Job Summary: The RN Case Manager is responsible to provide, coordinate, and monitor the health care services of agency clients. Ensures the safe delivery of quality care and regulatory requirements are met.

Responsibility: Provide and monitor quality care.

Tasks:

• Follow State and Federal regulations and agency policies and procedures.
• Provide coordination of client care to ensure continuity and quality care.
• Assess new admissions, transfers, and current clients to ensure proper services are in place.
• Monitor all health changes of clients.
• Communicate changes in client’s health to their doctor, family, and other appropriate personnel.
• Assist with the scheduling of clients to Home Health Aides and Homemaker staff.
• Review documentation of Home Health Aides and Homemakers.
• Supervises Home Health Aides and Homemakers and complete supervisory visit documentation as required. Give feedback to the Home Health Aide and Homemaker as needed.
• Follow infection control guidelines to prevent the spread of disease and infection.
• Provide assistance to Home Health Aides and Homemakers in new or difficult situations.
• Select appropriate client for Telemonitoring. Use and monitor results from Telemonitoring system.

Responsibility: Appropriately and safely perform procedures and treatments as ordered by Physician.

Tasks:

• Procedures and treatments include but not limited to:
• Medication set-up and administration.
• Dressing changes.
• Catheterizations and catheter care.
• Colostomy care.
• Tube feedings.
• IV administration and site care.
• Vital Signs.
• Respiratory therapy including nebulizer treatments.
• Blood glucose monitoring.
• Blood draws.

Responsibility: Perform all documentation with accuracy and timeliness.

Tasks:

• Complete necessary paperwork for admissions, transfers, deaths, and discharges.
• Complete all required assessments.
• Document each visit in CareFacts.
• Complete Comprehensive and OASIS assessment in CareFacts when required.
• Complete 485s and physician orders in CareFacts as required.
• Complete Home Health Aide and Homemaker Care Plans prior to the initiation of those services.
• Complete Communication Log after communications with client, family, health care providers, or staff.

Responsibility: Provide on-call nursing services on rotating basis when office is closed.

Tasks:

• Carry on-call cell phone at all times.
• Respond to calls received, assess the situation, and provide direction.
• Document all phone calls.
• Perform Skilled Nursing Visits as needed.

Responsibility: Marketing agency services

Tasks:

• Present self in a professional manner.
• Take referral as needed.
• As opportunities arise, promote agency services to discharge planners, physicians, potential clients/families, and the general public.