RN Case Manager Home Health - North Fulton County

Wellstar Health System
Marietta, GA, United States
Full-time
We are sorry. The job offer you are looking for is no longer available.

Facility : 1800 Parkway Center

Job Summary

The North Fulton RN Case Manager is responsible for providing and supervising primary care to approximately 25-35 patients in their home setting ( This position will be providing care in patient homes ).

This includes age appropriate interventions that meet physical, emotional, developmental, psychosocial and educational needs.

The RN Case Manager is responsible for the coordination of all disciplines throughout the episode of care. The RN Case Manager communicates with all team members including RNs, LPNs, Therapists, Social Workers, Home Health Aides, the Physician, patient, family, and other internal or external individuals to ensure that the patient's plan of care is appropriately developed, implemented and that goals are met.

The RN Case Manager supervises the LPNs and Home Health Aides throughout the patient plan of care. The RN Case Manager participates with leadership to develop and implement processes to continue improvement with patient and agency outcomes.

Core Responsibilities And Essential Functions

DIRECT PATIENT CARE

  • Assesses, coordinates with other disciplines and manages patient’s total needs, following physician’s orders, using the nursing process
  • Develops patient’s plan of care coordinating with other disciplines
  • Manages patient from admission through recerts to discharge and appropriately scheduling visits per physician’s order : adjust frequency as needed, based on patient clinical status and MD order
  • Performs routine and complex nursing procedures to meet the need of the patient 30% COORDINATION OF SERVICES FOR EPISODE OF CARE
  • Revises the plan of care based on patient need within physician orders, coordinating with other disciplines to ensure goals are met to achieve positive outcomes prior to discharge
  • Supervises LPNs and Home Health Aides throughout the continuum of care.
  • Develops and supervises the care plan provided to the Home Health Aides
  • Reviews Plan of Care for patients with the Manager Home Health and other team members and support services
  • Maintains communication with physician reporting any changes that may affect the patient’s recovery 20% PATIENT / CAREGIVER EDUCATION Provides patient / caregiver education to develop and encourage self care to achieve positive outcomes Utilizes both verbal and written tools to facilitate learning and promotion of independence during recovery Be aware and report concerns to authorities or agency leadership on any issues that affect patient or staff safety 15% STAFF EDUCATION AND PROFESSIONAL DEVELOPMENT
  • Participates in the orientation and education of new employees as appropriate
  • Responsible for attending continuing education and in-services as directed and needed
  • Responsible to remain current in clinical knowledge for the care of the home health patient
  • Receives training, supervision or direction from leadership as needed 5% COMMUNICATION
  • Communicates patient status changes and lab results to the physician as appropriate .
  • Participates in care team conferences
  • Responsible for checking voice mail box and staff messaging a minimum of once daily 10% REGULATORY GUIDELINES
  • Demonstrates knowledge and appropriate application of CMS / State, and Joint Commission regulatory guidelines.
  • Responsible for accurate completion of required OASIS and visit documentation in the patient’s EMR
  • Completes all documentation within established timeframes 10% SUPPORTS AND PARTICIPATES IN PERFORMANCE IMPROVEMENT ACTIVITIES
  • Participates in department performance improvement activities (i.e. chart review, committees, etc.).
  • Participates in system-wide committees as requested.
  • Identifies methods for improving department performance / care.
  • Assists in implementing performance improvement opportunities 5% OTHER RESPONSIBILITIES
  • Meets established productivity standards
  • Weekend and call rotation as required
  • Perform other duties as assigned by Home Health Leadership 5%

Required Minimum Education

Graduate of an approved school of professional nursing, Required

Required Minimum License(s) And Certification(s)

All certifications are required upon hire unless otherwise stated.

  • Reg Nurse (Single State) or RN - Multi-state Compact
  • Basic Life Support or BLS - Instructor

Additional License(s) And Certification(s)

Required Minimum Experience :

Minimum 1 Year Of Medical / Surgical Nursing Required And

Home Health, and ICU experience Preferred and

Must possess extremely strong critical care nursing skills.

Required

Required Minimum Skills :

Strong Critical Care Assessment And Clinical Skills Required.

Positive leadership, problem solving skills, strong organizational and time management skills.

Strong communication (written and verbal) skills.

Ability to write and follow directions to patient’s homes.

Use of Windows based computer, utilizing home health patient software, email, internet, computer based learning modules, etc.

Good understanding of home health operations, reimbursement, law and regulatory processes.

OASIS knowledge preferred.

22 days ago
Related jobs
Promoted
Optum
Atlanta, Georgia
Remote

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. They perform as part of a care team including the ability to refer to a Nurse Practitioner, Behavioral Health Case Manager, Care Navigator and other supporting team members...

Promoted
Pentech Healthcare
Smyrna, Georgia

Pentec Health is hiring a home health infusion Registered Nurse in Canton, GA. Patient visits may be outside the home, in hospitals, clinics or other settings, thus a. Pentec Health provides a comprehensive compensation and full benefits package. Benefits include but are not limited to: medical, den...

Promoted
Quality Talent Group
Kennesaw, Georgia

About the job RN Home Health Infusion Care. Pentec Health is hiring a home health infusion Registered Nurse in Canton, GA. Patient visits may be outside the home, in hospitals, clinics or other settings, thus a. Pentec Health provides a comprehensive compensation and full benefits package. ...

Promoted
One Medical
Decatur, Georgia

Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employe...

Promoted
Aveanna Healthcare
Douglasville, Georgia

Experience in Home Health Therapy and completion of OASIS documentation. Aveanna Healthcare has grown tremendously during the past year through a series of exciting acquisitions and we are currently looking for a. In this position, you make it possible for patients to recuperate from illness or inju...

Promoted
Pentech Healthcare
Atlanta, Georgia

Pentec Health is hiring a home health infusion Registered Nurse in Canton, GA. Patient visits may be outside the home, in hospitals, clinics or other settings, thus a. Pentec Health provides a comprehensive compensation and full benefits package. Benefits include but are not limited to: medical, den...

Interim HealthCare
Austell, Georgia

Interim HealthCare of Atlanta, GA is seeking a full time Home Care Registered Nurse (RN) to join our West Cobb County team. At Interim HealthCare®, these are just a few of the rewards you’ll enjoy as a Home Health RN. Home Health Registered Nurse (RN). Founded in 1966, Interim HealthCare is the nati...

CenterWell Home Health
Alpharetta, Georgia

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Coordinate appropriate care, encompassing various healthcare personnel (such as Physical...

Host Healthcare
Atlanta, Georgia

Host Healthcare is an award-winning travel healthcare company with an immediate opening for this. ...

HealthEcareers - Client
Sandy Springs, Georgia

Skyline Med Staff Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Atlanta, Georgia. Posted job title: RN:Home Health,07:00:00-15:00:00. Skyline Med Staff Home Health Job ID #28419576. About Skyline Med Staff Home Health. ...