U.S. Medical Management

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RN Case Manager

at U.S. Medical Management

Posted: 5/23/2019
Job Reference #: 1046908
Keywords: patient, health

Job Description

RN Case Manager

Department:Pinnacle Senior Care
Location:Mentor, OH
Company:Pinnacle Senior Care

RN Case Manager 

Pinnacle Senior Care, a CHAP accredited leader in skilled home health is leading the way into the future with its dynamic chronic care home health model. Pinnacle Senior Care is a partner of US Medical Management and owned by a Fortune 250 company.  

WE OFFER:

  •  Competitive Salary
  •  Generous Annual Bonus
  •  Comprehensive Benefits Package
  •  401K
  •  Cell Phone Stipend
  •  Mileage Reimbursement  

Position Description

Under the general supervision of the Clinical Supervisor/Clinical Manager, the RN - Case Manager provides intermittent skilled nursing services; communicates the patient’s progress with other disciplines and directs, supervises and instructs non-professional home health aide staff in the provision of personal care to the patient.

Essential Duties and responsibilities

  • Under the physician’s order, admits patients eligible for home care services within 24-48 hours
  • Assess and evaluates patient needs/problems, identifies mutually agreed upon goals with patients
  • Reports patient status and need for other disciplines to agency Clinical Supervisor and referring physician
  • Reports to assigned follow-up Clinician as indicated
  • Develops patient care plan that specifically addresses identified patient problems; patient problems and goals
  • Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or at recertification
  • Completed admission paperwork and patient care plan submitted to Clinical Supervisor per agency policy following the admission including completed and signed admission checklist
  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient Plan of Care
  • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
  • Reports significant findings to patient’s physician and Clinical Supervisor as they occur
  • Submits completed skilled nursing visit notes; communication notes and home health aide supervisory notes per agency policy on designated days as requested by Clinical Supervisor
  • Submits change orders per agency policy
  • Performs all OASIS time point assessment per Medicare Criteria and submits recertification paperwork per agency policy and procedure
  • Maintains open lines of communications to all members of the continuum of care team.
  • Supervises Home Health Aide and license and documents per Medicare criteria and per agency policy and procedure
  • Acts as a preceptor in the orientation of new nursing staff as requested
  • Attends staff meetings, team conferences and educational in-services per agency requirements
  • Participates in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon request
  • Participates in discharge planning process Medicare Criteria and agency policy and procedure
  • Follows agency policies and procedures
  • Performs these and all other duties as assigned by the Administrator
  • Able to lift 40 pounds from floor to shoulder
  • Repetitive walking, standing, sitting, bending, and use of hands
  • Able to drive a car 2-4 hours per day

REQUIRED Knowledge, Skills and Experience

  • Current unencumbered State Professional Nurse License
  • Automobile to be used for work, current driver’s license, good driving record and proof of insurance
  • The ability to make sound professional clinical judgment
  • The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs
  • Proficient clinical skills
  • Excellent verbal and written communication skills
  • Proficiency in personal computer use, including e-mail, clinical, word processing, spreadsheet and presentation software

Preferred Knowledge, Skills and Experience

  • One year of experience as a home care professional nurse and is competent in performing home care comprehensive assessment

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