RN Case Manager- Home Health

Job Summary

Home Health and Hospice RN Case Manager assists patients in the home or hospice setting by assessing, planning, implementing, and evaluating clinical care to achieve optimal outcomes.

• Assess, plan, implement, and evaluate patient care for patients of all ages in accordance with service area requirements.
• Develop and update individualized care plans, including age‑specific assessments and documentation.
• Collaborate with interdisciplinary team members, patients, and families to create, adjust, and evaluate care plans.
• Administer and document treatments and medications using electronic medical records and automated computer systems.
• Ensure patient care orders are current, accurate, and evaluated for effectiveness per provider order.
• Provide patient/family (caregiver) education, incorporating it into the care plan.
• Participate in performance improvement activities and advocate for patient rights and support.
• Manage resources, establish priorities, and adapt the environment to meet patient needs.
• Coordinate and conduct certified visits (OASIS, recertification) and implement BIPA/ABN forms or CMS‑directed forms.
• Utilize Mifi device to access and share patient information during visits.
• Perform supervisory duties as required (e.g., LPN or aide orientation).
• Participate in case conferences and management meetings.
• Assist in billing pre‑authorization and financial communication with patients.

• Graduate of an accredited Registered Nurse program.
• Valid RN license in the state of Virginia or an approved compact state.
• Valid driver’s license, automobile insurance, and personal vehicle for home visits.
• Experience:
  
  None required.
• Keyboarding skills for electronic medical records and automated systems.
• Strong critical thinking and prioritization skills, with knowledge of life‑span growth and development.
• Ability to interpret CHCS, Carilion Clinic policies, and related laws and regulations.
• Ability to work in a fast‑paced, patient‑care environment.

• Comprehensive medical, dental, & vision benefits.
• Employer‑funded pension plan, voluntary 403B.
• Paid Time Off (accrued from day one).
• On‑site fitness and wellness programs.
• Health and wellness app via Virgin Pulse.
• Childcare discounts and continued education and training.
• Supportive leadership, inter‑professional teams, state‑of‑the‑art technology, and career advancement opportunities.

Carilion Clinic is an Equal Opportunity Employer. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a drug‑free workplace.