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Case Manager

OneWell Health Care
Full-time
On-site
Bluffton, South Carolina, United States
5 days ago Be among the first 25 applicants

Direct message the job poster from OneWell Health Care

OneWell Health Care is the largest national community-based organization dedicated to advocating for and supporting individuals with intellectual and developmental disabilities (I/DD) and their families. With over 50 state and local affiliates across the country, we ensure that people with I/DD and their families receive the necessary services and supports for full inclusion in their communities. Our mission is to promote and protect the human rights of people with I/DD and support their participation in all aspects of society.

This position is responsible for the direct and/or indirect care of patients assigned utilizing professional nursing skills and knowledge. Analyzes the health status of the individuals and families in determining nursing care needs, identifies goals and plans for nursing care. The position is responsible for ensuring quality service is delivered to patients. The position supervises all RNs, LPNs within their territory and provides second tier-problem solving and complaint resolution. In this position, you will maintain high standards of ethics and integrity, including good communication, confidentiality, compliance with laws and company policies, and professional conduct.

PRIMARY RESPONSIBILITIES

The RN Case Manager evaluates the effectiveness of the quality of nursing care provided.

The RN Case Manager collects complete and ongoing data to determine nursing care needs.

The RN Case Manager will participate in the development of an appropriate individualized care plan based on age, cultural and spiritual values.

The RN Case Manager will complete the initial Patient assessment when necessary.

The RN Case Manager will document assessment/reassessment, plan, interventions, and outcomes.

Adheres to infection control standards.

Follows clinical policies.

Knowledgeable in abuse recognition and referral. The RN Case Manager will act to safeguard the patient from incompetent, abusive or illegal practice of any individual.

The RN Case Manager will participate in the development, revision and implementation of policies and procedures designed to ensure comfort and safety of patients in collaboration with other health care personnel.

Ensures that patients receive quality care and that they are satisfied with the services they receive. Resolves client complaints and problems, documents issues, and enters incident reports into Enterprise Incident Management (EIM) as necessary.

Facilitates a team-based approach to program supports and services while practicing open communication and respecting diversity.

Communicates regularly with management, providing status and activity reports as agreed. Participates in staff meetings, agency sponsored in‑services and team meetings as directed.

Completes all required reports and documentation.

Assists with the development and implementation of the individual's goals and objectives as outlined in the Individual Support Plan (ISP). Assists the patient with attaining goals in order to have positive outcomes as described in the individual’s ISP.

Develops and oversees a team of RNs/LPNs. Develops the schedule indicating which patients must be visited and when, ensuring that the necessary follow up with patients is occurring as expected.

Provides training and orientation to new team members; Develops appropriate care plans for patients; Monitors compliance with rules, policies, and regulations; Manages time tracking and approves time‑off; Communicates expectations and delivers constructive feedback.

Keeps abreast of relevant trends, rules, and regulations in the industry. Makes recommendations to management for changes and improvements to enhance services or efficiency. Communicates required changes to RN/LPN team.

Provide overall supervision and administration of Home and Community Based Services (HCBS), including program development, implementation, and evaluation. Coordinate all personnel activities, including the hiring, orientation, training, supervision and evaluation of program employees and consultants.

Supervise and coordinate all aspects of programming, including preadmission and intake procedures, admission, and compliance with HCBS plan requirements.

Resolve issues/complaints on behalf of individuals on IDD waivers to ensure satisfaction with PAHM.

Responds effectively in emergency situations so that the client’s immediate needs are addressed.

Responds to emergency calls if/when they occur to ensure the safety of the individual. Provides coverage in emergency and/or crisis situations.

Monitor patients’ progress and service delivery through on‑site visits and data collection.

Travels to and participates in monthly team meetings, ISP meetings, Annual Review Updates, and other team meetings, as necessary.

Respects the autonomy and right to confidentiality of all patients and families.

Advocates for changes in service(s) as necessary.

Performs all duties in an ethical manner and in compliance with local, State and Federal laws, Medicare/Medicaid regulations and established personnel policies and procedures, including confidentiality and HIPAA guidelines.

Assists in scheduling of RN/LPNs for each participant to ensure appropriate coverage for each patient.

Performs other job‑related duties as may be assigned.

TRAINING

Upon hire, all employees will be required to complete the mandatory in‑service training related to the following topics:

Identification and Prevention of Abuse and Neglect and Exploitation of an individual.

Recognizing, Reporting and Investigating Critical Incidents

Participant Complaint Resolution

Quality Management Plan

Handling Medical and Behavioral Emergencies

Infection Control and Standard Precautions

Tuberculosis

Health Insurance Portability and Accountability Act

Department Policy on intellectual disability principles and values.

Training to meet the needs of an individual as identified in the ISP

Grievance Procedures

Department Issued Policies and Procedures

Accurate charting and documentation of service delivery.

Additional Training Topics will include:

Dysphagia

Prevention of Falls

Driver Safety

Individualized patient specific nursing policies and procedures

COMPETENCIES

Knowledge and Experience: Current Licensed Practical Nurse and Completion of an accredited, state‑approved practical nursing program is required.

Personal accountability: Exercises good health and personal hygiene practices. Demonstrates awareness of one’s own behavior and its impact on others. Maintains excellent attendance, including traveling to participant’s site in all weather conditions. Performs tasks in an efficient and cost‑effective manner.

Interpersonal Skills: Maintains a professional attitude and demeanor and communicates effectively. Relates courteously and cooperatively with participants, caregivers, colleagues, supervisors, coworkers, and all others. Demonstrates optimism, enthusiasm, and willingness to work constructively with other home care team members and demonstrates respect and concern for the well‑being of participants and others.

PHYSICAL DEMANDS

a) This position requires the employee to work in a variety of environments (housing styles, cleaning and maintenance, heating, and cooling) during visits to participants in their place of residence.

b) Requires the ability to ambulate throughout a participant’s home, navigating stairs and other physical barriers typical to private residences.

c) Must be able to deal effectively with stress.

d) Travel: In‑Home and Community Based Services (HCBS) require the participant to actively participate in community activities. Therefore, all Program Specialists must possess a valid driver’s license, have clean driving history, and have access to a vehicle that is registered and insured.

e) Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

f) See attached Physical Requirements Form.

PRE‑EMPTARY EMPLOYMENT CHECKS

References from previous employers and/or professional peers.

Successful clearance of criminal, child line, and motor vehicle record checks.

Minimum age requirement of 18 years.

Seniority level

Mid‑Senior level

Employment type

Full‑time

Job function

Other

Hospitals and Health Care

Location & Salary
Bluffton, SC $63,500.00‑$83,000.00 6 days ago

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