RN Case Manager Home Health Baylor-Weekends

2 days ago

Roanoke, Virginia, United States CenterWell Full time
About the Role

We are seeking a skilled and compassionate RN Case Manager to join our Home Health team at Baylor. As a key member of our care team, you will provide high-quality patient care and support to patients in their homes.

Responsibilities
  • Provide admission, case management, and follow-up skilled nursing visits for home health patients.
  • Administer on-going care and case management for each patient, providing necessary follow-up as directed by the Clinical Manager.
  • Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.
  • Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.
  • Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
  • Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers).
  • Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis.
  • Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.
  • Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides, and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care.
  • Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.
  • Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
Requirements
  • Diploma, Associate, or Bachelor Degree in Nursing
  • A minimum of one year of nursing experience preferred
  • Strong med surg, ICU, ER, acute experience
  • Home Health experience is a plus
  • Current and unrestricted Registered Nurse licensure
  • Current CPR certification
  • Strong organizational and communication skills
  • A valid driver's license, auto insurance, and reliable transportation are required
About CenterWell Home Health

CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery, or hospitalization.

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover, and regain their independence so they can live healthier and happier lives.

About CenterWell

CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth-largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional, and social wellness of our patients.

We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities, and company.

By providing flexible scheduling options, clinical certifications, leadership development programs, and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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