Home Health Care RN Case Manager

Sunnyvale, CA 94085

Posted: 05/20/2016 Job Number: 1416
Title: Home Health Care RN Case Manager
Location: Bay Area, California
Multiple openings
$5, 000 sign-on/retention bonus after 90 days of employment

Job Description
Home Health RN Case Managers are responsible for developing, coordinating and directing all aspects of the interdisciplinary care and services provided to home health patients and their families.

Case management is the provision and coordination of care for an assigned caseload of patients to assist the intradisciplinary team in attaining plan of care (POC) goals. Case managers (CM) are responsible for developing, coordinating and directing all aspects of the interdisciplinary care and services provided to home health patients and their families. Skills include collaboration, communication, negotiation, mediation, anticipation and planning.

Responsibilities:

Case management is the provision and coordination of care for an assigned caseload of patients to assist the interdisciplinary team in attaining plan of care goals. The ideal Registered Nurse:
"Coordinates the care plan:
"Admits patients.
"Reviews case if patient admitted by another staff member.
"Familiarizes self with patient care by seeing patient at first possible opportunity.
1)Assesses need for other disciplines/DME as appropriate,
2)Obtains orders as needed to initiate add'l services.
3)Implements and follows up with staff / management for identified care issues.
4)Ensures appropriate utilization of services.
"Re-evaluates and /or updates POC, as needed.
"Ensures appropriate recertification completed within mandated timelines.
"Communicates / coordinates care with other staff members and disciplines, MD, patient and caregivers, as appropriate. Documents these communications.
"Obtains ongoing MD orders and collaborates with MD in fulfilling patient care needs.
"Reports status changes to patient's MD and other disciplines, as needed.
"Provides current visit instruction for continuity of care, as needed.
"Assures development and updates to HHA care plan.
"Assures HHA supervision is conducted according to regulatory and agency policy requirements.
"Is responsible for preauthorization of managed care patients (discipline specific).
"Coordinates patient care conferences as appropriate and assures coordination of care is documented.
"Notifies team with transfer of case management responsibilities whether temporary (i.E., vacations), or permanent (i.E., discipline change).
"Delegates responsibilities, as appropriate.

"Plans for discharge: (Begins at admission and is an ongoing process; is based on Medicare/payor criteria and Agency criteria for discharge).
"Coordinates and communicates plans to discharge with patient and team members.
"Provides verbal and/or written instruction regarding patient's ongoing needs following discharge.
"Completes discharge procedures per Agency protocol.

"Performs other case manager functions:
"Participates in scheduling activities.
"Assists in development of home health protocols, procedures and policies as requested.
"Maintains and updates level of knowledge and skills required to provide quality home health patient care.
"Participates in QA/PI activities and in-service education related to areas of practice as appropriate.


Qualifications:
Current California RN - Registered Nurse License
Graduate of an NLN accredited nursing school
Minimum one year of Home Health or Acute Care nursing experience in the last three years
Current CPR certificate
Current California driver's license and automobile insurance.
Compensation

Excellent compensation, mileage reimbursement, 100% company paid benefits for employee and more.

Our Client
They are a financially stable company offering quality hospice and home health care services through a healthcare continuum in Northern California. They are viewed as a major player in the industry.

Gene Doeker
President

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