RN Community Case Manager

2 months ago

Chicago IL United States ChenMed Full time

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social Workers (CSW) and Community Health Coordinator (CHC) who work with our highest complexity patients and their primary care physicians to meet their medical and social needs with the aims of fully engaging them in our intensive primary care model and maximizing their healthy time at home.
The Register Nurse (RN) Community Care Nurse will serve as a clinical lead for a Community Care team. They will coordinate the team’s efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care. This person will perform initial assessments and design comprehensive plans of care for many of these patients. This professional will also provide clinical supervision to other team members in delivering the plan of care and in other tasks necessary to meet their needs and engage them in care. As a clinical leader for the team, this person will also be deeply involved in prioritizing team efforts and may also become the direct supervisor for some team members.
This position adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan).  Main goal to prevent and admission or readmission to the ER/hospital .
  • Provides home visits to perform initial assessment of patient and the development of care plan for the Licensed Practical Nurse (LPN) to use as they perform the follow up patient visits, once patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge with patient.
  • Conducts supervisory visits with License Practical Nurse (LPN) and patient to provide any additional education patient may need and to oversee appropriate patient discharge from case management.
  • Performs clinical and Social determination of Heath screening (SdoH) assessments to  include disease-oriented assessment and monitoring, medication monitoring, health education and self-care instructions in the outpatient in home setting.

Coordinate the Plan of Care:

  • Provides oversight for the License Practical Nurse (LPN) with clear plan of care and education which is mandatory during all LPN visits.
  • Conducts/coordinates initial case management assessment of patients to determine outpatient needs.
  • Ensures individual plan of care reflects patient needs and services available in the community or review of their benefits.
  • Completes individual plan of cares with patients, family/care giver  and care team members.
  • Communicates instructions and methodologies as appropriate to ensure that the plan is implemented correctly.
  • Assesses the environment of care, e.g., safety and security.
  • Assesses the caregiver capacity and willingness to provide care.
  • Assesses patient and caregiver educational needs.
  • Coordinates, reports, documents and follows-up on multidisciplinary team meetings.
  • Helps patients navigate health care systems, connecting them with community resources; orchestrates multiple facets of health care delivery and assists with administrative and logistical tasks.
  • Coordinates the delivery of services to effectively address patient needs.
  • Facilitates and coaches’ patients in using natural supports and mainstream community resources to address supportive needs.
  • Maintains ongoing communication with families, community providers and others as needed to promote the health and well-being of patients.
  • Establishes a supportive and motivational relationship with patients that support patient self-management
  • Monitors the quality, frequency, and appropriateness of HHA visits and other outpatient services.
  • Assists patient and family with access to community/financial resources and refer cases to social worker as appropriate.
  • Home visit under the direction of the patient’s primary care physician to meet urgent patient needed.
  • Performs other duties as assigned and modified at manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
  • Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
  • Critical thinking skills required.
  • Ability to work autonomously is required.
  • Ability to monitor, assess and record patients’ progress and adjust and plan accordingly.
  • Ability to plan, implement and evaluate individual patient care plans.
  • Ability to work as oversight for License Practical Nurse (LPN) for initial assessments, plan of care and supervisory visits including proper discharge of a patient from case management.
  • Knowledge of nursing and case management theory and practice.
  • Knowledge of patient care charts and patient histories.
  • Knowledge of clinical and social services documentation procedures and standards.
  • Knowledge of community health services and social services support agencies and networks.
  • Organizing and coordinating skills.
  • Ability to communicate technical information to non-technical personnel.
  • Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software.
  • Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time.
  • Spoken and written fluency in English. Bilingual a plus.
  • This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA:
  • Associate degree in Nursing required.
  • Bachelor’s Degree in nursing (BSN) or RN with bachelor’s degree in home in a related clinical field preferred.
  • A valid, active Registered Nurse (RN) license in State of employment required.
  • A minimum of 2 years’ clinical work experience required.
  • A minimum of 1 year of case management experience in community case management experience highly desired.
  • This position requires possession and maintenance of a current, valid driver’s license.
  • Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired.

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

Current Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

  • Community Case Manager, RN

    2 weeks ago

    Orlando, FL, United States ChenMed Full time

    Community Case Manager, RNWe're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and...

  • RN Field Case Manager

    4 days ago

    Chicago, Illinois, United States EagleOne Case Management Solutions Full time

    Job SummaryEagleOne Case Management Solutions is seeking a highly skilled Registered Nurse to fill the role of Field Case Manager - Clinical Services Coordinator. This position is responsible for managing a caseload of active field case management files, providing nursing, clinical, and casework services.Key ResponsibilitiesCaseload Management: Manage a...

  • Community Case Manager, RN

    4 weeks ago

    Clearwater, FL, United States ChenMed Full time

    Community Case Manager, RNWe're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and...

  • Travel Nurse RN Case Manager

    24 hours ago

    Washington, DC, United States TotalMed Case Management Staffing Full time

    Job DetailsTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAbout the RoleWe are seeking a Case Manager-Registered Nurse for an assignment.TotalMed Case Management Staffing...

