Carilion Clinic·Hardy, Virginia
The RN Case Manager manages individualized nursing care for patients of all ages in home health and hospice settings. Responsibilities include performing assessments, implementing care plans, and supervising LPNs and Home Health Aides.
Employment status: Full time
SHIFT: Weekends Only (United States of America)
35 Medical Ct - Hardy
The RN Case Manager, Home Health and Hospice manages nursing care and provision of individualized care for patients of all ages. Utilizes delegation and critical thinking skills to provide quality service through a team oriented, collaborative approach to patient care. Assesses, plans, implements, and evaluates patient care in order to achieve optimum patient outcomes for patients of all ages as appropriate to service area.Age specific admission and ongoing assessments are completed, documented and used to develop a plan of care.
The RN Case Manager, Home Health. Weekends. Company equipment. Mileage reimbursement.
Assumes primary accountability for managing nursing care and providing individualized care for patients of all ages.
Assesses, plans, implements, and evaluates patient care to achieve optimum outcomes.
Completes and documents age-specific admission and ongoing assessments to support the plan of care.
Collaborates with the health care team, patient, and family to develop, implement, and revise the interdisciplinary plan of care.
Administers and documents treatments and medications using electronic medical record systems.
Ensures patient care orders are current, accurate, implemented, and evaluated for effectiveness.
Identifies, implements, and documents patient and caregiver education needs.
Promotes patient safety, patient-centered care, and positive outcomes during transitions of care.
Serves as a patient advocate and supports patients’ psychological, social, and cultural needs.
Applies knowledge of growth and development to care for assigned patients.
Utilizes clinical expertise in rapidly changing circumstances.
Plans strategies to prevent avoidable rehospitalizations, reduce resource use, and improve patient outcomes.
Manages resources, establishes priorities, and seeks supervisory direction as needed.
Uses problem-solving skills to resolve patient care and staff issues.
Participates in performance improvement activities and assigned projects.
Assists with providing orientation to new employees and serves as a clinical role model.
Manages all aspects of assigned patient care, including case conferences and care coordination.
Supervises LPNs and Home Health Aides as required by regulatory guidelines.
Maintains accurate and current case management documentation.
Ensures visit frequencies reflect provider orders and evidence-based practice.
Collaborates with scheduling, billing, and other departments to support care coordination, authorization, and communication of patient financial obligations.
Performs skilled visits, including OASIS and recertification visits, as needed.
Coordinates required forms, including BIPA, ABN, HHABN, or other forms required by CMS or agency policy.
Securely uses electronic devices to access, transfer, and synchronize information to support communication and continuity of care.
Coordinates hospice patient and family care in collaboration with the hospice interdisciplinary team, Medical Director, and attending physician.
Utilizes understanding of hospice care concepts and issues related to caring for terminally ill patients.
Provides competent, compassionate care in a variety of settings.
Complies with hospice policies and procedures.
Participates in special hospice events, such as grief camps and memorial services.
Graduate of accredited Registered Nurse Program.
Experience: none
Currently licensed as Registered Nurse in the state of Virginia or approved compact state. Must have valid driver’s license, automobile insurance, and personal vehicle for making home visits.
Keyboarding skills required for automated computer systems, including electronic medical records.Demonstrates knowledge of the principles of life span growth and development and assesses data reflective of the patient’s status.Interprets the appropriate information needed to identify each patient’s requirements relative to his or her age specific needs and provides care according to departmental policies and procedures. Work involves application of advanced knowledge and skills of patient care.Strong critical thinking skills are necessary and needed to interpret laws and regulations related to CHCS and Carilion Clinic. Work is performed in a patient care environment and is often fast paced, requiring use of prioritization skills. Applies knowledge of growth and development to appropriately care for patients served.
This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
$33.52 - $50.28
Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.
cdfitzgerald@carilionclinic.org
For more information, contact the HR Service Center at 1-800-599-2537.
https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies [https://url.us.m.mimecastprotect.com/s/yHozCW69Owt979DAi6lTYx?domain=carilionclinic.org]
Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.
Candidates must be a graduate of an accredited Registered Nurse program and hold a current RN license in Virginia or a compact state. A valid driver's license, personal vehicle, and basic keyboarding skills are also required.
Market context
In Virginia, RN case manager roles in home health are commonly tied to ongoing demand for nurses who can coordinate care across patients’ homes, providers, and families. These positions are competitive because they require both clinical judgment and reliable field logistics, including a Virginia or compact-state RN license, a valid driver’s license, auto insurance, and a personal vehicle. Review the AI-summarized requirements and benefits here to save time, then confirm your license status and transportation readiness before applying.
