The Home Health RN Case Manager is responsible for managing a caseload of patients, conducting assessments, establishing care plans, and providing direct patient care. They also communicate with physicians and facilitate discharge planning to ensure continuity of care.
Requirements summary
Candidates must have a Registered Nurse license and an Associate's Degree in Nursing, along with at least 3 years of clinical nursing experience. Strong communication, organizational, and clinical skills are essential, along with the ability to work with diverse patient populations.
Responsibilities: Assumes responsibility for caseloads consisting of patients in specialty areas. Conducts initial assessment to obtain thorough physical, social and environmental data. Establishes the plan of care in accordance with the physician orders and patient needs. Provides direct patient care and adjusts nursing care processes as needed. Identifies problems, modifies nursing care plan, and evaluates outcomes within an appropriate time frame. Advises and consults with family and other personnel, as appropriate. Provides on-going assessment of patient response to treatments and teaching and applies interventions as appropriate. Updates and revises plan of care as indicated. Completes documentation including visit assessment, OASIS, 485 and verbal orders accurately and promptly and within the standards. Communicates with physicians to confirm and update patients' plan of care. Provides status updates and ensures ongoing communication with the physician and other members of the health care team. Facilitates the discharge planning process according to standards and utilizes resources to assure continuity of care after discharge. Participates in developing the discharge plan with the patient/family, physician, social worker, and other staff members as appropriate. Participates in chart audits and continuous quality improvement activities as requested. Identifies, develops and participates in process improvement opportunities that will enhance the quality of the services provided. Maintains and updates accurate clinical and patient records according to agency, state, and federal guidelines. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
Benefits
Dental Insurance
Life Insurance
Paid Parental Leave
Paid Time Off
Health Insurance
Vision Insurance
Educational Assistance
Short-Term Disability
Long-Term Disability
Flexible Spending Accounts
Retirement Plans
Adoption Assistance
Licensure,
Registration, and/or
Certification
Required: Registered Nurse license issued by the state in which the team member practices, and Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required, and A valid drivers license issued by the Division of Motor Vehicles, or Driver license issued by the state of Illinois.
Education
Required: Associate's Degree in Nursing.
Experience
Required: Typically requires 3 years of experience in clinical nursing.
Knowledge,
Skills &
Abilities
Required: Excellent communication skills. Strong interpersonal skills and the ability to work with a variety of clients with patience and respect. Good organizational, analytical and problem solving skills. Demonstrated ability to work well with physicians and other professionals in a direct and positive manner. Proficiency in clinical skills with the ability to work under direction and make sound judgments. Ability to operate the necessary equipment to perform the job, i.e., FAX, computer, copier, telephone system. Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs. Must have a tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families. Must possess and provide proof of a valid Driver License and a registered, functional car with adequate insurance coverage.
Physical
Requirements and
Working
Conditions: Must be capable of the manual dexterity required to use and operate a variety of equipment. Must have the physical ability to move about in confined spaces, including bending, twisting, kneeling, squatting and occasionally reaching one or both arm overhead. Must be able to work safely with people of various sizes and weight with diverse and complex medical conditions and physical limitations. Must be able to sit, stand, walk and climb stairs for limited to prolonged periods of time to complete required paperwork, gain entry to patients’ residences, travel from assigned visits and attend a variety of work related activities. Must have the physical stamina to attend to patient care requirements over a period of three or more hours without complete rest. Must have accurate vision to read gauges and measuring devices and to interpret written instructions. Subject to extreme temperature changes due to weather conditions. Subject to exposure to chemical and hazardous waste and communicable disease.
Must be able to: Lift up to 50 lbs from floor to waist. Lift up to 20 lbs from waist to overhead. Lift and carry up to 40 lbs. at waist height reasonable distance.
Must be able to: Push/pull with 30 lbs. of force. Perform a sliding transfer of 150 lbs. with a second person present. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our
Commitment to
You:
Advocate
Health offers a comprehensive suite of
Total
Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials.
Combined,
Advocate and
Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care
