Registered Nurse Case Manager

Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes the responsibility for coordination of care.

Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patients and their families, and a referring agency. Assumes the responsibility for coordination of care.

Job Qualifications:

Education:    Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing

Licensure:       Current State license as a Registered Nurse, current Driver’s License.

Experience:      One year of experience as a Registered Nurse in a clinical care setting required. Home health experience preferred.

Knowledge and Skills:

• Nursing skills as defined as generally accepted standards of practice
• Good interpersonal skills
• Proof of current CPR

Transportation:    Reliable transportation and valid and current driver’s license and auto insurance

Environmental and Working Conditions:

Works in patients’ homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; must have the ability to work a flexible schedule and the ability to travel locally; some exposure to unpleasant weather; PRN emergency call.

Physical and Mental Effort:         Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity.

Essential Functions:

• Completes initial and ongoing assessments to identify the physical, psychosocial, and environmental needs of home health patients/clients . Completes assessments at appropriate time points, including Outcome and Assessment Information Set (OASIS) or other assessments as appropriate to the patient.
• Regularly re-evaluates the patient's/client’s nursing needs and evaluates the outcomes of care.
• Develops, initiates, and revises the plan of care as necessary to ensure quality and continuity of care. Initiates appropriate preventive and rehabilitative nursing procedures. Refers to other services as needed. Plans for the discharge of the patient/client from services.
• Furnishes those services requiring substantial and specialized nursing skill. Counsels the patient/client and their family in meeting nursing and related needs. Uses infection control measures that protect both the staff and the patient (OSHA).
• Coordinates services. Informs the physician and other personnel of changes in the patient's/client’s condition and needs.
• Monitors assigned cases to ensure compliance with requirements of third party payors.
• Prepares clinical and progress notes. Completes appropriate documentation in a timely manner.
• Demonstrates commitment and professional growth by participating in in-service programs and maintaining or improving competency.
• Supervises, teaches and provides clinical direction to other nursing personnel. Assigns home health aides to specific patients. Supervises LPNs/LVNs and paraprofessionals providing services to patients/clients. May only conduct aide competency evaluations if qualified with two years of clinical experience and one year of home health experience.
• Promotes the Agency ‘s philosophy and administrative policies.
• Performs on-call responsibilities and provides on-call services to patients/clients and their families as assigned.

Provides effective communication to patients/clients, their family members, team members, and other health care professionals.

Equal Employment Opportunity:

Traditions Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination of any kind based on race, color, sexual orientation, national origin, disability, genetic information, pregnancy or any other legally protected characteristic.

Traditions Health Mandatory COVID-19 Vaccine Policy:

Pursuant to the CMS Omnibus COVID-19 Health Care Staff Vaccination Final Rule effective February 14, 2022 Traditions Health is required to have policies and procedures in place to ensure all facility staff, regardless of clinical responsibility or resident contact (Home health and hospice employees, Licensed practitioners, Students, trainees, and volunteers; and Individuals who provide care, treatment, or other services for the home health and hospice and/or its patients, under contract or by other arrangement), are either fully vaccinated against COVID-19 or have been granted a qualifying religious or medical exemption. All applicants to whom an offer of employment is made, shall be required, as a condition of employment, to either be fully vaccinated by their start date, or approved for a medical or religious exemption. The policies and procedures specified do not apply to staff who exclusively provide telehealth or telemedicine services, and staff who provide support services for the home health and hospice agencies that are performed exclusively outside of the settings where home health and hospice services are directly provided to patients and who do not have any direct contact with patients, families, and caregivers, and other staff. For questions related to this policy, please contact our talent acquisition team.