Responsibilities
The RN Case Manager administers skilled nursing care to patients requiring professional nursing service. The RN Case Manager teaches and supervises the family and other members of the nursing team. The RN Case Manager performs these services in accordance with the physician’s orders.
Essential Functions
Provide and coordinate quality patient care, maintain a full case load, maintain productivity goals with consideration of case mix, and accurate, timely documentation.
Responsible to manage each patient’s care as efficiently and cost‑effectively as possible, to achieve positive patient outcomes regardless of payer.
Responsible for the overall plan of care and the outcome of that care, including care delivered by other nursing staff (LPN, HHA) who must be directed and supervised by the RN Case Manager.
Conduct admission and manage care of patient to the agency by obtaining a medical history, performing a physical examination, and evaluating the patient and family member(s) and home situation to determine health teaching and assistance requirements.
Interpret nursing and other services of the agency to patients and families as part of planning for care.
Meet regulatory requirements and have a comprehensive understanding of various insurances.
Practice accepted nursing standards with regards to infection control.
Develop and implement the nursing care plan and provide skilled nursing care as outlined in the nursing care plan to include the following: skilled nursing services, treatments and preventive procedures ordered by the physician; initiating preventive and rehabilitative nursing procedures as appropriate for the patient’s care and safety; observing signs and symptoms and reporting to the physician; teaching, supervising, and counseling the patient and caregivers regarding the nursing care needs and other related problems of the patient at home.
Oversee the care given by home health aides to assigned patients by supervising and evaluating the care given by the home health aides; applying documentation according to standards of nursing practice; documenting services rendered; making revisions in the nursing care plan as needed; evaluating patient care and progress and closing charts of discharged patients.
Other duties as assigned.
Education Requirements
Associate's degree in nursing required.
Bachelor’s degree in nursing preferred.
Qualifications and Requirements
Current, valid RN license issued by NYS Department of Education required.
Minimum one year home care experience.
Knowledge of State and Federal regulations, payer guidelines.
Must possess the following skills: excellent communication and critical thinking skills; flexible and organized; ability and desire to serve as a role model.
Working Conditions
The RN Case Manager is primarily in a non‑office setting and may be exposed to outdoor conditions. The working conditions are classified as medium work: Medium work – Exerting up to 50 of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Medium work involves sitting and standing.
Physical Requirements
Stand
Sit
Hear
Walk
Talk
Stoop or kneel
Repetitive motion
Other
This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed as assigned.