PRIMARY RELATIONSHIPS: Patients, families, facility staff, corporate staff and general public.
OBJECTIVE: The Nurse Case Manager provides case management, coordination, supervision and implementation of professional and supportive services to patients/clients using nursing theory and process in accordance with the Nurse Practice Act.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Graduate of an accredited school of professional nursing program with a current license as a Registered Nurse in the state of employment. 2. Current license as a RN in the state(s) of practice; Baccalaureate degree preferred. 3. Minimum of two (2) years of nursing experience, with a combination of long-term care dementia care or acute care. Home care experience preferred. 4. Previous supervisory/management experience in a health care setting. 5. CRP certified. 6. Effective written and oral communication skills and good interpersonal skills. 7. Organizational, prioritization and time management skills. 8. Knowledge of Home Health regulatory and reimbursement requirements. 9. Twenty-one (21) years of age, meet the MVR organization standards, and have a valid driver's license in the state the facility is located in. 10. Customer service oriented. 11. Ability to understand and follow work assignments. 12. Possess adequate strength, coordination, dexterity and endurance to meet the strenuous physical demands of such resident care responsibilities as lifting and moving patients. 13. Must be a team player. 14. Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.
ESSENTIAL FUNCTIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Reviews client referral information and responds to requests and inquiries as appropriate. • Evaluates eligibility and appropriateness of resident for home care services. • Determines appropriateness of referral for home care services and responds per agency policy and standard guidelines.
2. Performs client assessments based on agency standards of practice to ensure effective and appropriate home care services. • Applies standard nursing principles and practices to utilize a holistic approach to client care. • Considers the physical, psychological, and socioeconomic needs of the client, the level of family acceptance, and the ability for client needs to be met in the home. • Collaborates with physicians, other health care professionals (therapists, social services, pastoral care, supportive services), clients, and families in developing a comprehensive quality plan.
3. Directs, plans and initiates appropriate action independently and responsively in home care situations. • Observes for and identifies overt and subtle signs of impending physiologic and psychological changes. Notifies the physician in accordance with agency policies and procedures. • Makes decisions and/or recommendations that reflect consideration of immediate and long-range effects (frequency of visits, components of care plan, additional services). • Confers with the clinical supervisor on a regular basis. Utilizes agency and community resources appropriately. • Monitors documentation of clinical records to ensure compliance with regulatory standards of timeliness, accuracy, and completeness. • Provides on-call support for clients per schedule. • Communicates with other disciplines/departments when required.
4. Promotes personal safety and a safe environment for clients and coworkers. • Demonstrates knowledge of safety infection control practices by compliance with policies and procedures. • Recognizes and responds appropriately to potentially unsafe situations. • Demonstrates safe and competent practice in the use of equipment. • Assesses safety of environment and takes initiative to prevent accidents and promote safety. • Participates in all mandatory education per established guidelines.
7. Performs job duties in accordance with agency policies, procedures, and professional and community standards. • Maintains confidentiality in all aspects of the job. Does not reveal information from client records to others, except as identified in agency policy. • Secures written confidential documents in a manner that prevents unauthorized release. • Participates in the development, implementation, and evaluation of the Quality Improvement Program and activities. • Provides care in accordance with state, federal, and JCAHO regulations
8. Attends required in-services and completes assigned on-line modules.
9. Performs other job duties as assigned by Director of Clinical Services.
The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential functions:
1. May be subjected to interruptions throughout the workday. 2. Exposure to blood, body tissue of fluids. 3. Exposure to hazardous waste materials, dust and loud or unpleasant noises.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to meet these demands:
1. Ability to endure prolonged walking, sitting, standing, use of pulling, bending, and stooping movements. 2. Ability to adapt to changes in daily work hours and schedule. 3. Must be able to lift a minimum of fifty (50) pounds.
Safe Work Performance Expectations
The safety of employees, residents and visitors is of paramount importance to Volunteers of America. Our work place safety program will be incorporated as the standard of practice for this organization. Compliance with these safe work expectations will be required of all employees as a condition of employment. Our organization focus will hold all employees accountable for safety performance equal with quality and production expectations.
Employees will be expected to:
1. Follow correct policy and procedures for department and facility Fire/Disaster/Missing Person Plan. Know the location of fire alarms and extinguishers. 2. Follow correct policy and procedure for hand washing. 3. Follow guidelines for proper method of lifting. 4. All doorways, hallways and areas are to be kept clear. 5. Know the location and purpose of Safety Data Sheets (SDS). 6. Follow guidelines for department environment and safety measures. 7. Follow guidelines for safe handling, inspection, maintenance and storage of equipment. Report any malfunction of equipment. 8. Follow guidelines for safe handling and storage of chemicals and supplies. 9. Follow correct policy and procedure for reporting of incidents: staff, residents, etc.
Every effort has been made to identify the essential functions of this position. However, this job description in no way states or implies that these are the only duties you may be required to perform. The omission of specific descriptions of duties does not exclude them from the position if the work is similar, related or can be considered essential to this position.