RN Home Health Case Manager - Fulltime or PRN ($7000 hire-on bonus for FT) in Tecumseh

Job Title
RN Home Health Case Manager

Location
Johnson County Hospital, Tecumseh, NE

Department
Home Health Administration

Reports To
Home Health Director

Position Summary
Performs duties under general medical/nursing supervision and direction of the patient's provider and Home Health Director. Performs Case Management duties and develops the 485 Plan of Care. Conducts home visits to provide Home Health services according to the written Plan of Care and complies with CMS regulatory requirements. Partners with the Home Health Director, LPNs, Physical, Occupational and Speech Therapists, and HHAs to review and facilitate the Care Plan, patient treatments, and discharge plans, and maintains compliance with CMS and JCHH regulatory processes.

Duties & Responsibilities

Liaison between patient, family/caregiver, Home Health Director and physicians.

Assists with weekend patient care coverage as designated by the Director of Home Health.

Admits new patients by reviewing records, co‑morbidities and past history, conducting the Admission Assessment interview and a physical assessment (Medicare Walk); determining the need for therapeutic medical intervention, psycho‑social and psychiatric evaluations, reviewing therapist evaluations, treatment objectives and plans to develop a comprehensive 485 Plan of Care.

Provides routine care for patients including head‑to‑toe assessments, vitals and mental health evaluations as prescribed by the provider.

Establishes treatment interventions including setting schedules and routines; coordinating services being provided, arranging resources, including transportation if needed.

Intervenes for any patient with a change in condition, including physician notification, orders and team notification the same day.

Monitors patient progress, communicates that progress or need of changes when leading Case Conference reporting and/or scheduling Patient Care conferences as needed for assigned case load.

Maintains patients’ records with accurate and timely completion of all required documentation for his/her patient census.

Regularly reviews Home Health team’s routine notes; communicating concerns or needed updates as identified by the review.

Works toward timely discharge of patients and facilitates discharge plans with prudent utilization of resources by the team; orienting and training family members/caregivers and providing outside resources as needed.

Participates in Agency Chart auditing as directed.

Improves staff competence by providing educational resources; balancing work requirements with learning opportunities, evaluating the application of learning to changes in treatment results.

Partners with Home Health director to improve treatment results by studying, evaluating and re‑designing processes; implementing changes in patient care process.

Provides health education to patients, caregivers, and the community at large.

Meets budget by ensuring appropriate diagnoses when creating the Plan of Care, monitoring expenses of supplies, considering utilization of visits at time of admission, and assisting with implementing cost‑saving actions when identified.

Works with Home Health Director to aid in ongoing updates of patient status and progress toward goals.

Assists Physicians and Registered Nurses with care and treatments ordered.

Communicates interventions and goals with patients and their family members or caregivers as prescribed by the Plan of Care.

Administers oral and injectable medications if needed or ordered, monitors for refills, reconciles medications with each visit. Reports any inconsistencies or changes to the provider the same day.

Performs standard diagnostic procedures including phlebotomy/venipuncture or other lab requests able to be completed in the home.

Provides wound care and skin management.

Monitors, changes, and provides care for catheters or appliances including PICC line care and dressing changes, LVAD care/dressing changes, Pleur‑evac, Ostomy, ileostomy, Foley, Suprapubic, IV infusions and other skilled treatments as ordered by the provider.

Is capable of interpreting guidelines to determine the payment mode of the patient.

Works with the Home Health Director to aid in continued updates of quality of care.

Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.

Enhances department and organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Has knowledge of the state laws governing the scope of nursing practice.

Works with area hospitals, nursing homes and physicians regarding discharge planning as needed.

Keeps current in all changes to OASIS and Coding guidelines.

Performs any other duties as deemed necessary by the Home Health Director.

Qualifications & Skills

Licensure as a Professional Registered Nurse in the State of Nebraska, completes necessary CEU's and maintains an unencumbered license.

Employed by the Johnson County Home Health (JCHH) a service provided to the area and surrounding communities by the Johnson County Hospital (JCH).

BLS Certification.

1‑2 years recent nursing experience.

3+ years customer service experience, preferably in human services and demonstrates a commitment to customer service.

Professional or personal experience supporting individuals with disabilities, mental illnesses, or challenging behaviors highly valued.

Maintains a private vehicle and has insurance coverage for self‑transportation for home visits.

Compassion, patience, kindness, empathy and creating a safe effective work and care environment.

Health promotion and maintenance.

Medical knowledge and understanding of pathophysiology.

Nursing skills, nursing process.

Observational skills.

Critical thinking skills.

Knowledge of infection control practices.

Ability to analyze information.

Research skills.

Strong decision‑making skills.

Excellent people skills and ability to relate to all cultures, behaviors individuals or different educational backgrounds.

Strong conflict resolution skills.

Verbal and written communication skills.

Strong leadership and management skills.

Integrity.

Benefits We Offer

Competitive wages

Comprehensive health, dental, and vision insurance

Retirement savings plan

Professional development opportunities

A supportive and collaborative work environment

Paid time off

Sick pay

Why Join Us?
At Johnson County Hospital, we value our team and foster a supportive environment where you can make a difference in the lives of our patients and their families.

If you are interested in applying for this job please press the Apply Button and follow the application process. Good luck in your next career move.

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