Job Description

The RN Case Manager is responsible for the assessment, coordination and delivery of care to Suburban Home Health patients. The RN Case Manager provides skilled nursing services in accordance with adult and geriatric patient’s plan of care. This includes a comprehensive evaluation, ongoing monitoring of home health services, as well as education and training to patients, caregivers, and family members. 

Job Summary

The RN Case Manager is responsible for the oversight and monitoring of all patients on his/her designated caseload to ensure appropriate utilization of home health services.

Responsibilities

• Completes initial and ongoing assessments to establish an individualized home health plan of care with the following physician.
• Considers physical, psychological, and socioeconomic needs of patients when developing treatment plan.
• Monitors homebound status, ensures effective interdisciplinary communication and makes necessary revisions to plan of care as patient needs change. 
• Administers nursing procedures and treatments as indicated by the physician to ensure patients achieve desired outcomes while on home health services. 
• Provides education to patients and caregivers regarding medical condition, treatment plan and coordination of care.
• Supervises visit nurses and home health aides per regulatory requirements. 
• Communicates with the physician regarding patient needs and reports any changes in patient condition and obtains physician orders as needed for revisions to plan of care.
• Facilitates communication with interdisciplinary team regarding patient goals and coordination of care
• Assures accuracy and completeness of clinical documentation and communicates with physicians and clinicians to ensure outcomes are met
• Communicates discharge plans to patient, family members, and physician accordingly
• Participates in on-call duties for assigned regions 
• Attends nurse meetings, case conference, educational in-services, and quarterly all-staff meetings

Basic Qualifications

• Associate’s degree in nursing from an accredited college/university required. Bachelor’s degree in nursing preferred.
• Must possess current license from the Indiana State Board of Nursing.
• At least one year’s experience in nursing required.
• Previous experience and/or knowledge in home health preferred.
• Previous home health case management experience preferred
• Must possess exceptional verbal and written communication skills.
• Ability to prioritize work, utilizing fundamental time management skills.
• Must possess valid Driver’s License and automobile insurance.

Suburban Home Health is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Suburban Home Health is committed to equal employment opportunity for all employees and to providing employees with a work environment free of discrimination, harassment, and workplace violence. All employment decisions at Suburban Home Health are made based on job requirements, individual qualifications, or business need without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristics under applicable law. Suburban Home Health creates a culture with zero tolerance for discrimination or harassment and seeks an environment of inclusion and respect at work.