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Carilion Clinic

Non-profit health system delivering comprehensive care

RN Case Manager Home Health

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeRadford, VA, USA

About the Job

Requirements

  • Graduate of an accredited Registered Nurse program.
  • Currently licensed as a Registered Nurse in Virginia or an approved compact state.
  • Must have a valid driver’s license, automobile insurance, and a personal vehicle for home visits.
  • Must have keyboarding skills for automated computer systems, including electronic medical records.
  • Must demonstrate knowledge of lifespan growth and development and assess data reflecting patient status.
  • Must interpret information to identify age-specific patient requirements and provide care according to departmental policies and procedures.
  • Must apply advanced patient-care knowledge and skills.
  • Must have critical thinking skills to interpret laws and regulations related to CHCS and Carilion Clinic.
  • Must prioritize work in a fast-paced patient-care environment.

Responsibilities

  • Assume primary accountability for managing nursing care and providing individualized care for patients of all ages.
  • Assess, plan, implement, and evaluate patient care to achieve optimum outcomes.
  • Complete and document age-specific admission and ongoing assessments to support the plan of care.
  • Collaborate with the healthcare team, patient, and family to develop, implement, and revise the interdisciplinary plan of care.
  • Administer and document treatments and medications using electronic medical record systems.
  • Ensure patient-care orders are current, accurate, implemented, and evaluated for effectiveness.
  • Identify, implement, and document patient and caregiver education needs.
  • Promote patient safety, patient-centered care, and positive outcomes during transitions of care.
  • Serve as a patient advocate and support patients’ psychological, social, and cultural needs.
  • Apply knowledge of growth and development to care for assigned patients.
  • Use clinical expertise in rapidly changing circumstances.
  • Plan strategies to prevent avoidable rehospitalizations, reduce resource use, and improve patient outcomes.
  • Manage resources, establish priorities, and seek supervisory direction as needed.
  • Use problem-solving skills to resolve patient-care and staff issues.
  • Participate in performance-improvement activities and assigned projects.
  • Assist with orientation of new employees and serve as a clinical role model.
  • Manage assigned patient care, including case conferences and care coordination.
  • Supervise LPNs and Home Health Aides as required by regulatory guidelines.
  • Maintain accurate and current case-management documentation.
  • Ensure visit frequencies reflect provider orders and evidence-based practice.
  • Collaborate with scheduling, billing, and other departments to support care coordination, authorization, and communication of patient financial obligations.
  • Perform skilled visits, including OASIS and recertification visits, as needed.
  • Coordinate required forms, including BIPA, ABN, HHABN, and other forms required by CMS or agency policy.
  • Securely use electronic devices to access, transfer, and synchronize information to support communication and continuity of care.
  • Coordinate hospice patient and family care with the hospice interdisciplinary team, Medical Director, and attending physician.
  • Use knowledge of hospice care concepts and issues related to caring for terminally ill patients.
  • Provide competent, compassionate care in a variety of settings.
  • Comply with hospice policies and procedures.
  • Participate in special hospice events, such as grief camps and memorial services.
  • Participate in occasional on-call coverage.

About the Company

Carilion Clinic

Non-profit health system delivering comprehensive care

Carilion Clinic is a non-profit health care system in Virginia that serves about one million people through a network of hospitals, outpatient specialty centers, and primary care practices. It delivers care via multi-specialty physician teams that collaborate to put the patient first, aiming to improve outcomes and quality of care while advancing medical education and research. Its approach centers on integrated care across a broad regional network, combined with ongoing teaching and clinical studies. This makes it different from many competitors by pairing patient-focused, outcome-driven care with a strong emphasis on education and research within a nonprofit framework. The company’s goal is to provide high-quality health care, improve patient outcomes, and advance medical knowledge through education and research.

Company size
5,001-10,000
Company stage
Grant
Total funding
$310K
Headquarters
Roanoke, VA
Founded
1976

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