RN Case Manager - Home Visits - Otsego County

Role and Responsibilities

The RN Case Manager will administer skilled nursing care to patients requiring professional nursing service. Teach and supervise the family and other members of the nursing team. Perform these servicesin accordance withthe physician’s orders.

Essential Functions

• Provideand coordinatequality patient care,maintainafullcaseload,maintainproductivity goals with consideration of case mix, andaccurate,timelydocumentation.
• Responsible to manage each patient’s care as efficiently and cost-effectively as possible,to achieve positive patient outcomes regardless of payer.
• Responsible forthe overall planof care and the outcome of that care, including care delivered by other nursing staff (LPN, HHA) who must be directed and supervised by the RNCase Manager.
• Conduct admission and manage care of patient to the agency by:

• Obtaining a medical history, particularly as it relates to the present condition, from the patient and/or family member(s).
• Conducting a physical examination of the patient including vital signs, physical assessment, mental status, appetite and type of diet, assessment of ADL, and activity of daily living.
• Evaluating the patient, family member(s), and home situation todeterminewhat health teaching will berequired.
• Evaluating the patient’s environment todeterminewhatassistancewill be available from family members in caring for the patient.
• Evaluating the patient’s condition and home situation todetermineif the services of a home health aide will be