.
• Assess patient’s condition, initiate plan of care, re‑evaluate and update as necessary.
• Effectively communicate with ancillary and clinical staff to maintain consistency and continuity of patient care, convey current information to the transferring facility including MAR and notification of transfer to the patient’s primary physician.
• Adequately assess and reassess pain, and utilize appropriate pain management techniques. Educate the patient and their family regarding pain management.
• Perform care responsibilities considering needs specific to the standard of care for patient’s age.
• Demonstrate knowledge of medications and their correct administration based on patient’s age and clinical position.
• Obtain all necessary physician orders and collaborate with physician as patient’s needs dictate.
• Initiate appropriate preventive and rehabilitative nursing procedures.
• Attend 80% of mandatory in‑services and case conferences to discuss multidisciplinary team responsibilities and patient progress.
• Follow up with obtaining lab results and notify physician of any significant results according to the Agency’s Policy and Procedures.
• Re‑evaluate the need for continued care on an ongoing basis; initiate recertification every 60 days.
• Plan for discharge from the Agency with the patient and caregiver.
• Promote patient/family/caregiver education using various verbal and written communication techniques that take patient’s/family’s cultural, ethnic and/or personal needs or preferences.
• Supervise Home Health Aides every other week according to State, Federal and Agency requirements.
• Supervise Licensed Practical Nurses every 30 days according to State, Federal and Agency requirements.
• Initiate needed referrals to other disciplines and/or community resources.
• Obtain necessary supplies and equipment to provide care.
• Schedule staff and caseload effectively. Manage the assignment of appropriate personnel for their client.

• Maintain patient confidentiality at all times.
• Strong verbal and written communication skills
• Demonstrate leadership capabilities, ability to relate well to staff and professionals.
• Complete annual education requirements, and maintain regulatory requirements.
• Maintain punctual attendance and complete assigned duties within designated time frames.
• Attend annual review and department in‑services, as scheduled.
• Represent the organization in a positive and professional manner.
• Demonstrate effective time management and organizational skills; provides patient visits as scheduled; completes patient care within the designated time.
• Comply with all Agency Policies regarding ethical business practices.
• Adhere to Agency dress code. Appearance must be neat and clean.
• Communicate the mission, ethics and goals of the Agency.

• Graduate of an accredited school of nursing, with a current state licensure as a Registered Nurse.
• 2 years of experience as an RN, preferably in a home health care setting.
• Current CPR certification, proof of TB PPD given within the past 12 months, and Hepatitis consent/declination.
• Valid State driver's license and reliable transportation.

The RN Case Manager is eligible for a $5,000 sign‑on bonus
. We offer a benefits package that includes healthcare, dental and vision coverage for employees. Additionally, we provide 401K matching options and paid time off.

Expected Salary Range: $89,000 - $92,000 based on experience.

Reasonable accommodations may be made to enable individuals with disabilities to perform essential…