Registered Nurse; RN Case Manager - Home Care

Job Title: Registered Nurse Case Manager I
Department: INT Central Monroe
Location: Rochester Regional Health Home Care - 330 Monroe Avenue, Rochester, NY 14607
Hours Per Week: 40
Schedule: Monday-Friday, 8:30 AM - 5:00 PM
Sign-On Bonus
: $20,000

The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time. This involves the assessment of patient and family needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and supervises Private Duty Nurses (PDN) as applicable.

• Conducts comprehensive assessments to identify and prioritize patient health needs, developing interdisciplinary care plans in collaboration with the care team.
• Coordinates and manages patient care, including complex cases, ensuring services are timely, effective, and aligned with the plan of care.
• Maintains accurate documentation, communicates status changes promptly, and initiates appropriate interventions.
• Supervises LPNs and home health aides, arranges additional services as needed, and supports safe discharge planning.
• Participates in quality improvement activities, attends required meetings, and adheres to agency standards and regulatory guidelines.
• Demonstrates integrity, protects patient privacy, and supports Rochester Regional Health’s mission and values.
• Participates in on-call and weekend/holiday schedules as assigned.

• Manages larger and more complex caseloads with effective service utilization and independent decision-making.
• Acts as a mentor and informal leader, providing guidance and support to peers and new staff.
• Offers process improvement ideas, participates in problem-solving, and consistently achieves positive audit outcomes.
• Serves as a clinical role model, collaborating across teams to enhance patient and community health.

• Level I:
  Diploma or Associate’s Degree in Nursing required
• Level II – requires similar qualifications as level I, plus: A minimum of 2 years of home care experience.
• Registered Nurse license in New York State.
• Valid NYS Driver’s License.

• 1 year of nursing experience preferred.
• Prior home health, clinical and direct patient care experience preferred.
• Ability to work independently.
• Demonstration of solid interpersonal, organizational and time management skills.
• Proficient computer skills.
• Must be able to document clinical notes and assessments within an electronic medical record.
• Ability to travel to and from required locations as needed to perform the essential responsibilities of the job.

• Requires similar qualifications as level I, plus:
• Understands when to elevate to management.

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects;
Requires frequent walking, standing or squatting.

$77,983.00 - $