RN Case Manager - Home Visits - Oswego

Role and Responsibilities

The RN Case Manager will administer skilled nursing care to patients requiring professional nursing service. Teach and supervise the family and other members of the nursing team. Perform these services in accordance with the physician’s orders.

• Provide and coordinate quality patient care,maintainafullcaseload,maintain productivity goals with consideration of case mix, and accurate,timely documentation.
• Responsible to manage each patient’s care as efficiently and cost-effectively as possible,to achieve positive patient outcomes regardless of payer.
• Responsible forthe overall planof care and the outcome of that care, including care delivered by other nursing staff (LPN, HHA) who must be directed and supervised by the RNCase Manager.
• Conduct admission and manage care of patient to the agency by:
  • Obtaining a medical history, particularly as it relates to the present condition, from the patient and/or family member(s).
  • Conducting a physical examination of the patient including vital signs, physical assessment, mental status, appetite and type of diet, assessment of ADL, and activity of daily living.
  • Evaluating the patient, family member(s), and home situation todeterminewhat health teaching will be required.
  • Evaluating the patient’s environment todeterminewhatassistancewill be available from family members in caring for the patient.
  • Evaluating the patient’s condition and home situation todetermineif the services of a home health aide will berequiredand the frequency of this service.
  • Interpretingnursingand other services of the agency to patients and families as a part of planning for care.
  • Meeting regulatory requirements and having a comprehensive understanding of various insurances.
  • Practicing accepted nursing standardswithregards to infection control.
  • Develop and implement the nursingcareplan.
• Provideskilled nursing care as outlined in the nursing care plan to include the following:
  • Skilled nursing services, treatments and preventive procedures ordered by the physician.
  • Initiating preventive and rehabilitative nursing procedures as appropriate forthe patient’s care and safety.
  • Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs and changes in the patient’s physical or emotional condition.
  • Teaching, supervising,and counseling the patient and caregiversregardingthe nursing care needs and other related problems of the patient at home.
• Oversee the care given byHome Health Aides  to assigned patients by:
  • Supervising and evaluating the care given by theHome Health Aide .
  • Applying documentation according to standards of nursing practice.
  • Utilizing computer skills foraccuratedocumentation.
  • Document those servicesrenderedto the patient, notechangesin the patient’s condition and/or family and home situation,make revision sin the nursing care plan as needed,record supervisory visits conducted with theHome Health Aide ,evaluate patient care and progress and close charts of discharged patients.
• Other duties as assigned.

This job description reflects management’s assignment of essential functions; and nothing in thishereinrestricts management’s right to assign or reassign duties and responsibilities to this job at any time.

• Associate’s degree in Nursing required;
  Bachelor’s degree in Nursing preferred.

• Current, validRN license issued by NYS Department of Education required.
• Minimum one year home care experience preferred.
• Knowledge of State and Federal regulations, payer guidelines
• Must possess the following skills:
  • Excellent communication and critical thinking skills.
  • Flexible and organized.
  • Ability and desire to serve as a role model.

The RN Case Manager is primarily ina…