Field-Based RN Case Manager

2 weeks ago


Carrollton, Texas, United States All Star Home Health Services Inc Full time
Job Overview

Position: Registered Nurse, Home Health

This role involves working in the community, providing care in patients' residences. Flexibility in scheduling and local travel is essential.

Key Responsibilities:
  • Conducts initial and ongoing evaluations to determine the physical, psychological, and environmental needs of patients.
  • Performs assessments at designated intervals, including Outcome (OASIS E).
  • Regularly reassesses nursing needs and evaluates care outcomes.
  • Develops and updates individualized care plans.
  • Initiates necessary preventive and rehabilitative nursing actions.
  • Refers patients to additional services as required.
  • Educates patients and their caregivers.
  • Plans for patient discharge from services.
  • Delivers specialized nursing services as prescribed by physicians.
  • Implements infection control protocols to safeguard both staff and patients.
  • Coordinates care services and informs relevant personnel of any changes in patient conditions.
  • Communicates effectively with all healthcare providers involved in the patient's care plan.
  • Integrates and ensures approval of orders from all physicians involved in the patient's care.
  • Monitors cases to ensure compliance with third-party payer requirements.
  • Prepares clinical documentation and progress notes in a timely manner.
  • Engages in professional development through agency-sponsored training and maintains or enhances nursing competencies.
  • Participates in the agency's Quality Assurance and Performance Improvement (QAPI) initiatives.
  • Provides guidance and clinical direction to nursing staff, including CNAs and LVNs.
  • May conduct competency evaluations for aides if qualified.
  • Promotes the agency's mission and policies.
  • Ensures effective communication with patients, families, team members, and other healthcare professionals.
Qualifications:

Work Environment: The position is based in patients' homes, requiring local travel and a flexible schedule.

Transportation: Must have reliable transportation and valid auto liability insurance.

Education: Current RN Nursing License.

Licensure: Must hold an active state license as a registered nurse or a multi-state license from a Nurse Licensure Compact (NLC) member state, along with a valid driver's license.

Experience: Minimum of one year of nursing experience in a Home Health agency.

Skills: Proficient nursing skills as per accepted standards of practice, strong interpersonal abilities, and current CPR certification.

Physical and Mental Demands: Requires standing and walking, with the ability to lift up to 50 pounds. The role may involve working under stress and necessitates quick decision-making skills, along with hand-eye coordination and manual dexterity.



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