Home Health RN Case Manager

Join our Home Health Agency. We're offering a $5,000 onboarding bonus for registered nurses who join our team, as a token of our appreciation for your dedication and expertise. Apply today to start your rewarding career with us
How does competitive pay, over 3 weeks' vacation accrual in first year and a great benefit package sound to you?

UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community- based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health Care Direct. UW Health Care Direct is dedicated to providing home health care services in the Dane County area, ensuring the highest quality of care for the community.

Benefits Include:

Health, Dental, and Vision coverage - Competitive premiums
401K matching - we match 100% on the first 3% you contribute and then match 50% on the next 2% you contribute
Employee Assistance Program - A great resource when facing different situations in life Confidential
PTO - Generous PTO 10.46 hours accrued biweekly for a fulltime position (80 hours per pay period)
Flex Spending Account
Dependent Care
Short Term Disability - Employer Paid
Long Term Disability - Employer Paid
Basic Life Insurance & AD&D - Employer Paid
Voluntary Life Insurance
Benefits take effect the first day of the following month you are hired 401k eligibility starts one month after all other benefits

POSITION SUMMARY

The Nurse Case Manager coordinates and directs the patient’s care based on individual patient needs. This position is responsible for independent management of the Home Health patient population requiring the use of advanced assessment, teaching and decision-making skills. The nurse is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant knowledge and experience are consistently applied to new patient populations.

The Nurse Case Manager cares for a caseload of home health patients by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician. They will educate patients, families, caregivers, and community providers to safely perform care. They provide follow up by evaluating effectiveness of the home care plan, and monitoring patient/family’s response to the plan. Each Nurse Case Manager belongs to a geographically organized work team. The Nurse Case Manager also identifies performance improvement and home health standard of care initiatives, assists to design or implement programs to address needed changes.

The Nurse Case Manager has knowledge of home care regulations and third-party reimbursement as it impacts the delivery of services. This position will have on-call responsibilities and requires travel.

*Rate dependent upon Nursing experience and education*

TECHNICAL RESPONSIBILITIES

Performs comprehensive assessments of physical, functional, psychosocial, and cognitive status of the home care patient utilizing interview observations and physical exam techniques.
Provides ongoing nursing assessment with the patient, family, and home environment to determine physiologic or psychosocial risk.
Plans with the patient, family and physician for care which is feasible within the physical, financial, and functional resources of the family.
Establishes individualized, measurable goals in consultation with the patient, family, and other health care providers.
Anticipates home health needs and seeks a wide range of community resources to facilitate meeting patient needs.
Utilizes home health standards and regulatory guidelines in developing an individualized care plan with each patient and family.
Provides skilled nursing care, preventative rehabilitative procedures, and prescribed treatments with a variety of patient populations within various potentially complex home situations.
Maintains technical skills according to agency standards, as measured by capability assessments during orientation and annually.
Implements safe, competent care with home health patients and families within the Home Health Agency’s policies, procedures, and standards of care.
Sets priorities of home health caseload, adapting to the changing needs of the home health patients and families.
Works collaboratively with the inter-disciplinary team and multiple community resources to best meet the needs with the home health patient and family.
Evaluates patient’s responses to care based on a regular assessment and analysis of nursing intervention and alternatives for nursing service.
Facilitates and participates in formal and informal interdisciplinary care conferences to address the needs of regarding complex patients.
Exhibits sound nursing judgment and decision-making skills in coordinating patient care.
Ensures that the home health patient and family demonstrate the knowledge and abilities regarding home health rights and responsibilities, diagnosis, health care status, treatment, skills, medication regime, advance directives, and adaptive behaviors gained as a result of teaching interventions.
Maintains an updated clinical record on each patient at all times, meeting required regulatory deadlines for documentation of certification, re-certification, aide supervision reports, aide care plan updates, routine recording of case coordination, care plan updates, addressing progress toward goals, and verbal orders.
Acts as a resource person on clinical problems for other personnel caring with home care patients.
Acts as a role model for professional nursing and allied health students, accompanying them on home visits as assigned.
Fosters the professional development of self, clinicians, and other home health staff.
Maintains productivity according to agency standards after first 3 months of employment.
Participates in and assists in the ongoing development of home health policies, procedures, standards of care and documentation systems.
Initiates interdisciplinary collaboration to positively impact the outcomes of health care provided to patients and their families in the community.
Addresses concerns or complaints voiced by patients, families, caregivers, or other internal and external customers, and notifies supervisor/manager.
Involves the patient and family in the plan of care, incorporating their cultural, spiritual, and other belief systems.
Recognizes the importance of respecting individual patient and family choices regarding care and treatment options.
Assists leadership in identifying potential clinical practice issues and contributes to the development of specific plans to improve home health patient outcomes.

JOB REQUIREMENTS

Licenses:

Required registration as a professional nurse in the State of Wisconsin

Education:

Bachelor’s degree in Nursing preferred

Experience:

Minimum one-year relevant medical surgical clinical nursing experience required.
Recent, relevant experience in a Medicare-certified home health agency as a case-manager, primary nurse, or BSN student preferred.
Experience using home health medical record software applications such as Epic Remote Client preferred.
Current IV Therapy skills, with knowledge of venous access devices and ambulatory pumps.
Experience in teaching self-care skills to patients and families.

Miscellaneous:

Valid driver’s license and current car insurance.
CPR certification required.
Knowledge regarding quality improvement and home health standards of care.
Knowledge regarding the impact of acute and chronic illness on the lives of patients and families in the community.
Functions with a high degree of independence.
Collaborates with other disciplines to provide care.
Has excellent interpersonal and group process skills.

Learn more about UW Health Care Direct on our Career Site: UW Health Care Direct - UW Health - Remarkable Careers

Mission Statement: As healthcare providers, we expect to be the best at what we do and do what is right every time. We hold ourselves accountable to safety, service, and compassion. Through these values, we strive to make a difference in the lives of our patients and employees.

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