Pinnacle Senior Care Job - 31513498 | CareerArc
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Company: Pinnacle Senior Care
Location: Cincinnati, OH
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

RN Case Manager

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).

Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on We are Unified in our Work through our Continuum of Services We can Find Comfort that We are Making a Difference for our Patients & We make a Broader Positive Impact on Society, allows USMM to be poised for a phenomenal future.

We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Position Description

Under the general supervision of the Clinical Supervisor/Clinical Manager, the RN - Case Manager provides intermittent skilled nursing services; communicates the patients progress with other disciplines and directs, supervises and instructs non-professional home health aide staff in the provision of personal care to the patient.

Essential Duties and Responsibilities

  • Under the Physicians order, admits patients eligible for home care services within 24-48 hours
  • Assessesand evaluates patient needs/problems, identifies mutually agreed upon goals with patients
  • Reports patient status and need for other disciplines to agency Clinical Supervisor and referring Physician
  • Reports to assigned follow-up Clinician as indicated
  • Develops patient care plan that specifically addresses identified patient problems; patient problems and goals
  • Updates care plans on an ongoing basis; revises and resolves patient problems and goals as changes occur and/or at recertification
  • Completesadmission paperwork and patient care plan submitted to Clinical Supervisor per agency policy following the admission including completed and signed admission checklist
  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching, and training activities as outlined in the patient Plan of Care
  • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way
  • Reports significant findings to patients Physician and Clinical Supervisor as they occur
  • Submits completed skilled nursing visit notes; communication notes and home health aide supervisory notes per agency policy on designated days as requested by Clinical Supervisor
  • Submits change orders per agency policy
  • Performs all OASIS time point assessment per Medicare Criteria and submits recertification paperwork per agency policy and procedure
  • Maintains open lines of communications to all members of the continuum of care team.
  • Supervises Home Health Aide and license and documents per Medicare criteria and per agency policy and procedure
  • Acts as a preceptor in the orientation of new nursing staff as requested
  • Attends staff meetings, team conferences and educational in-services per agency requirements
  • Participates in Process Improvement (PI) program by assisting with collection of data and serves on PI team upon request
  • Participates in discharge planning process Medicare Criteria and agency policy and procedure
  • Follows agency policies and procedures
  • Performs these and all other duties as assigned by the Administrator
  • Able to lift 40 pounds from floor to shoulder
  • Repetitive walking, standing, sitting, bending, and use of hands
  • Able to drive a car 2-4 hours per day

REQUIRED Knowledge, Skills, and Experience

  • Current unencumbered State Professional Nurse License
  • Automobile to be used for work, current drivers license, good driving record, and proof of insurance
  • The ability to make sound professional clinical judgment
  • The ability to assess and document patient needs and formulate individualized patient care plans to meet those needs
  • Proficient clinical skills
  • Excellent verbal and written communication skills
  • Proficiency in personal computer use, including e-mail, clinical, word processing, spreadsheet, and presentation software

Preferred Knowledge, Skills, and Experience

  • One year of experience as a home care professional nurse and is competent in performing home care comprehensive assessment

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