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RN - Case Manager

Cynet Health • Webster, New York • $62.10 / hour • 5d ago

RN - Case Manager

Profession: Registered Nurse

Specialty: Case Manager

Duration: 13 weeks

Shift: Monday to Friday

Hours per Shift: 8 hours

Experience: Minimum one year of experience as a clinical nurse in a hospital required, and 9 months experience in home care preferred

License: Valid RN License (NY License ONLY)

Certifications: BLS, OASIS, Telemetry, Certified Home Health Care Experience

Must-Have:

Critical thinking skills, ability to follow standards and procedures, and make appropriate clinical judgments to provide safe and effective client care
Strong interviewing, clinical assessment, and communication skills
Ability to exercise initiative and independent judgment
Ability to build and maintain professional relationships
Current NYS driver’s license
Ability to work independently with minimal supervision, adapt to change, and manage a variety of assignments

Description: Develops and revises plan of treatments and discharge plan in conjunction with patients, families, physicians, care delivery teams, and third-party payors including obtaining medical orders and approval of medical services. Completes and submits assessments, reassessments, transfers, resumptions of care, discharges, and significant changes in condition in accordance with defined time frames. Processes orders and notifies physicians of patient needs and changes in condition. Provides an environment that promotes respect for patients, their privacy, confidentiality, and property. Initiates appropriate preventive and rehabilitative strategies. Provides services requiring substantial specialized nursing skills. Consults with and educates patients, families, and other team members regarding disease processes, self-care techniques, and preventive strategies. Supervises LPN to ensure patient health, safety, and compliance with the plan of care. Directs, coordinates, evaluates, and supervises the quality of patient care services. Interacts with patients, physicians, referral sources, and others in a manner conducive to continued positive relationships. Supports care management philosophy, including collaborative customer-focused planning and case management designed to meet individual health and service needs, and promote quality and cost-effective outcomes. Ensures the completion of all appropriate clinical records needed for compliance with state and federal legislation. Maintains current knowledge of available community-based services. Demonstrates flexibility and willingness to visit patients based on need. Ensures problem resolution at the point of contact. Ensures authorization and release of information form has been signed by the patient or responsible party. Attends patient care conferences on patients assigned to care. Monitors results, progress, and takes corrective action on quality indicators, including the level of customer satisfaction with the nursing function. Understands the importance of the nursing role and its impact on patients, care providers, readmission, productivity, utilization, revenue, and expense. Pursues efforts to reduce or eliminate avoidable costs and errors. Responds to findings of various quality reviews and ensures resolution of potential problem areas. Participates in peer review and quality assessment and performance improvement as assigned. Maintains productivity requirements. Ensures that appropriate visit authorizations are in place and that visit documentation reflects the medical necessity for care in the home setting. Promotes a work environment of professional growth, learning, trust, and mutual respect. Participates in education including orientation and in-service training programs as needed. Demonstrates commitment to professional growth and competency. Responsible for the key performance indicators established by the manager. Performs other duties as requested.

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