RN Case Manager - Home Health and Hospice

• Graduate of an accredited school of professional nursing.
• Current License as a Registered Nurse in the State of Utah to practice. Baccalaureate degree preferred.
• Minimum of two (2) years of nursing experience. Home care experience preferred.
• Ability to supervise and direct members of client care team.
• Demonstrate strong and effective written and verbal communication skills and good interpersonal skills.
• Ability to deal tactfully with clients and the community.
• Demonstrated organizational and time management skills.
• Knowledge of home health regulatory and reimbursement requirements.
• Licensed driver with automobile insured in accordance with state and/or Agency requirements and in good repair.

• Reviews client referral information and responds to requests and inquiries as appropriate.
  • Collaborates with clinical supervisor regarding the eligibility and appropriateness of client for home care services.
  • Completes comprehensive assessments including OASIS data set up forty-eight (48) hours of referral for RN Case Manager unless other arrangements are made.
  • Determines appropriateness of referral for home care services and responds per Agency policy and standard guideline.
• Performs initial and ongoing client assessment based on Agency policy and standards of practice to ensure effective and appropriate home care services.
  • Performs comprehensive assessments including OASIS data collection where indicated.
  • 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 healthcare professionals (therapists, social services, pastoral care, supportive services), clients and families in developing a comprehensive coordinated plan of care.
• Directs, plans and initiates appropriate action independently and responsively in home care situations.
  • Identities and assess 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 reflecting 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.
• Manages/supervises a team of RN's, LPN's Home Health Aides, and Personal Care Aides to provide effective and quality home care services.
  • Identifies the educational needs of team members. Provides training or refers to clinical supervisor to arrange specific training program. Provides or recommends educational resources.
  • Performs or delegates in-home supervision of team members.
  • Leads regular team meetings.
  • Monitors the productivity of team members on a regular basis.
  • Identifies staffing needs and communicates this information.
• Participates in human resource management to achieve quality service deliver and positive employee relations.
  • Conducts timely performance evaluations and consistent with Agency policy. Conducts in-home supervision of staff per Agency policy, regulatory requirements as needed.
  • Applies disciplinary procedures in a fair and consistent manner when indicated. Documentation is completed per policy and legal guidelines.
  • Collaborates with supervisors to identify staffing needs and evaluate qualifications and competencies of current and new employees.
• Promotes personal safety and a safe environment for clients and coworkers:
  • Demonstrates knowledge of safety infection control practices by compliance with policies and procedures.
  • Recognized 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 to promote safety.
  • Participates in all mandatory education per established guidelines.
• 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.

• Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100-pound patient. Must possess sight/hearing sense or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations.

• Must be able to work independently, make judgments based on assessments and data available and act accordingly. Must be flexible, innovative and possess good interpersonal skills. Must be able to cope with mental and emotional stress and demonstrate emotional stability.

• Be able to tolerates exposure to elements including, but not limited to odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.

• Must have a current valid driver's license, auto liability insurance and reliable transportation.

Quality Home Health, Hospice and Palliative Care is a licensed, Medicare Certified Home Health, Hospice and Palliative Agency. We are committed to providing the highest quality of health care by professional and caring personnel to our patients in the privacy of their own home. We strive to be the Home Health, Hospice and Palliative provider of choice in Utah. We offer the following services under the direction and supervision of a physician or nurse practitioner for all lines of business: Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Worker, Home Health aide, primary care and palliative services.