Registered Nurse RN Care Manager Home Health

Job Description

Schedule:

Full Time

Shift: Monday – Friday, 8am – 5pm, flexible, rotating weekends, some call

Location:

The Villages, Lady Lake, Belleview, Summerfield, Marion Oaks, Wildwood, Bushnell, Coleman, and Oxford. Travel required to see patients.

• Evaluates the home environment for safety, infection control, and community resource needs.
• Reviews patient history, physical diagnostics, and laboratory data, and reports abnormal results to the physician. Implements care plans through direct patient care, coordination, delegation, and supervision of healthcare team activities.
• Provides skilled nursing care, preventative rehabilitative procedures, and prescribed treatments in various home situations.
• Uses motivational interviewing and health coaching techniques to engage stakeholders in care management.
• Informs the physician, clinical manager, and healthcare team of changes in the patient’s condition and needs.
• Maintains updated clinical records, meeting documentation deadlines for certification, re‑certification, and care plan updates.
• Provides comprehensive assessment, planning, implementation, and evaluation for a caseload of home patients.
• Optimizes daily schedules to support productivity, efficiency, and best practice visit utilization.
• Assesses physical, functional, psychosocial, cultural, cognitive status, and discharge planning needs of home care patients.
• Formulates patient‑specific care plans with the patient, family, and physician, establishing individualized, realistic, measurable goals.
• Other duties as assigned.

• Functions with a high degree of independence [Required]
• Ability to delegate tasks to appropriate personnel as indicated by skill level and professional standing [Required]
• Strong computer and technology skills [Required]
• A working knowledge of community resources and an ability to refer patients and families appropriately [Preferred]
• Home Care Regulations and Third‑Party Reimbursement as it impacts care delivery [Preferred]
• Current IV Therapy skills [Preferred]

• Associate's of Nursing [Required]
• Bachelor's of Nursing [Preferred]

• N/A

• 1+ relevant clinical nursing experience [Required]
• Recent, relevant experience in a Medicare‑certified home health agency as a case‑manager [Preferred]

• N/A

• Registered Nurse (RN) [Required]
• Driver's License (DL) [Required]
• Auto Insurance (AL) [Required]
• Basic Life Support - CPR Cert (BLS) [Required]
• Certified for Oasis Specialist-Clinical (COSC) [Preferred]

• Physical Requirements -

$31.53 - $52.24

• Benefits from Day One:
  Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well‑being Resources
• Mental Health Resources and Support
• Pet Benefits

This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.