  • RN Community Case Manager

    2 months ago

    Chicago, United States ChenMed Full time

    We’re unique.  You should be, too.We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...

  • RN Case Manager, ED

    1 month ago

    Fresno, CA, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • RN Case Manager, ED

    1 month ago

    Fresno, CA, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • Registered Nurse Case Manager

    1 week ago

    Newburg, OR, United States TotalMed Case Management Staffing Full time

    Position OverviewTotalMed Case Management Staffing is currently seeking a skilled Travel Nurse RN specializing in Case Management.Job Responsibilities & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelDuration: 13 weeksWork Schedule: 40 hours per weekShift: 8 hours, daysAs a Case Manager-Registered Nurse, you will be responsible...

  • Case Manager

    1 week ago

    Daly City, CA, United States Camden Case Management Full time

    The case manager role for Camden Case Management is for an individual that is either an AMFT, MFT trainee or anyone looking to receive hours if needed towards licensure. This role is remote mainly and consists of working closely with a team of experienced mental health professionals who strive to help individuals recover from mh and/or sud.

  • RN Case Manager

    1 month ago

    Homestead, PA, United States Community LIFE Full time

    CURRENTLY OFFERING A $5,000 SIGN ON BONUS FOR THIS POSITION Benefits: 5 Weeks Paid Time Off 7 Paid Holidays Medical, Dental and Vision insurance Life Insurance Long Term Disability Insurance Automatic Contribution to a 403(b) retirement plan Tuition Reimbursement Mileage Reimbursement at the federal rate Uniform Allowance Schedule: Monday -...

  • Registered Nurse

    1 week ago

    Newburg, OR, United States TotalMed Case Management Staffing Full time

    Position OverviewTotalMed Case Management Staffing is in search of a travel nurse RN specializing in Case Management.Job Details & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeksWork Schedule: 40 hours per weekShift: 8 hours, day shiftsEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse for an...

  • RN Case Manager

    3 months ago

    Maywood, IL, United States Loyola University Health System Full time

    Employment Type:Full timeShift:Day ShiftDescription:Great opportunity for a Full Time Inpatient RN Case Manager - weekday shifts with minimal weekend and holiday requirements to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually.We are seeking a RN Case Manager who is dedicated to providing exceptional...

  • RN Case Manager

    2 months ago

    Jacksonville, FL, United States Mayo Clinic Hospital in Florida Full time

    RN Case Manager - Case ManagementWhy Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and...

  • Travel Nurse RN

    2 months ago

    Chicago, IL, United States MedPro Healthcare Staffing Full time

    MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Chicago, Illinois.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 08/12/2024Duration: 13 weeks36 hours per weekShift: 8 hours, daysEmployment Type: TravelMedPro Healthcare Staffing, a Joint Commission-certified staffing...

  • RN Field Case Manager

    2 months ago

    Chicago, United States EagleOne Case Management Solutions Full time

    Job DescriptionQUARTERLY BONUSES!Eagle One Case Management Services, Inc.Job DescriptionJob Title: Registered Nurse Medical Case ManagerReports To: SupervisorDepartment: NursingSummaryProvides nursing, clinical, casework services by performing the following duties:Essential Duties and Job Responsibilities:Effectively manages a caseload of 25-30 active field...

  • RN Field Case Manager

    2 months ago

    Chicago, United States EagleOne Case Management Solutions Full time

    Job DescriptionJob Description+ QUARTERLY BONUSES!Eagle One Case Management Services, Inc.Job DescriptionJob Title: Registered Nurse Medical Case ManagerReports To: SupervisorDepartment: NursingSummary Provides nursing, clinical, casework services by performing the following duties:Essential Duties and Job Responsibilities:Effectively manages a caseload of...

  • Hospice RN Case Manager

    1 week ago

    NEW MELLE, MO, United States Community Loving Care Hospice Full time

    We are hiring for an RN Case Manager in Hospice At Community Loving Care Hospice , in Wentzville, MO , a part of LHC Group , we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You...

  • Pediatric Registered Nurse Coordinator/Case Manager

    1 week ago

    Chicago, United States Community Alternatives Unlimited Full time $82,000 - $85,000

    OVERVIEW:Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.The Nurse Coordinator reports directly to the Director regarding the ongoing operations of his/her caseload. This includes the provision of case management services to eligible recipients and the administrative processing of referrals...

  • Pediatric Registered Nurse Coordinator/Case Manager

    1 week ago

    Chicago, United States Community Alternatives Unlimited Full time

    OVERVIEW:The Nurse Coordinator reports directly to the Director regarding the ongoing operations of his/her caseload. This includes the provision of case management services to eligible recipients and the administrative processing of referrals from the Illinois Department of Human Services, the Illinois Department of Public Health (IDPH) and other referral...

  • RN Case Manager Hospice

    3 months ago

    Hannibal, MO, United States Community Loving Care Hospice Full time

    We are hiring for a Registered Nurse Case Manager in Hospice. This is a Full-Time position. At Community Loving Care Hospice of Bowling Green, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it...