RN Case Manager

## RN Case Manager Support Apply:
Denver, CO:
PRN:
Posted Today:
JR101514A Registered Nurse (RN) / Case Manager Support administers and/or oversees the skilled nursing care of patients in their place of residence in accordance with physician orders and the plan of care per state Practice Act. This role blends hands-on nursing with case management responsibilities on an intermittent basis, ensuring patients receive comprehensive, individualized, and high-quality home health services in alignment with the physician orders, regulatory requirements, and organizational policies.
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* Reports To:

** Director of Nursing
** Duties/Responsibilities:
*** Develops, delivers/implements, revises, and evaluates individualized patient-centered care plans under the supervision of a physician.
* Provides case management to an assigned group of patients and ancillary staff.
* Understands and submits required data collection sets (OASIS, PAR, etc.) and other documentation as requested by the state and/or, federal government and insurance payers within required time frames.
* Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs per state and payor requirements.
* Acts as an advocate for patient welfare and coordinates care between patients, their families/caregivers and/or their authorized representative, the agency and other healthcare providers/facilities/ outside agencies.
* Furnishes those services requiring substantial specialized nursing skill according to competency level.
* Identifies care preferences of patients and verifies that interventions meet the patient’s needs and their goals of treatment.
* Initiates appropriate preventive and rehabilitative nursing procedures.
* Prepares clinical and progress notes for each patient visit and summaries.
* Attends case conferences as assigned.
* Informs physician and other personnel of changes in the patient’s condition and needs.
* Counsels the patient and family/significant others in meeting nursing and related needs. Educates on the proper home health strategies and procedures utilizing community resources as applicable.
* Observes and reports patient symptoms, reaction to treatments, drugs and changes in the patient’s physical or emotional condition, responsible for medication reconciliation.
* Participates in in-service programs, supervising and teaching other nursing personnel as assigned.
* Administers medication per agency policy and physician orders.
* Provides written instructions for aides or other ancillary disciplines caring for the patient.
* Processes orders and notifies physician of patient needs and changes in condition.
* Refers cases with physician’s orders to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker for those patients requiring their specialized skills.
* Understands and adheres to the Policy/Procedure, Best Practices, Infection Control Plan, EMS Plan and Compliance Plan.
* Participates in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. Reports/records all applicable infections, occurrences, and complaints.
* Submits documentation within 24 hours or per state requirements.
* Maintains confidentiality of patient, employee, and agency matters.
* Takes on-call duty nights, weekends, and holidays, as assigned. When functioning as the on-call RN acts as the after-hours supervising nurse and makes nursing assessment and triage decisions under the guidance of the overall Clinical Supervisor as applicable.
* Immediately reports to Nursing Supervisor any patient incidents/variances or complaints.
* Maintains acceptable attendance status, per Agency policy.
* Reports all incomplete work…