Home Health Case Manager II; Union S-RN

Company: Bon Secours by Compassus

The Home Health Case Manager is responsible for modeling the 3 Company values of Compassion, Integrity, and Excellence, and for promoting the Compassus philosophy, using the 6 Pillars of success as the foundation. The position is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders.

The Case Manager maintains a direct relationship with the patient and his/her family. Responsible for ensuring we effectively utilize treatment resources while working to improve patient outcomes. Assumes the responsibility for caring for a group of complex patients requiring an initial assessment and ongoing monitoring of their condition. Nursing care reflects independent assessment, planning, implementation, and evaluation of the patient’s physical, psychological, and sociocultural needs.

In collaboration with members of a health care team, develops and monitors the patient’s clinical pathway depending on patient’s progress. Works closely with physicians and collaborates with nursing and ancillary staff in implementing the patient’s plan of care. Works with Quality Analysis and support services to actively audit the outcome of the caseload.

• Performs initial assessment that assists in development and coordination of plan of care. Establishes a system for coordinating a patient case load throughout home care. Assists and maintains method for tracking patients’ progress.
• Articulates role of Case Manager to patient and/or patient's family, physicians and all others involved in the assigned patient’s care.
• Reviews aggregate variance and determines a path of action.
• Precepts new employees as assigned.
• Assists in the development, review and evaluation of plan of care.
• Explores strategies to reduce length of stays and resource consumption within the case managed populations, implements them, monitors and evaluates the results.
• Works collaboratively with staff.
• Seeks consultation with agency leadership about cases that are presenting problems or have significant variances. Arranges for the continuity of the plan and provides for coverage during long, short, and unexpected absences.
• Establishes a means of communicating to and collaborating with the physicians, appropriate staff members, and other health care professionals involved in the Case Manager’s caseload. Shares/develops assessments, goals, and usual patterns of care for patients involved in the case load.
• Participates in case conferences for ongoing coordination of the patient plan of care.

• Minimum Associate level nursing degree in an accredited program, prefer Bachelor of Science in Nursing
• Minimum one (1) to two (2) years of nursing practice in medical/surgical, acute, critical care, or hospital care required. Experience in a home health or hospice setting preferred.

• Mathematical
  
  Skills:
  
  Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language
  
  Skills:
  
  Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Excellent communication skills, both oral and written, necessary in order to relate effectively with people from a variety of backgrounds and different patient populations.
• Other
  
  Skills and Abilities:
  
  Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Demonstrates clinical competency, evidence of nursing leadership, and coordinates the nursing care of a specific group of patients. Demonstrates competencies in the use of equipment essential in the care of patient age groups as indicated. Understands and integrates clinical information from multiple discharge…