Case Manager (Registered Nurse)

Position Title:		Case Manager (Registered Nurse)
Department:		Home Health/Hospice – Clinical Operations
Reports to:		Clinical Supervisor &/or Hospice Director/PCC

 

• Coordinates, monitors, and evaluates provider services and care, to include home visits, physician/hospital visits, and therapy visits, for a specified client population.
  
• Documents all client encounters and contracts made on behalf of clients/families; writes social and/or nursing summaries.
  
• Coordinates services and attends regular staff and management meetings.
  
• Evaluates and documents the progress of individual therapeutic programs, and makes modifications, as required.
  
• Performs a range of associated administrative functions, as appropriate, such as preparing administrative and programmatic reports and correspondence and submitting billing documentation, as required.
  
• Evaluates reports and identify areas needing improvement; make necessary improvements.
  
• Provides direction and coordination of all patient care, including other visiting nurses and MDT members.
  
• Ensures all OASIS documentation, and other appropriate assessments, POC, subsequent orders communicated regarding patient care and change in patient condition are communicated, coordinated, documented and executed.
  
• Participates in all patient related care meetings and decision making processes.
  
• Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care services.
  
• Acts as liaison between the beneficiary and insurance provider to utilize appropriate and cost effective medical resources within the direct care and purchased care system. 

EDUCATION:		Must have current RN License
EXPERIENCE:		Minimum of 1 year home health care or related experience
REQUIRED SKILLS:		Detail oriented, organized, ability to multi-task
PREFERRED SKILLS:		Self-starter, ability to work alone under little supervision

• Full Time
• Non-Exempt

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.

This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.  Employees will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.

Requirements are representative of minimum levels of knowledge, skills and/or abilities.  To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently.  Continued employment remains on an “at-will” basis.