RN Case Manager- Heath

Job Title:

RN Case Manager - Home Health

Employment Status: Full time

Shift: Day (United States of America)

Facility: 100 Spotswood Dr - Lexington CP01 Carilion Medical Center.

Requisition Number: R152450 RN Case Manager - Home Health (Open)

How You'll Help Transform Healthcare: 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.

Based in Roanoke, Virginia, we are a regional leader that inspires optimal health through compassionate care, medical education and research, and neighborhood outreach. Realize the advantages of joining and 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.

• Assesses, plans, implements, and evaluates patient care in order to achieve optimum patient outcomes for patients of all ages as appropriate to service area.
• Understands Hospice concept of care and the complex issues related to caring for the terminally ill. Provides competent, compassionate care in a variety of settings.
• Age specific admission and ongoing assessments are completed, documented and used to develop a plan of care.
• Collaborates with other members of the health care team/patient/family to develop, implement, and evaluate an age-specific interdisciplinary plan of care. Revises plan according to changes in patient status.
• Administers and documents treatments and medications for patients utilizing automated computer systems, including electronic medical records.
• Ensures patient care orders are current, accurate, implemented, and evaluated for effectiveness per provider order.
• Identifies patient/family (caregiver) educational needs, incorporates education into the plan of care, and documents.
• Contributes to Carilion Clinic's performance improvement activities.
• Advocates for patient, protector of patient's rights, and provider of psychological/social/cultural support.
• Plans, coordinates, and provides clinical care in a way that promotes positive patient outcomes, promotes safety during vulnerable periods of transition, and upholds a culture of patient centered care.
• Exhibits clinical expertise in rapidly changing circumstances.
• Plans strategies to prevent avoidable re-hospitalizations, reduce length of stay, turnaround time, resource consumption and improve patient outcomes.
• Seeks direction from supervisor as needed in order to affect the best possible outcome for patients served.
• Manages resources, establishes priorities, and modifies environment to meet patient care needs.
• Completes manager/director predetermined projects within specified time frame and according to pre-established guidelines.
• Facilitates resolutions for patient and work situations.
• May provide orientation to new employees.
• May supervise LPN as required per regulatory guidelines. LPN supervision will require additional caseload numbers for RN/LPN team.
• Keeps case management worksheet up to date.
• Manages case conferences on assigned patients.
• May supervise Home Health Aides and evaluations.
• Ensures visit frequencies reflect orders and are appropriate with evidence-based practice.
• Collaborates with centralized scheduling to ensure appropriate adjustments to visit frequencies are made as needed.
• Collaborates with billing to ensure pre-authorization is appropriately secured and patient financial obligations are communicated.
• Performs skilled visits including OASIS visits as needed. "Case Manager" preferably performs recertification visit. Creates new plan of care 485/486.
• Coordinates appropriate provision of BIPA and ABN forms or any others as directed by CMS or agency policy.
• Utilizes Mifi device to access information promoting quality of care and continuity. Mifi is also to be utilized to frequently transfer device to promote hand-off of communication.

Education: Graduate of accredited Registered Nurse Program.

Experience: None.

Licensure/Certification s/Registration: Currently licensed as Registered Nurse in Virginia or an approved compact state. Must have valid driver's license, automobile insurance, and personal vehicle for making home visits.

Other

Minimum Qualifications:

Keyboarding skills required for automated computer systems, including electronic medical records. Demonstrates knowledge of the principles of life span growth and development and…