RN Case Manager Home Health
Wellstar Health Systems

Job Info

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Overview

The RN Case Manager Home Health is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association.

• Schedule:PRN
• Shift: Shift
• Level: 6+ years of experience
  

Success Profile
Find out what it takes to succeed as a RN Case Manager Home Health:

• Collaborative
• Time Efficient
• Organized
• Critical Thinker
• Attention to Detail
• Compassionate

Benefits that Reflect Your Contributions

• Your Pay
  A compensation program designed for fair and equitable pay.
  
• Your Future
  Secure your future with plans that also include an employer match. Plans and guidance for the future.
  
• Your Wellness
  Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!.
  
• Your Joy
  Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust.
  

Job Details

Facility: 1800 Parkway Center
Job Summary: The RN Case Manager is responsible for providing and supervising primary care to approximately 25-35 patients in their home setting. 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.

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Mission, Vision & Values
At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.

Our Mission
To enhance the health and well-being of every person we serve.

Our Vision
Deliver worldclass health care to every person, every time.

Our Values

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  We serve with compassion
  
  
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  We pursue excellence
  
  
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  We honor every voice
  
  

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