Registered Nurse Case Manager

Join to apply for the REGISTERED NURSE CASE MANAGER role at Liberty Health and Rehab
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• Providing care for assigned patients.
• Conducts assessments for assigned patients based on the model of care requirements.
• Completes acute assessments to evaluate patient conditions.
• Focus on early identification of changes in condition as well as strong management of chronic conditions.
• Completes assessment on members within 72 hours of discharge from ED, Hospital, SNF, or Home Health episode to ensure stability and continuity of care.
• Communicate effectively with any transition of care.
• Encourages advanced care planning and end of life decisions for patients requiring these services, including initiating and providing palliative care services as necessary.
• Documents patient assessment and plan of care in the electronic medical record.
• Reviews labs and other diagnostic tests for additional interventions.
• Collaborates with utilization management, primary care physicians, specialists, and other members of the IDT.
• Notifies family of changes in condition.
• Exhibits strong communication skills and focuses on customer needs and services.
• Assists with any patient emergency as needed.
• Recommends and/or conducts specific areas of in‑service or continuing education with patients and caregivers as appropriate.
• Performs other duties as assigned.

• Must be a high school graduate.
• Must have a current, unrestricted Registered Nurse license in the state of assignment or be able to obtain and submit proof of license renewal every other year.
• Certification as a Registered Nurse by a national credentialing body.
• Clinical background in adult, family, or geriatric setting preferred.
• Experience working in home health or hospice preferred.
• Must be willing to be "on call" for members as assigned.
• Must be dependable, flexible, and able to work cooperatively with all nursing personnel, other departments, and exhibit patience, understanding, and tact in working with patients, families, doctors, and others.
• Must have the ability to make decisions regarding nursing problems, realizing that errors and incompetence may have serious consequences for patients.
• Must be able to work well under pressure, problem solve, and perform various jobs.
• Must wear appropriate attire and demonstrate professionalism at all times, including a nametag identifying themselves as Registered Nurse; must have neat appearance and good personal hygiene.

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Background checks/drug‑free workplace.
EOE.