RN Case Manager- Home Health

Employment Status

Full time

Day (United States of America)

1615 Franklin Rd - Roanoke

R156524 RN Case Manager
- Home Health (Open)

Make the most of your clinical skills at an organization that has earned numerous awards for clinical excellence. Based in Roanoke, Virginia, our community‑based healthcare network encompasses seven hospitals including a U.S. News & World Report Top 10 Hospital and two Magnet®‑designated hospitals multi‑specialty physician practices, and affiliations with prestigious academic medical institutions. We inspire optimal health through compassionate care, medical education and research, and neighborhood outreach.

Realize the advantages of joining a regional healthcare leader, including supportive leadership, inter‑professional teams, state‑of‑the‑art technology, innovative learning and training, and advancement potential.

• Collaboration:
  
  Working together with purpose to achieve shared goals.
• Commitment:
  Unwavering in our quest for exceptional quality and service.
• Compassion:
  Putting heart into everything we do.
• Courage:
  Doing what’s right for our patients without question.
• Curiosity:
  Fostering creativity and innovation in our pursuit of excellence.

The Home Health and Hospice RN Case Manager assesses, plans, implements, and evaluates patient care to achieve optimum outcomes for patients as appropriate to service area. Age‑specific assessments are completed and documented to develop a personalized plan of care. Utilizes delegation and critical thinking skills to provide quality service through a team‑oriented, collaborative approach.

Home Health setting. Company equipment. Mileage Reimbursement. Sign on bonus eligible.

• Assess, plan, implement, and evaluate patient care to achieve optimum patient outcomes for all ages.
• Understand Hospice concept of care and the complex issues related to caring for the terminally ill. Provide competent, compassionate care in a variety of settings.
• Complete age‑specific admission and ongoing assessments, document and use them to develop a plan of care.
• Collaborate with health‑care team, patient, and family to develop, implement, and evaluate an age‑specific interdisciplinary plan. Revise plan according to changes in patient status.
• Administer and document treatments and medications using electronic medical records.
• Ensure patient care orders are current, accurate, implemented, and evaluated for effectiveness per provider order.
• Identify patient/family educational needs, incorporate education into the plan of care, and document.
• Contribute to Carilion Clinic’s performance improvement activities.
• Advocate for patient, protect patient’s rights, and provide psychological/social/cultural support.
• Plan, coordinate, and provide clinical care to promote positive outcomes, safety during vulnerable transition periods, and uphold a culture of patient‑centered care.
• Exhibit clinical expertise in rapidly changing circumstances.
• Plan strategies to prevent avoidable re‑hospitalizations, reduce length of stay, turnaround time, resource consumption and improve patient outcomes.
• Seek direction from supervisor as needed to affect best possible outcome for patients served.
• Manage resources, establish priorities, and modify environment to meet patient care needs.
• Complete manager/director predetermined projects within specified time frame and according to pre‑established guidelines.
• Facilitate resolution for patient and work situations.
• Provide orientation to new employees, as required.
• Supervise LPN as required per regulatory guidelines, requiring additional caseload numbers for RN/LPN team.
• Maintain case management worksheet up to date.
• Manage case conferences on assigned patients.
• Supervise Home Health Aides and evaluations, as required.
• Ensure visit frequencies reflect orders and are evidence‑based practice.
• Collaborate with centralized scheduling for appropriate adjustments to visit frequencies.
• Collaborate with billing to ensure pre‑authorization is secured and patient financial obligations communicated.
• Perform skilled visits, including OASIS visits as needed. Preferably perform…