Rn Home Health Case Manager

Home Health RN Administrative Nurse
Must have one year home health experience Bilingual a plus Essential Job Functions/Responsibilities
Responsible for in office work with policy and procedures, Title 22 and CMS regulation for the delivery of home health services. Must be knowledgeable and comfortable working with State and Joint commission. Follow up and audit RN in field Start of care, follow up with doctors and insurance companies as needed.
Responsible for continuous review of all aspects of every patient on his/her caseload to include: appropriate utilization of services; ensuring continued skilled need; monitoring of homebound status.
Review of documentation in the medical record; maintenance of interdisciplinary communication and discharge planning.
Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es). Admits to appropriate level of service/ care.
Uses health assessment data to determine nursing diagnosis.
Initiates the plan of care and makes necessary revisions as patient status and needs change.
Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions.
Includes the patient and the family in the planning process.
Regularly re-evaluates patient nursing needs.
Counsels the patient and family in meeting nursing and related needs.
Provides health care instructions to the patient as appropriate per assessment and plan.
Provides supervision of LVN's and home health aides per CHAP standard and regulatory requirements.
Responsible to reassess the patient within 24 hours following a change in condition or discharge from an inpatient setting.
Case manager should be the first RN to visit the patient status post hospitalization; updates the plan of care.
Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
We work with Medicare and other private insurances to be able to provide care to patients from 3 yrs. and up, who are homebound and requiring intermittent visits. Our patients vary according to diagnosis, so we hire the most experienced, professional, and compassionate staff. You will be responsible for managing a heavy caseload, so time management skills are essential. However, it is important to provide each patient with the time and attention necessary to meet his or her needs. If you enjoy working as part of a healthcare team, please submit your resume
Clinical Setting:

• Home Care

Specialty:

• Home Health