RN Case Manager Home Health

1. Graduate of an accredited nursing program with a current license (in good standing (as a Registered Nurse in the states) of practice. 2. Knowledge and ability to provide skilled nursing care as defined in the state nurse practice act. 3. Current CPR certification. 4. One (1) Year home care experience or as required by state law. 5. Knowledge and ability and the necessary skill and judgment to perform all nursing procedures as outlined in the scope of practice in the Nurse Practice Act. 6. Has valid driver's license and use of an insured auto or access to adequate transportation. 7. Minimum of two (2) years experience preferred in supervisory or administrative positions. 8. Excellent verbal and written communication skills, and strong interpersonal skills. 9. Knowledge of the regulatory requirements at the state, federal, and local level. 10. Maintains productivity standards as established by the corporate office. 11. Absence of criminal background. 1. Performs comprehensive subjective and objective assessment of the patient status that includes physical, psycho-social, and environmental parameters. 2. Ensures compliance with federal/state regulations governing home health care services by following policy and procedure consistent with agency standards. 3. Formulates individualized plan of care that incorporates analysis of assessment data. 4. Provides skilled interventions aimed at achieving realistic outcomes within a specified time period. 5. Modifies and updates plan of care to reflect progress toward outcomes. 6. Assures thorough and accurate documentation with all clinical data including but not limited to; a. Admission through discharge, OASIS, HCFA 485, physician's orders, skilled nursing visits and changes in conditions. 7. Consistently demonstrates competency with technical nursing skills according to the legal scope of practice. 8. Maintains data collection, recording, and reporting systems to ensure proper service, data collection, and measurement of outcomes. 9. Implements teaching specific to patient and family needs and evaluates and modifies as needed. 10. May participate in the Professional Advisory Committee. 11. Participates in in-service education programs as required by state law. 12. May assist with quarterly clinical record reviews. 13. Appropriately documents all applicable data in the patient's medical record. 14. Ensures the maintenance and confidentiality of patient records. 15. Submits documentation timely and per agency policy. 16. Available for on-call as designated by Agency Management. 17. Develops and turns in weekly schedule prior to the next week. 18. Maintains productivity standards as established by the corporate office. 19. Allows time in schedule to do work from agency office. 20. Plans, directs, and participates in delivery of professional services to home care patients. 21. Identifies patients who are appropriate for care conferences. 22. Attends staff meetings. 23. Focuses services toward diagnosis-specific patient care needs. 24. Seeks consultant expertise with the Administrator as needed to ensure agency growth. 25. Agency Management approves time off, which is presented in advance in writing.