Registered Nurse Case Manager
Job description
Registered Nurse Case Manager $10,000 Sign On Bonus
Serving North/Northwest side of Milwaukee
The RN Case Manager is a practice-based RN who directly supports Miracle Home Health of Wisconsin, Inc. highest risk patients. In collaboration with other members of the healthcare team, the RN Care Manager is responsible for organizing, coordinating, and providing care coordination and care management services to patients within the practice who are most at risk for health deterioration, sentinel events, and/or poor outcomes.
Responsibilities and Duties
- Use clinical tools, data, and other information to complete assessments of patient needs
- Completion of OASIS assessments per agency regulatory guidance: start of care, recertification, resumption, transfer discharge.
- Create individualized and comprehensive case management and treatment plans
- Familiar with insurance eligibility for various treatments and treatment programs
- Clearly explain the reason for prescribed treatments and treatment plans to patients
- Educate patients on benefits, services, and other resources, including payment options
- Communicate with patients, physicians, and insurance companies to secure successful outcomes
- Document complex medical information to outline and improve health results
- Follow case and quality management processes in compliance with regulatory guidelines and company procedures
- Complete mandatory annual training hours per agency regulatory requirements.
- Attend & contribute regularly, agency IDT meetings and case conferences.
- Follow the prescribed patient care plans as documented
- Ability to consistently document on patients via cell phone app, tablet, or laptop remotely.
- Contribute to QAPI program
- Responsible for providing nursing care through all phases of care taking into consideration age and developmental needs.
- Collaborate and support plan of care as determined by the physician and healthcare team; treat patients accordingly as approved by the physician.
- Performs periodic re-evaluation of the patient as necessary and makes adjustments in the patient’s treatment program.
- Provide treatment to patients per protocols, utilize OASIS assessment and documentation.
- Perform on-going periodic system assessment and data collection in a systematic manner, focusing on: psychological, psychosocial, cultural spiritual and cognitive status; nutrition; pain; patient/family education; family involvement and patient advocacy; patient and patient’s equipment needs
- Facilitates timely discharge based on goals and in accordance with client policies and procedures
- Educates and instructs the patient, patient’s family and other staff as required.
- Counsels the patient and family in meeting nursing and related needs.
- Supervises and teaches LVN’s, HHA’s as required for patient care according to law and regulations.
- Provides nursing care through all phases of care with consideration of age and developmental needs.
- Documents all care, intervention and care coordination per law, regulation and agency policy.
- Notifies the patient's physician and responsible staff of significant changes in a timely manner.
- Coordinates all services provided; consults with other health professionals as needed.
- Effectively plans, organizes, sets priorities and completes work assignments with minimum direct supervision per agency policies; within established time frames.
- Assists Supplemental Health Care in determining skill and specialties.
- Verbalizes knowledge and purpose of patient rights and responsibilities.
- Complies within institutions policies and procedures.
PHYSICAL/EMOTIONAL REQUIREMENTS
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Communication skills
- Interpersonal skills
- Pleasant bedside manner
- Motivation skills
- Time management
- Complex problem-solving skills
- Persuasion skills
- Persistence
- Service-oriented
- Instructing and teaching skills
- Basic computer skills
- Working Conditions: Evening and weekend work may be required in order to fit patient schedules. The job is physically demanding. May be required to stand for long periods of time. This position spends considerable time stooping, kneeling and crouching. Position may move heavy equipment. Position assists with patient transfers and lifts or help them turn, stand or walk. So, to guard against back injury, they must follow proper body mechanics and procedures for lifting/moving patients. Clinicians that work in sub-acute or long-term care settings, have patients that need more assistance, therefore the job is more physically demanding, compared to the clinicians that work in out-patient settings.
- Physical Demands : Ability to lift fifty (50) pounds. Moving, lifting or transferring of patients may involve lifting of up to 100 pounds. Ability to stand for extended periods Fine motor skills Visual acuity 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 individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel; and reach forward with hands and arms. The employee is occasionally required to sit and stoop, kneel, or crouch. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Physical Demand Ratings are an estimate of the overall strength requirements that are considered to be important for an average, successful work performance of a specific job. In order to classify the occupation of a worker with a physical demand rating, the most strenuous and frequently performed tasks are evaluated. The overall physical demand rating for a job of the PT falls within the Medium classification according to the Dictionary of Occupational Titles. However, due to the population in contracted facilities, this position has been classified as Heavy (exerting 50 to 100 pounds of force occasionally, and/or 20 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects*).
Skills and Education Requirement
- Must be a graduate of an approved school of professional nursing who is licensed as a Registered Nurse by the state in which practicing.
- Clinical knowledge of chronic conditions, such as diabetes and congestive heart failure
- Strong written and verbal communication skills with patients, physicians, and other stakeholders
- Demonstrated ability to assess and respond to patient and family needs in a timely manner
- General knowledge of case management practices, including familiarity with relevant products and services
- Basic computer skills, including working knowledge of the Microsoft Office suite
- Experience in establishing professional and collaborative relationships with patients, doctors, and insurance providers
- Certification as a diabetes educator, nutritionist, physical therapist, or other specialty is a plus
The RN Case Manager will report to the Clinical Services Manager
Job Type: Full-time
Pay: $75,000.00 - $90,000.00 per year
Benefits:
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Mileage reimbursement
- Paid time off
- Vision insurance
Medical specialties:
- Home Health
- Wound Care
Schedule:
- Day shift
- Monday to Friday
- On call
Supplemental pay types:
- Signing bonus
Ability to commute/relocate:
- Milwaukee, WI 53210: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Nursing: 1 year (Preferred)
- Case management: 1 year (Preferred)
License/Certification:
- RN (Required)
Willingness to travel:
- 100% (Preferred)
Work Location: One location
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