Nurse Case Manager

Who We Are

Principle Choice Home Health partners with patients and families to provide comprehensive care in a compassionate atmosphere. We make a difference in our clients' lives by bringing hope, health and healing in the place that matters most—home. We deliver exceptional care to our clients and their families that consistently exceeds expectations, while at the same time fostering a culture and environment that provides our team members with an incredible work experience.

Compassion—We deliver compassionate care by attentively listening to our clients' needs, addressing all concerns, and providing emotional support and empathy during each step in their care.

Advocacy—We advocate for our clients by empowering them to be an active partner in their care and ensuring all treatment options are thoroughly explained, leaving our clients with the confidence to make well‑informed decisions.

Under the supervision of the Director of Clinical Services, the Nurse Case Manager is responsible for the case management of assigned patients in accordance with the agency policies, applicable laws, and relevant professional standards. The (Registered) Nurse Case Manager plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education and experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

This position may also require field nurse coverage at the direction of the Nurse Administrator.

This is an Exempt position that reports to the Director of Clinical Services.

• Performs comprehensive subjective and objective assessment of the patient status that includes physical, psychosocial, and environmental parameters.
• Ensures compliance with federal/state regulations governing home health care services by following policy and procedure consistent with agency standards.
• Formulates individualized plan of care that incorporates analysis of assessment data.
• Provides skilled interventions aimed at achieving realistic outcomes within a specified time period.
• Modifies and updates plan of care to reflect progress toward outcomes.
• Assures thorough and accurate documentation with all clinical data, including but not limited to admission through discharge, OASIS, HCFA 485, physician's orders, skilled nursing visits and changes in conditions.
• Consistently demonstrates competency with technical nursing skills according to the legal scope of practice.
• Maintains data collection, recording, and reporting systems to ensure proper service, data collection, and measurement of outcomes.
• Implements teaching specific to patient and family needs and evaluates and modifies as needed.
• Participates in in‑service education programs as required by state law.
• Assists with quarterly clinical record reviews.
• Appropriately documents all applicable data in the patient's medical record.
• Ensures the maintenance and confidentiality of patient records.
• Submits documentation timely and per agency policy.
• Maintains productivity standards as established by the corporate office.
• Plans, directs, and participates in delivery of professional services to home‑care patients.
• Identifies patients who are appropriate for care conferences.
• Focuses services toward diagnosis‑specific patient care needs.
• Seeks consultant expertise with the Administrator as needed to ensure agency growth.
• Other duties as assigned.

• Graduate of accredited registered nurse program.
• Current state licensure in Oklahoma and in good standing per state requirements.
• Current Basic Cardiac Life Support (BCLS) required.
• Current Advanced Cardiac Life Support (ACLS) preferred.
• Certified Rehabilitation Registered Nurse (CRRN) preferred.
• 1–2 years recent home‑health nursing experience.
• Active Oklahoma driver’s license.
• Current car insurance and registration.
• Reliable transportation.
• Medical knowledge, patience, compassion, kindness, critical thinking skills, knowledge of infection control practices, stamina, physical endurance, observational…