Nurse Case Manager

Principle Choice Home Healthcare

Principle Choice Home Health partners with patients and families to provide comprehensive care in a compassionate atmosphere. We make a difference in our clients' lives by bringing hope, health, and healing in the place that matters most - home. We deliver exceptional care to our clients and their families that consistently exceeds expectations, while at the same time fostering a culture and environment that provides our team members with an incredible work experience. Principle Choice is Different: Compassion - We deliver compassionate care by attentively listening to our clients' needs, addressing all concerns, and providing emotional support and empathy during each step in their care. Advocacy - We advocate for our clients by empowering them to be an active partner in their care and ensuring all treatment options are thoroughly explained, leaving our clients with the confidence to make well-informed decisions.

Position Purpose

Under the supervision of the Director of Clinical Services, the Nurse Case Manager is responsible for the case management of assigned patients in accordance with the agency policies and all applicable laws and relevant professional standards. The (Registered) Nurse Case Manager plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. This position may also require field nurse coverage at the direction of the Nurse Administrator.

Organization

This is an Exempt position that reports to the Director of Clinical Services.

Essential Functions

• Performs comprehensive subjective and objective assessment of the patient status that includes physical, psychosocial, and environmental parameters.
• Ensures compliance with federal/state regulations governing home health care services by following policy and procedure consistent with agency standards.
• Formulates individualized plan of care that incorporates analysis of assessment data.
• Provides skilled interventions aimed at achieving realistic outcomes within a specified time period.
• Modifies and updates plan of care to reflect progress toward outcomes.
• Assures thorough and accurate documentation with all clinical data including but not limited to; admission through discharge, OASIS, HCFA 485, physician's orders, skilled nursing visits, and changes in conditions.
• Consistently demonstrates competency with technical nursing skills according to the legal scope of practice.
• Maintains data collection, recording, and reporting systems to ensure proper service, data collection, and measurement of outcomes.
• Implements teaching specific to patient and family needs and evaluates and modifies as needed.
• Participates in in-service education programs as required by state law.
• Will assist with quarterly clinical record reviews.
• Appropriately documents all applicable data in the patient's medical record.
• Ensures the maintenance and confidentiality of patient records.
• Submits documentation timely and per agency policy.
• Maintains productivity standards as established by the corporate office.
• Plans, directs, and participates in delivery of professional services to home care patients.
• Identifies patients who are appropriate for care conferences.
• Focuses services toward diagnosis-specific patient care needs.
• Seeks consultant expertise with the Administrator as needed to ensure agency growth.
• Other duties as assigned.

Knowledge & Experience

• Graduate of accredited registered nurse program.
• Current state licensure in Oklahoma and in good standing per state requirements.
• Current Basic Cardiac Life Support (BCLS) required.
• Current Advanced Cardiac Life Support (ACLS) preferred.
• Certified Rehabilitation Registered Nurse (CRRN) preferred.
• 1-2 years recent Home Health nursing experience.
• Active Oklahoma drivers license.
• Current car insurance and registration.
• Reliable transportation.
• Medical knowledge, patience, compassion, kindness, critical thinking skills, knowledge of infection control practices, stamina, and physical endurance, observational skills, knowledge of occupational hazards and safety rules, communication skills, leadership, empathy.
• Must be a U.S. citizen; work sponsorship is not available.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work requires moderately heavy physical exertion on a regular and recurring basis such as: extensive driving, assisting patient in transfer activities (wheelchair, to bed, to tub, to commode) and providing substantial support to individuals in ambulation. While performing the duties of this job, the employee is regularly required to use hands to finger, to handle or feel, and talk or hear. The employee frequently is required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee is occasionally required to sit. The employee must occasionally lift and/or move over 100 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Machines & Equipment

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as a copier.

Working Conditions

The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job. General office, patient home setting, exposure to infectious diseases, automobile. Security and privacy training will be provided as part of this role to protect the confidentiality, integrity, and availability of PCS' associate and customer data.