Registered Nurse Case Manager

Description

Livingston Memorial is looking for a Full Time Registered Nurse, 32-40 hours a week to support our Home Health team. Must be able to work 1 weekend a month.

We are proud to announce that Livingston Memorial’s Hospice Program has earned a 5-STAR RATING from Medicare — the highest possible score — making us the ONLY 5-star nonprofit hospice agency in Ventura County, and one of only 11- five-star hospices in all of California!

Come be a part of a company whose mission for the last 78 years is to deliver the highest quality, compassionate in-home healthcare and support services to Ventura County residents!

Join LMVNA’s compassionate team as a Registered Nurse (RN) delivering skilled nursing care in patients’ homes. This is a rewarding opportunity for RNs who thrive in an independent, patient-centered environment. You’ll care for individuals with a wide range of medical needs — from routine to complex — and make a meaningful impact by helping them reach their highest level of independence.

• Conduct comprehensive nursing assessments (including OASIS) at SOC, ROC, discharge, and other milestones
• Develop and maintain individualized, patient-centered care plans
• Administer medication management and reconciliation
• Educate patients and caregivers to support independence
• Obtain timely physician orders and ensure proper documentation
• Case manage patients, coordinating care across interdisciplinary teams
• Communicate effectively with physicians, supervisors, and care teams
• Supervise LVNs and Home Health Aides (CHHAs)
• Ensure regulatory compliance with Medicare notices (HHABN, NOMNC)
• Participate in quality improvement and training initiatives
• Accurately report hours, mileage, and maintain documentation standards

Serve as a role model and preceptor as needed Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient's response to care, updates the care plan and makes referrals to internal and external resources to meet patient's needs.

• Develops and implements an individualized teaching plan for the patient and family/ caregiver with a goal of assisting the patient in reaching the highest level of independence possible.
• Timely obtains physician orders for necessary care and services.
• Case manages assigned patients ensuring continuity of care and efficient and effective utilization of resources to ensure patient goals and desired outcomes are met.
• Communicates timely and effectively with physicians, Case Managers, Directors, Supervisors and appropriate members of the interdisciplinary team regarding changes in the patient's condition, plan of care, needs and goals.
• Ensures clinical documentation is complete, accurate, professional and submitted to LMVNA within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Presents assigned patients at care conferences.
• Proactively ensures patients have correct supplies.
• Supervises LVNs and CHHAs. Ensures a current CHHA plan of care is on record and available to the CHHA. Makes CHHA supervisory visits at least every two weeks.
• Collaborates with LVNs on patient care and concerns as related to patients the RN case manages.
• Ensures that all required notices are provided to the patient or patient's legal representative timely and in compliance with regulations. These include, but are not limited to:
  Home Health Advance Benefit Notices (HHABN) and Notices of Medicare Non-Coverage (NOMNC).
• Collaborates with the team to ensure prior authorizations are completed prior to visits in accordance with policy.
• Monitors case communication follow up notes, e-mails and work basket items and takes appropriate action in a timely fashion.
• Meets LMVNA productivity expectations.
• Works weekends and holiday rotations as assigned.
• Accurately and timely records and reports hours worked and mileage, as required by state regulations.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to LMVNA policy and procedure.
• Actively participates in quality improvement, in‑services and other activities as requested or required.
• May serve as Preceptor to RNs and/or LVNs.
• A…