RN Field Case Manager

at  Hope at Home Health Care

We are looking for a compassionate RN to join our growing team! The right candidate has a can-do attitude, a friendly demeanor, excellent interpersonal skills, and the ability to provide medical support to our clients in their homes.

QUALIFICATIONS:

• Graduate of an approved school of professional nursing and currently licensed in the state of Michigan
• One year of nursing experience
• Kinnser - EMR experience preferred
• Home Healthcare experience preferred
• Experience in wound vac, PICC line and mediport care, preferred
• Pediatric experience, desired

• Provides services in accordance with the plan of care.
• Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs.
• Initiates the plan of care and necessary revisions.
• Provides those services requiring substantial specialized nursing skills.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients in a timely manner as per Agency policy.
• Coordinates services.
• Inform personnel of changes in the condition and needs of the patient.
• Counsels the patient and family/significant others in meeting nursing and related needs.
• Participates in and presents in-service programs.
• Understands and adheres to established Agency policies and procedures.
• Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
• Determines the amount and type of nursing needed by each individual patient.
• Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.
• Supervises and teaches other nursing personnel.
• Conducts patient care conferences on patients assigned to his/her care.
• Participates in peer review and performance improvement as assigned.
• Participates in utilization review of medical records as assigned.
• Gives total patient care as needed.
• Takes on-call duty nights, weekends and holidays, as assigned.
• Completes and submits OASIS assessments, reassessments, transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.