Home Health RN Case Manager

3 weeks ago

Tulsa OK, United States CompleteOk Full time

CompleteOK is seeking a (Home Health) RN Case Manager to join our awesome team in Tulsa(*Cleveland Area, Claremore Area, North Tulsa Area, South Tulsa Area*) Job Type*: Full-Time
*Flexible Schedules
* Medical, dental, and vision packages
* An opportunity to be a change agent in your community and much more
\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*
_Complete is the trusted family owned and operated post-acute care partner for hospitals, physicians, and families nationwide. Whether home health or hospice care to long-term acute care and community-based services, we are the standard for high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems throughout Oklahoma, Texas, and Colorado have partnered with Complete to deliver patient-centered care in the home. Families, hospitals, physicians and communities choose Complete, because we are __*Neighbors Caring for Neighbors*__._
*The Home Health *RN Case Manager (Registered Nurse)* is responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.
· Demonstrates knowledge of home care and competency in discipline specific patient care skills, required by the care center for the provision of patient care.
· Performs patient comprehensive assessments and collaborates with patient multi-disciplinary care team (PT, OT, ST, MSW, and paraprofessionals) and other health care professionals to
o develop/modify and implement an individualized patient plan of care as per physician orders that ensures quality, proper discharge planning and achieves desired outcomes and goals.
· Implements appropriate nursing clinical programs and initiatives to achieve desired outcomes.
· Provides clinical episode management according to Complete processes including oversight of patient's individualized plan of care and care plan changes as deemed necessary by patient's status or physician's ordered care.
· Utilizes a combination of agency resources and nationally recognized standards of practice to deliver high quality care and achieve excellent patient specific outcomes.
· Makes referrals to other disciplines as indicated by the patient's identified needs or documents rationale for not doing so.
· Promotes and maintains patient health and independence through teaching and appropriate rehabilitative measures, assisting patients in learning appropriate self-care techniques.
· Advocates and ensures patient participation in care planning and goals of care.
· Supervises caseload including LPN's and Home Health Aides. Facilitates care coordination with PRN staff when care is provided for caseload.
· Completes documentation timely, accurately, and at the point of care, according to industry standards, conventions and guidelines, including OASIS assessments, SOC/Admissions, Recertification, ABNs, subsequent visits, physician orders, care coordination etc.
· Helps to achieve and maintain continuity of patient care by communicating information (for example, changes in plan of care, new orders, lab results, etc.) timely, effectively and systematically with all team members providing care for the patient including PT, OT, ST, MSW, paraprofessionals, physicians, family members and community resources. Facilitates interdisciplinary communication and follow up through care coordination on assigned caseload for duration that patients are on service.
· Remains knowledgeable of organization's quality improvement programs, participates in agency performance improvement initiatives and incorporates into patient care planning as appropriate.
· Demonstrates competency in skills for required patient care. Initiates, plans and provides staff education, and performs competency and skills validation for care team staff, such as LPN's, HHA's and RN visit staff.
· Utilizes a combination of care center resources and recognizes standards of practice to achieve positive clinical and training outcomes.
· Utilizes accepted Complete teaching materials for clinician and patient/family education.
· Stays informed of industry knowledge and nursing best practice standards.
· Minimum of 1-year clinical nursing experience
Home Health care experience *preferred*
*Equal Opportunity Employer* – vets, disability.
\*\*\* Must be fully vaccinated or be willing to complete full vaccination by date of hire and proof of vaccination will be required. If permitted by state law, the company will consider requests for religious or medical exemptions. \*\*\*
Job Type: Full-time
00 per hour
Dental insurance
* Employee assistance program
* Health insurance
* Mileage reimbursement
* Retirement plan
* Monday to Friday
Nursing: 1 year (Required)
* Home health: Willingness to travel:
*

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