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Job Summary:

The overall purpose of the Case Manager position is to conduct all aspects of supervision and management of patient care, including LVN and HHA supervision, case conferences and discharge planning to enable the agency to identify the medically related social and emotional needs of the patients. This position will promote patients’ potential during their home health episode and collaborates with physician, clinical team and patient in preparation for discharge.

Qualifications:

• Registered Nurse, licensed per the state requirements
• Skills in communication, documentation, assessment, and social work methods and techniques.
• Ability to read, write, and speak the English language.

Case Manager Essential Functions:

• 
  Supervises and manages all aspects of patient care, including LVN and HHA supervision
• Coordinates the distribution of visits among all disciplines (SN, PT, OT, ST, MSW, HHA) after the Start of Care, Recertification or Resumption of Care is completed, and coordinates POC with the physician. Ensures all visits are provided as ordered.
• Initiates referrals to appropriate ancillary services i.e. podiatry, community services.
• Facilitates interdisciplinary communication to ensure that patients’ needs and expectation for services provided are understood and to ensure optimization of service delivery and patient progress.
• Leads weekly interdisciplinary case conferences for patient caseload, and contributes to the development of care plans for patients.
• Establishes specific social action plans and realistic goals for each patient consistent with medically related social and emotional needs.
• With the Administrator, interprets and promotes patients' rights and the "Patients' Bill of Rights".
• Coordinates all aspects of discharge planning with patients, clinical team and agency
• Provides individual and group help for patients/residents and families at times of adjustment, crisis or particular need.
• Completes all necessary and supportive documentation-assessments, evaluations, visit notes and discharges, in accordance with state and federal regulations.
• Ability to function as a team leader/role model.
• Serves on various committees as requested by Administrator.
• Has reviewed TheraCare Home Health Clinical Policies and Procedures on Abuse Prevention and knows the employee's responsibility to enforce it.
• Responsible for assuring patient safety.
• Performs other duties/tasks as assigned.

RN essential functions:

• 
  Every SOC, ROC and recertification will be reported to the team via HIPAA-compliant text messaging or email to include discipline orders, frequencies and any pertinent information the team needs to provide care.
• All OASIS documentation will be completed and synched by 9:00AM the following day, 7 days per week.
• All RNs may be required to participate in the on call weekend rotation, including PRN staff. The size of each branch will determine the frequency of on call responsibility.
• Full time staff may be required to work a minimum of one major and one minor holiday each year and could have additional holiday coverage requirements depending on the size of branch and number of staff in the agency location.
• PRN staff may be required work one major and one minor holiday each year, may be required to work at least 2 weekend days each month, and complete a minimum of 5 visits each month unless on an approved leave of absence status, depending on the needs of their location.

We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.