Case Manager

Job description

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with physician orders and the plan of care per state Practice Act.

In this role, you will report to the Director of Nursing/Director of Patient Care Services/Clinical Supervisor/Nursing Supervisor/Clinical Manager.

Duties/Responsibilities:

Develops, delivers/implements, revises, and evaluates individualized patient-centered care plans under the supervision of a physician

Provides case management to an assigned group of patients and ancillary staff

Understands and submits required data collection sets (OASIS, PAR, etc.) and other documentation as requested by the state and/or, federal government and insurance payers within required timeframes

Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs per state and payor requirements

Acts as an advocate for patient welfare and coordinates care between patients, their families/caregivers and/or their authorized representative, the agency and other healthcare providers/facilities/ outside agencies

Furnishes those services requiring substantial specialized nursing skill according to competency level

Demonstrates problem solving abilities and positive interpersonal communication skills

Identifies care preferences of patients and verifies that interventions meet the patient’s needs and their goals of treatment

Initiates appropriate preventive and rehabilitative nursing procedures

Prepares clinical and progress notes for each patient visit and summaries

Attends case conferences as assigned

Informs physician and other personnel of changes in the patient’s condition and needs

Counsels the patient and family/significant others in meeting nursing and related needs.

Educates on the proper home health strategies and procedures utilizing community resources as applicable

Observes and reports patient symptoms, reaction to treatments, drugs and changes in the patient’s physical or emotional condition, responsible for medication reconciliation

Participates in in-service programs, supervising and teaching other nursing personnel as assigned

Administers medication per agency policy and physician orders

Provides written instructions for aides or other ancillary disciplines caring for the patient

Processes orders and notifies physician of patient needs and changes in condition

Refers cases with physician’s orders to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker for those patients requiring their specialized skills

Understands and adheres to the Policy/Procedure, Best Practices, Infection Control Plan, EMS Plan, and the Compliance Plan

Participates in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned.

Reports/records all applicable infections, occurrences, and complaints

Submits documentation within 24 hours or per state requirements

Maintains confidentiality of patient, employee, and agency matters

Takes on-call duty nights, weekends, and holidays, as assigned.

When functioning as the on-call RN acts as the after-hours supervising nurse and makes nursing assessment and triage decisions under the guidance of the overall Clinical Supervisor as applicable

Immediately reports to Nursing Supervisor any patient incidents/variances or complaints

Demonstrates competent performance of technical skills according to established procedures

Maintains acceptable attendance status, per Agency policy

Reports all incomplete work assignments to Nursing Supervisor

Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments

Ensures that the following information/instruction is given in writing to the patient/caregiver/representative: visit schedule with frequency of visits, complete medication profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient’s care needs, name and contact information of the agency’s Clinical Manager

Performs all other duties as assigned

Required Skills/Abilities/Knowledge:

Average computer skills with competency in media communications

Must have the physical abilities to perform the described duties

Able to organize work procedures through time management, assume responsibility and effectively supervise ancillary disciplines per state requirements

Able to secure transportation and travel as required

Able to apply professional training to critically think through patient needs, follow physician’s orders and produce accurate records of nursing activity within agency guidelines

Acceptance of philosophy and goals of this Agency

Ability to exercise initiative and independent judgment

Able to meet all health requirements for clearances and for current CPR

Able to maintain licensure and continuing education as applicable

Excellent verbal and written communication

Education/Experience/Licenses/Certifications:

Graduate of an approved school of professional nursing and currently licensed in the state(s) in which practicing

One (1) year nursing experience and home care (preferred)

Physical Requirements:

“You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job.

However, you should disclose any physical or mental impairment for which special arrangements or accommodations are needed to enable you to perform the essential functions of the job.

Your description of any impairment and suggestions for reasonable accommodations will be considered in providing reasonable accommodations.”

Requires the ability to write, dictate or use a keyboard to communicate directives.

Utilizes proper body mechanics in multiple environments.

Requires the ability to function in multiple environments.

FLSA Status : Exempt

EEO Status : Professionals

Benefits + Perks of Joining the Team Select Family

Medical, Dental, and Vision Insurance

Paid Time Off and Paid Sick Time

401(k)

Referral Program

Pay Range: $70,000 - $85,000 / salary with bonus

Team Select Home Care reserves the right to change the above job description and qualifications without notice.

Team Select Home Care will not discriminate against you on the basis of race, color, religion, national origin, sex, sexual preference, disability, political belief, veteran status, age, or any other status protected by law.

Team Select Home Care is an employment-at-will employer.

About Us

Team Select Home Care is dedicated to transforming lives by providing compassionate, high-quality in-home care.

Founded in 2008, our mission is to change lives for the better.

We advocate for families in need, treat our patients like the heroes they are, and empower our team members to make a meaningful difference every day.

We specialize in long-term adult and pediatric private duty nursing, personal care services, and family caregiving programs, all with a personalized, patient-centered approach.

Our commitment to excellence is reflected in everything we do, from the way we care for our patients, to how we support our team.

We believe that our employees are the heart of our mission, and we’re dedicated to your growth and well-being.

At Team Select, you’ll find opportunities for continuous training, career advancement, and professional development.

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Required Skill Profession

Other General