RN Case Manager Home Care

Job Description

Job Description

• TITLE OF POSITION : RN Case Manager / Clinical Care Manager
• TITLE OF IMMEDIATE SUPERVISOR : Supervisor of Clinical Services

DUTIES OF POSITION

To provide nursing care in accordance with the client’s plan of care to include comprehensive health and psychosocial evaluation, monitoring of the client’s condition, health promotion and prevention coordination of services, teaching and training activities and direct nursing care.

POSITION RESPONSIBILITES

1. RN Coordinates total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the client’s condition, promoting sound preventative practices, coordinating services and teaching and training activities.

2. RN Evaluates the effectiveness of nursing service to the patient and family

3. RN Consults with the attending physician concerning alterations of Patient Care Plans, checks with the appropriate supervisor and makes changes as appropriate.

4. RN Submits clinical notes, progress notes and other clinical record forms outlining the services rendered WEEKLY .

5. RN Submits a timesheet of patient care visits made WEEKLY.

6. RN Participates in case conferences, discusses with the supervisor problems concerning the patients and how they may best be handled.

7. RN Discusses with the appropriate supervisor the need for the involvement of other members of the health team such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the

Occupational Therapist, The Medical Social Worker, etc.

8. RN Obtains orders for paraprofessional service and submits a referral to the appropriate personnel.

9. RN Participates in the patient’s discharge planning process.

10. Cooperates with other agencies providing nursing or related services to provide continuity of care and to implement a comprehensive care plan.

11. RN Participates in staff development meetings.

12. RN Continually strives to improve his / her nursing care skills by attending in-service, education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individuals research and reading.

13. RN Participates in the development and periodic revision of the physician’s Plan of Treatment and processes changed orders as needed.

14. RN Maintains and on-going knowledge of current drug therapy.

15. RN May be requested by the Supervisor of Clinical Services to fill in for the other nurses.

PROVIDES SKILLED NURSING CARE AS OUTLINED IN THE NURSING CARE PLAN

1. Nursing services, treatments and preventative procedures requiring substantial specialized skill and ordered by the physician.

2. The initiation of preventative and rehabilitative nursing procedures as appropriate for the patient’s care and safety.

3. Observing signs and symptoms and reporting to the physician reactions to treatments, including drugs, as well as changes in the patient’s physical or emotional condition.

4. Teaching, supervising and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home.

ASSUMES RESPONSIBILITY FOR THE CARE GIVEN BY THE HOME HEALTH AIDE / LPN

1. RN Supervises and evaluates the care given by the Home Health Aide as needed.

2. RN Participates in periodic conferences with the Home Health Aide supervisor concerning the Aide’s performance.

3. RN Charts those services rendered to the patient by the staff nurse and changes that have been noted in the patient’s condition and / or family and home situation, makes revisions in the nursing care plan as needed, records supervisory visits conducted with the Home Health Aide, evaluates the patient care and progress and closes charts of discharged patients.

4. RN Evaluates the effectiveness of her nursing service to the individual and family.

5. RN Consults with the attending physician concerning alterations of the plan of treatment in consultation with the supervisor.

6. RN Discusses with the supervisor problems concerning the patients and possible resolution.

7. RN Obtains orders for paraprofessional service and submits referral to appropriate personnel.

8. RN Provides guidance and supervision to the LPN.

9. RN Coordinates total patient care.

JOB CONDITIONS

1. RN Must have a valid driver’s license and be willing and able to drive to the client’s residence.

2. The ability to access clients’ homes which may not be routinely wheelchair accessible is required. Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the client’s condition and to perform and demonstrate client care.

3. Physical activities will include, walking, sitting, stooping, and standing and minimal to maximum lifting of clients and the turning of clients.

4. The ability to communicate both verbally and in writing is required as frequent communication

All Pointe HomeCare LLC. by telephone and in writing is involved.

EQUIPMENT OPERATION

Thermometer, B / P cuff, glucometer, penlight, hand washing materials, pulse, oxygen

QUALIFICATIONS

1. Must be a graduate from an accredited School of Nursing.

2. Must be licensed in the State as a Registered Nurse.

3. Must have one or more years experience in a clinical setting.

4. Must have knowledge of Medicare and Medicaid guidelines.

5. Must have a working knowledge of home health care and the principles and techniques of professional nursing are required documentation that pertains to it.

6. Should be skillful in organization and in the principles of time management and have knowledge of management processes.

7. Must be able to contribute to the quality of care being rendered through constructive communication with nursing managers and staff.