CASE MANAGER

JOB SUMMARY:

A Registered Nurse with the supervision of home health services to patients in their place of residence in accordance with physician orders and strives to provide the highest quality of care. Skilled nursing and other therapeutic services furnished are under the supervision of the Case Manager. The Case Manager is available at all times during operating hours (or appoints a similarly qualified alternate) and participates in all activities relevant to professional services furnished, including the development of qualifications and assignment of personnel.

QUALIFICATIONS:

1. Graduate of an approved school of professional nursing or therapy school and currently licensed in the state(s) in which practicing.

2. Three to five (3-5) years of experience, preferred.

3. One (1) year experience in home health, preferred.

4. Acceptance of philosophy and goals of Agency.

5. Ability to exercise initiative and independent judgment.

6. Ability to work with individuals to enlist cooperation of many people to perform/achieve a common goal.

RESPONSIBILITIES:

1. Understands and adheres to established Agency policies and procedures.

2. Participates in the development of standards which ensure safe and therapeutically effective service to patient/family.

3. Ability to supervise, guide and develop nursing skills and performances.

4. Consults with the Director of Nursing/Administrator in determining a staffing pattern which will accomplish stated objectives and promote a maximum level of utilization of health personnel.

5. Assists in evaluating and terminating nursing personnel. Assists in instituting, interpreting and documenting disciplinary action.

6. Responsible for the orientation of new patient care personnel.

7. Assists in the planning and consultative needs of staff.

8. Assists in the preparation and implementation of policies and procedures which meet Medicare, Medicaid, accrediting bodies, state and local laws.

9. Displays a willingness to support policies and procedures and uses appropriate channels for changes of such policies.

10. Assists in the coordination of interdisciplinary team services, patient care and referrals.

11.Assists in the organization of nursing services to delineate and delegate functional responsibility, lines of relationship and communication to provide safe and therapeutically effective service.

12.Participates in the coordination of Agency’s services with the services of other community agencies.

13.Participates in studies and research and other administrative functions as assigned.

14.Observes confidentiality and safeguards all patient related information.

15.Serves as a resource person to employees.

16.Develops a cooperative relationship and communicates effectively and professionally with physicians.

17.Investigates and reports any problem relating to patient care and/or employee well-being.

18.Immediately reports any accident, incident, lost articles or unusual occurrence to the Director of Nurse/Administrator.

19.Attends pertinent continuing education programs other than routine inservices and shares information with staff.

20.Monitors equipment for appropriate use and takes steps to keep misuse to a minimum.

21.Assists with the Agency’s ongoing Quality Assessment and Performance Improvement (QAPI) program.

22.Assures the development, implementation and updates of the individualized patient plans of care.

23.Reviews patient medical records for compliance with federal, state, accrediting bodies, local and Agency policies and guidelines.

24.Assists Director of Nursing in conducting patient care conferences, staff meetings and maintains documentation. Participates in community education projects.

25.Ensures that all necessary supplies and equipment are available.

26.Must be able to perform nursing functions in times of staff shortage.

27.Available to share on-call with nursing personnel as needed.

28.Ensures that documentation is completed in accordance with Agency policy.

29.Other duties as assigned by the Director of Nursing/Administrator.

30.Acts as Director of Nursing in the Director’s absence.

31.Assures that the patient needs are continually assessed.

WORKING ENVIRONMENT:

Works indoors in Agency office and patient homes and travels to/from patient homes.

Job Relationship:

Supervised by:                  Director of Nurse/Administrator

Workers Supervised:         Registered Nurse, Licensed Practical Nurse, Home Health

                                                Aide, Medical Social Worker, Registered Therapist/   Assistant