RN Case Manager- Home Health
Core
Assess, plan, implement, and evaluate patient care in a home health setting to achieve optimum outcomes for patients of all ages, including hospice care.
Role type
RN Case Manager (Home Health)
Builds
Individualized care plans and interdisciplinary care coordination for home health and hospice patients
Domain
Healthcare / Home Health / Hospice
Deliverable
physical/clinical work
Required skills
Registered Nurse licensure, critical thinking, delegation, patient assessment, care plan development, medication administration, electronic medical records, OASIS documentation, resource management, prioritization
Preferred skills
LPN supervision, Home Health Aide supervision, BIPA/ABN form coordination, CMS policy knowledge
Technologies
Electronic medical records, Mifi device, automated computer systems
Responsibilities
Assess and document patient status to develop age-specific plans of care; Administer treatments and medications; Collaborate with healthcare teams and families to implement care plans; Coordinate visit frequencies and ensure evidence-based practice; Manage case conferences and supervise LPNs or Home Health Aides as required; Advocate for patient rights and provide psychosocial support; Plan strategies to prevent re-hospitalizations and improve outcomes.
Seniority
Entry-level to Mid-level, hands-on IC