RN Case Manager

Description Who We Are

Frontier Home Health provides exceptional home healthcare services in Pueblo, El Paso and Fremont counties in Colorado. We are committed to delivering high-quality patient care, fostering strong community relationships, and maintaining a positive staff culture while adhering to the highest compliance standards. Collaborating with physicians, hospitals, and care facilities, we provide comprehensive support and enhance the quality of life for our patients.

Recognized locally in Pueblo as a top home healthcare agency in 2025, we take pride in making a meaningful impact in the communities we serve.

Full‑time candidates are eligible for a $5,000 bonus!

The Registered Nurse provides skilled nursing care to patients in their home in accordance with the physician’s orders, established plan of care, and Agency policies. The RN collaborates with the interdisciplinary team, including the Registered Nurse Case Manager, physicians, patients, families, and caregivers, to support continuity of care and positive patient outcomes. The RN delivers care in compliance with CMS Conditions of Participation (42 CFR Part 484), accreditation standards, applicable State and Federal regulations, and Agency policies and procedures.

• Provides skilled nursing services in the patient’s home as outlined in the established plan of care.
• Assesses and documents the patient’s physical, psychosocial and environmental needs during each visit.
• Reassesses patient condition on an ongoing basis and reports findings to the RN Case Manager.
• Performs age-specific nursing care in accordance with standards of practice.
• Identifies changes in patient condition and communicates promptly to the Case Manager and physician.
• Implements physician orders and nursing interventions as prescribed.
• Provides skilled nursing services requiring substantial and specialized nursing skills.
• Performs all patient care activities in a manner that promotes patient safety and reduces the risk of errors.
• Implements appropriate pain management interventions.
• Educates patients and families on pain management strategies.
• Demonstrates knowledge of medications, including safe administration, monitoring, and patient education based on patient age and clinical condition.
• Communicates changes in patient condition, concerns, or significant findings to the Case Manager and physician.
• Follows up on laboratory results and notifies the physician of significant or abnormal findings in accordance with Agency policy.
• Collaborates with the interdisciplinary team to ensure continuity and consistency of patient care.
• Completes clinical documentation and progress notes at the time of visit or within Agency-defined deadlines.
• Ensures documentation is accurate, timely and compliance with regulatory and Agency requirements.
• Demonstrates knowledge of current Federal, State, Agency and CHAP accreditation regulations related to patient care.
• Adheres to all Agency documentation, payroll, billing and compliance policies and procedures.
• Participates in discharge planning in collaboration with the patient, caregiver and RN Case Manager.
• Identifies ongoing care needs and assists with referrals to alternative levels of care as needed.
• Supports safe transitions of care throughout the episode.
• Participates in case conferences and team meetings to discuss patient progress, care needs and plans for continued care with 80% attendance.
• Coordinates with the Case Manager to support supervisory visits for Home Health Aides and Licensed Practical Nurses in accordance with State, Federal, Agency and accreditation requirements.
• Initiates referrals to other disciplines and community resources as indicated.
• Obtains, coordinates and utilizes necessary supplies and durable medical equipment to provide care safely in the home.
• Demonstrates the ability to safely use durable medical equipment in the home environment.

• Maintains patient confidentiality and HIPAA compliance at all times.
• Demonstrates effective time management and organizational skills; provides patient visits as scheduled; completes patient care within the designated time.
• Adh…