RN Case Manager

Here is a well-formatted job description for the RN Case Manager position:

Job Title: RN Case Manager
Job Location: Grand Rapids, MI
Company: Freedom At Home
Company Slogan: "When Given A choice, Choose Freedom!"

Job Summary:
We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our team at Freedom  an RN Case Manager, you will provide professional nursing services to patients in the comfort of their own homes, working collaboratively with primary care physicians and other healthcare professionals to deliver exceptional patient care. If you are a 5-star clinician looking for a company that values your skills and expertise.

• Graduate of an approved professional nursing program (RN)
• Currently licensed and in good standing in the State of Michigan
• Minimum of one (1) year of experience as a professional nurse, preferably in home care
• Must have a criminal background check
• Must have current CPR certification

• Furnishes those services requiring substantial and specialized nursing skill
• Initiates appropriate preventative and rehab nursing procedures
• Prepares and submits timely, clinical and progress notes
• Oversees coordination of patient services
• Informs MD and other staff of changes in patient situation or needs
• Completes medical history/home safety check/environmental assessments
• Performs socio-psychological evaluation
• Performs assessment visit and documents timely
• Develops individualized Plan of Care (POC) to be submitted to the physician for approval and implementation
• Determines medical necessity for other services
• Regularly re-evaluates the patient's nursing needs
• Evaluates the patient's ADL and iADL abilities and need for home health aide
• Develops and implements the HHA plan of care when HHA services are ordered
• Supervises HHA in accordance with state/federal requirements and documents the supervision
• Orders "other" professional services that may be appropriate to the needs
• Reviews billing processes with patient and/or family, advising patient and/or family when co-pay or Medicare is not likely to pay for services
• Effectively communicates ongoing with patient and family progression/changes in POC
• Effectively communicates with Supervisor/Nursing Director/other disciplines in the case
• Actively communicates in the case conferencing sessions to establish best practices
• Submits requests for re-authorization of "more visits needed" to payers timely
• Coordinates Community Services for the patient to assist in safe home care needs

• Performs timely clinical record reviews (CRR) per Agency policy in collaboration with the Nursing Supervisor
• Participates in ongoing staff meetings/in-services
• Participates in the growth of office by being a willing preceptor for same discipline employees
• Participates in the planning, operation and evaluation of the nursing services of the organization
• Maintains professional licensure per state requirements
• Notifies the Agency of emergencies, sickness, and other imminent occurrences that may affect the patient caseload as quickly as possible
• Submits written time requests 2 weeks or more in advance of planned time off
• Other duties as assigned

• Vehicle to do routine patient visits
• Possible transfer/lifting devices
• Medical supplies

• Indoors, performing patient care assessment/tasks in the patient's residence
• Travel to patient residences/meetings; will require transportation to get to various work sites
• Possible exposure to communicable diseases

• Able to access patient's homes that may not be handicap accessible
• Able to hear, speak, understand and communicate effectively in English

• On a daily basis: walking, standing, sitting, reaching, use of telephone, use of computers & other office equipment, lifting/transferring 150 lbs or greater, bending, stooping, climbing stairs