RN-Case Manager jobs in United States
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Peoples Health Services · 21 hours ago

RN-Case Manager

Peoples Health Services is seeking a RN-Case Manager to assess, plan, implement, coordinate, monitor, and evaluate options and services to meet clients' health needs. The role focuses on developing and implementing a Plan of Care based on clinical assessments and ensuring quality, cost-effective outcomes through effective communication and collaboration with health team members.

Hospital & Health Care

Responsibilities

Performs client admissions, resumption of care, follow-up using OASIS data collection in a timely, legible, accurate manner
Responsible for monitoring and managing core measurements pertinent to the department to assure compliance with the operating plan
Identifies, documents and reports signs and symptoms of altered health status to physician and Clinical Team Manager. Obtains appropriate orders to increase/decrease visit frequency. Obtains medical orders to alter treatment plan
Develops Plan of Care consistent with clinical assessment findings, diagnosis, orders, HHRG Case Mix category, and appropriate utilization guidelines/clinical pathway specific to each client. Sets and evaluates attainable, specific, and measurable goals and outcomes
Administers meds and treatment according to Plan of Treatment
Teaches nursing care appropriate to client’s condition. Teaching based on client/caregiver level of understanding and is properly reflected in records
Coordinates care, integrating other health team members. Participates in intra – disciplinary conferences as required
Documents client records according to agency policy. Completes clinical notes, Plan of Care and medication records in a timely, legible and accurate manner
Notes progress towards discharge planning. Communicates with physician, and appropriate staff regarding discharge planning
Completes all discharge summaries according to policy and procedures
Supervises the LPN and Home Health Aide to ascertain compliance with Plan of Care
Makes supervisory visits in home at least every 14 days and documents visit in the clinical record to ascertain quality of care rendered
Utilizes knowledge of nursing, biological, social science, PPS, case management guidelines, and collaborative resources within the agency as well as outside the agency to assist with the development and /or revision to the Plan of Care to promote positive outcomes
Participates in back up call according to need of agency
Demonstrates safety precautions in compliance with OSHA, JCAHO/CHAP, and Federal and State standards
Operates medical equipment correctly for client care
Maintains current knowledge of nursing/home care as well as agency’s policies and procedures via in-services, testing, skills labs, and on-going CEU’s
Selects orients and assigns work for direct reports. Develops job design and performance standards, initiates and completes all elements of the Integrated Performance Management process, and makes recommendations for issues related to promotions, disciplinary actions and terminations
Updates management regarding potential problems or concerns. Also responsible for consulting with clinicians or managers as needed
Maintains an understanding of the company’s scope of services
Participates in interdisciplinary conferences as required
Submits clinical documentation in a timely manner according to agency policy
Understands the infrastructure and how and where to transfer calls in the company
Maintains a professional image
Uses appropriate phone etiquette
Promotes a customer friendly atmosphere for all visitors and ensures client confidentiality at all times
Participates in accreditation program
Performs other duties as assigned

Qualification

RN licenseOASIS proficiencyCPR certificationOSHACase management guidelinesTeam coordinationClient teachingCommunication skillsDocumentation skills

Required

Current RN license in the State of Florida
Current CPR certification
Current driver's license and valid auto insurance
Completion of 25 CEU's bi-annually
Good communication skills to facilitate coordination of care
Familiarity with decimals and metric system
Proficient in use of OASIS
Knowledge of OSHA, JCAHO/CHAP, State and Federal standards
Familiar with payor reimbursement guidelines
Knowledge of standard precautions
Must thoroughly understand PPS, be clinically astute, and utilize case management guidelines to promote positive outcomes
Utilize automation effectively, and incorporate effective processes and collaboration

Company

Peoples Health Services

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Our care team is focused on helping you manage your loved one’s chronic condition, recovery from an illness or surgery, or a change in medical condition.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase