REGISTERED NURSE CASE MANAGER

• Providing care for assigned patients.
• Conducts assessments for assigned patients based on the model of care requirements.
• Completes acute assessments to evaluate patient conditions.
• Focus on early identification of changes in condition as well as strong management of chronic conditions.
• Completes assessment on members within 72 hours of discharge from ED, Hospital, SNF, or Home Health episode to ensure stability and continuity of care.
• Communicate effectively with any transition of care.
• Encourages advanced care planning and end of life decisions for patients requiring these services. This may include initiating and providing palliative care services as necessary.
• Documents patient assessment and plan of care in the electronic medical record.
• Reviews labs and other diagnostic test for additional interventions
• Collaborate with utilization management, primary care physicians, specialist, and other members of the IDT.
• Notify family of changes in condition.
• Strong communication skills and focus on customer needs and services.
• Assists with any patient emergency as needed.
• Recommends and/or conducts specific areas of in-service or continuing education with patients and caregiver as appropriate.
• Performs other duties as assigned.

• Must be a high school graduate.
• Must have a current, unrestricted Registered Nurse license in the state of assignment or the ability to obtain and submit proof of license renewal every other year.
• Certification as a Registered Nurse by a national credentialing body
• A clinical background in adult, family or geriatric setting preferred
• Experience working in home health or hospice preferred.
• Must be willing to be “on call” for members as assigned.
• Must be dependable, flexible, and able to work and cooperate well with all nursing personnel, other departments and have understanding, patience, and tact in working with patients, families, doctors, and others.
• Must have ability to make decisions regarding nursing problems, realizing that errors and incompetence may have serious consequences for patients.
• Must be able to work well under pressure, problem solve, and perform various jobs.
• Must wear appropriate attire and demonstrate professionalism at all times, and must wear a name tag identifying themselves as Registered Nurse. Must have neat appearance and good personal hygiene.

Liberty Healthcare Management