Registered Nurse Case Manager - Home Health
Posted on: January 13, 2022
Ascension at Home - Together with Compassus Associates: Please
apply via Workday
The Registered Nurse Case Manager - Home Health is responsible for
modeling the 3 Company values of Compassion, Integrity, and
Excellence, and for promoting the Compassus philosophy, using the 6
Pillars of success as the foundation. S/he is responsible for
upholding the Code of Ethical Conduct and for promoting positive
working relationships within the company, among all departments,
and all external stakeholders. The Registered Nurse Case Manager -
Home Health functions as an Interdisciplinary Team (IDT) member to
provide routine and emergency assessment (including on-call
responsibilities), educational, and evaluative services to meet the
needs of patients and their families. S/he helps the patient and
family maintain their maximum level of comfort and coping. S/he
flexes schedule to meet agency-staffing needs and provides after
hours emergency support to the patient and family. S/he is
responsible for applying the rules and regulations of state and
federal regulatory agencies and other certified agencies.
Position Specific Responsibilities
Supervises the care given by Licensed Practical Nurses (LPNs) and
Home Health Aides (HHAs).
Monitors productivity of LPNs and HHAs' clinical outcomes.
Manages a larger caseload across the nursing staff.
Supports agency and corporate policies, goals, and objectives.
Promotes a positive working relationship between agency and
Attends and participates in staff meetings, educational programs
and community events, as requested.
Communicates identified needs and potential solutions to
Performs routine and emergency assessments.
Completes routine and emergency assessments on each patient as
indicated by departmental policy.
Coordinates clinical and all disciplines (Physical Therapist,
Occupational Therapist, Social Worker, Speech Therapist, Licensed
Practical/Vocational Nurse, and Registered Nurse/Home Health Aide)
as indicated by Plan of Care (POC) through case management.
Records observations, treatments, and other pertinent
Communicates with IDT, Medical Director and Attending Physician as
directed regarding measures to alleviate symptoms, and monitors
response to measures implemented.
Provides physical and emotional intervention to support the patient
and family in period of crisis through case management.
Prevents unwarranted hospitalizations by meeting patient and family
needs in the home.
Develops a patient specific plan of care and coordinates patient
care in conjunction with the ordering Physician or NPP.
Collaborates with IDT to meet needs of patient for clinical and
Collaborates with IDT to coordinate home health care for the
patient and family to ensure appropriateness, continuity, and
quality of care.
Updates the POC with changes in condition, medication and treatment
in conjunction with Physician or NPP.
Assists in identifying the need for intervention of other IDT
Effectively communicates patient and family needs to IDT.
Educates patient and caregiver regarding care of patient, disease
process, symptom control, wound care, and IV therapy.
Participates in on-call rotation.
Explains Home bound criteria and skilled need to patient and
Completes all oasis assessments as required.
Maintains appropriate communication.
Keeps Physician and Medical Director informed of patient needs and
Ensures documentation at bedside.
Notifies other IDT members of physician concerns and updated
Completes and submits clinical notes and Oasis, time logs, and all
required documentation by 10 A.M. the following morning.
Regular attendance is an essential function.
Performs other duties as assigned.
Education and/or Experience
Graduate of an accredited school of nursing preferred.
Minimum one year nursing practice or equivalent experience
Home Health/Hospice, Acute or critical care/hospital care
Mathematical Skills: Ability to add, subtract, multiply, and divide
in all units of measure, using whole numbers, common fractions, and
decimals. Ability to compute rate, ratio, and percentage.
Language Skills: Ability to read, analyze, and interpret general
business periodicals, professional journals, technical procedures,
or governmental regulations. Ability to write reports, business
correspondence, and procedure manuals. Ability to effectively
present information and respond to questions from leaders,
colleagues, investors, and external parties. Strong written and
Other Skills and Abilities: Ability to understand, read, write, and
speak English. Articulates and embraces hospice philosophy.
Certifications, Licenses and Registrations
Registered Nursing License in state of employment.
A valid driver's license and auto liability insurance.
Two years' full time experience as a Registered Nurse. Two years'
full-time clinical experience as a Licensed Practical Nurse in
hospice shall be sufficient in place of clinical experience as a
One year full time experience as a Registered Nurse or 3 years full
time continuous employment as a Licensed Practical Nurse
immediately preceding Registered Nurse licensure.
Physical Demands and Work Environment: The physical demands
described here are representative of those that must be met by a
colleague to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions. While
performing the duties of this job, the colleague is regularly
required to use hands to finger, handle, or feel; talk and hear.
The colleague frequently is required to stand, sit, and reach with
hands and arms. The colleague is occasionally required to walk;
climb or balance; stoop, kneel, crouch, or crawl; and taste or
smell. The colleague must frequently lift and/or move more than 50
pounds. Specific vision abilities required by this job include
close vision. The work environment characteristics described here
are representative of those a colleague encounters while performing
the essential functions of this job. There will be possible
exposure to infectious diseases through working with clinical
caregivers. The noise level in the work environment is usually
At Compassus, including all Compassus affiliates, diversity,
equity, and inclusion are fundamental to our Pillars of Success. We
are committed to creating a fair work environment where our
colleagues feel welcomed, highly valued, and respected. As an equal
opportunity employer, all qualified applicants will receive
consideration for employment without regard to race, color,
religion, gender, gender identity or expression, sexual
orientation, national origin, genetics, disability, age, or veteran
Keywords: Compassus, Kokomo , Registered Nurse Case Manager - Home Health, Healthcare , Kokomo, Indiana
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