Home Health RN Case Manager
Posted Updated
Occupational Summary:
Work independently with groups of clients to provide initial and on-going assessment of the client’s skilled needs. Implement individual plans of care and make referrals to others disciplines and /or revise the plan, as necessary. Provide ongoing consultation and education for patient/family member regarding all aspects of care. Communicate and collaborate with family /caregivers and other professionals involved in the care of the client. Supervise Licensed Practical Nurses and Home Health Aides. Reports to the Home Health Manager.
DUTIES AND RESPONSIBILITIES
- Complete initial and ongoing comprehensive assessments of the client’s needs, including initiating the plan of care and revising as necessary
- Provide skilled nursing care services and/or treatments requiring substantial and specialized nursing skill, including intravenous fluids and medications, urinary catheterization, and complex wound care
- Counsel the client and family in meeting nursing and related needs
- Initiate appropriate preventive and rehabilitative nursing procedures
- Prepare clinical and progress notes
- Coordinate services involved in client’s care
- Make referrals to other services as needed
- Inform the physician and other staff of changes in the client’s needs
- Evaluate outcomes of care and complete the OASIS assessment accurately
- Supervise LPN/LVNs and Home Health Aides providing services
- Assign home health aides to a specific patient
- Participate in in-service programs
- Participates in quarterly chart reviews
- Plan for the discharge from service
- On-call and Holiday hours determined by Home Health Clinical Manager.
- Other job duties as assigned