rn case manager

Interim HealthCare

<div><p><b>Description</b><br>
</p><br>
<p>As a Hospice Registered Nurse Case Manager (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.</p><p>
What we offer our Hospice Registered Nurse Case Manager (RN):</p><ul><li>
Competitive pay, benefits, and incentives</li><li>
Truly flexible scheduling - a dedication to work/life balance - Full-time (FT)</li><li>
Daily Pay option available</li><li>
One-on-One patient care</li></ul><p>
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.</p><p>
As a Hospice Registered Nurse Case Manager (RN), you will:</p><ul><li>
Oversee the implementation and ongoing assessment of the patient's plan of care alongside the spiritual care coordinator, social worker, hospice aide and medical director
</li><li>Ensure an accurate evaluation and work to develop and implement a comprehensive care plan that addresses patient needs
</li><li>Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve</li></ul><p>
To qualify for a Hospice Registered Nurse Case Manager (RN) with us, you will need:</p><ul><li>
Education: Associate degree in Nursing (ADN) or Associate of Applied Science in Nursing (AAS) required; Bachelor of Science in Nursing (BSN) preferred
</li><li>Licensure: Current license to practice as a Registered Nurse (RN) in the state associated with this position.
</li><li>Current CPR/FA certification
</li><li>Reliable transportation to/from care sites and/or work locations
</li><li>One (1) year of professional experience practicing as a Registered Nurse (RN) in a hospice or similar setting preferred</li></ul><p>
At Interim HealthCare Hospice &amp; Palliative Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.</p><p>
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.</p><p>
#Hospice1</p></div>

Hospice RN Case Manager

HiredFirst

<div><h2 class="jobSectionHeader"><b>RN Case Manager NE</b></h2><p>
Location: Glendale, AZ</p><p><br>
Specialty: RN Case Manager NE<br>
Assignment Length: 13 weeks with possible extension<br>
Hours per Week: 36<br>
Schedule: Days<br>
Shift Time: 9:00 AM &ndash; 5:30 PM<br>
Shift Details: Shift time:9am- 5:30 pm Shift days: M-F and every third weekend<br>
<br>
Travel Pay Estimate: $2,187.00/week<br>
<br>
Additional Information:<br>
Licensed master&rsquo;s level social worker in state of AZ OR RN State of Arizona, At least five years of Case Management experience in an acute care hospital, Assist with Initial Assessments, agreeability and DC plan with post-acute preferences. Heavy in DC planning experience<br>
<br>
IMPORTANT: This job is for TRAVELERS ONLY and will not accept any Arizona residents.<br>
<br>
Please apply today to discuss further!<br>
HFFC</p>
#Workwolf</div>

RN Case Manager NE - Glendale, AZ

Ennoble Care

<div><div><p><b>About Us</b></p>
<p>
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, &quot;To Care is an Honor.&quot; Join Ennoble Care today!</p></div><p><b>
Job Summary:</b></p>
<p>
Ennoble Care is hiring for a Full-time Hospice Registered Nurse Case Manager to work within and around the Arlington / Fairfax / Loudoun County region in Virginia. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers.</p>
<p><b>
Responsibilities:</b></p>
<ul>
<li>Shall be assigned patient caseload by the Patient Care Coordinator or designee</li>
<li>Assume primary responsibility for a patient caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process</li>
<li>Initiate communication with attending physicians, Hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient and loved ones/caregivers</li>
<li>Maintain regular communication with the attending physician concerning patient and loved ones/caregivers</li>
<li>Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support</li>
<li>Provide accurate and timely documentation in electronic medical records.</li>
<li>Participates in and contributes appropriate information for Interdisciplinary Group meetings</li>
<li>Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, and employed caregivers or by providing direct care as appropriate</li>
<li>Meet regularly with the Hospice nursing staff to review problems or unique issues from caseloads; share professional support; and exchange feedback aimed toward enhancing professional growth</li>
<li>Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation</li>
<li>Supervise and document the NAC every two weeks or as assigned</li>
<li>Inform the Patient Care Coordinator of unusual or potentially problematic patient/family issues</li>
<li>Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off-hour times or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses</li>
<li>Provide appropriate support at time of death and period of bereavement</li>
<li>Participate in the Hospice orientation and in-service training programs for professional staff</li>
<li>Participate in agency and community programs as required to promote professional growth and understanding of hospice care</li>
<li>Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice</li>
<li>Accept other assignments as appropriate</li>
</ul>
<p><b>Qualifications:</b></p>
<ul>
<li>Possession of a current license to practice as a registered nurse in the State of VA</li>
<li>At least two years of work experience as a professional nurse preferably at least one of the years in hospice care</li>
<li>Ability to assess and respond to the needs of patients and loved ones/caregivers in varied settings.</li>
<li>Skilled in nursing practice, able to cope with loved ones/caregivers' emotional stress and tolerant of individual lifestyles</li>
<li>Ability to make meaningful observations, skilled assessments, and write comprehensive, accurate reports</li>
<li>Must be a team player who supports an interdisciplinary team concept of caring for patient and loved ones/caregivers</li>
<li>Must have a valid driver's license, a good driving record, the use of a reliable vehicle, and the ability to drive year-round to locations</li>
<li>Must be able to take direction, work independently and effectively as part of a multidisciplinary team in a positive, professional manner which supports the mission of the organization</li>
</ul>
<p>Starting Pay: $90,000/yr</p>
<p>
#red</p><div><p><b>
Full-time employees qualify for the following benefits:</b></p>
<ul>
<li>Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.</li>
<li>Paid Time Off</li>
<li>Paid Office Holidays</li>
</ul>
<p><b>All employees qualify for these benefits:</b></p>
<ul>
<li>Paid Sick Time</li>
<li>401(k) with up to 3% company match</li>
<li>Referral Program</li>
<li>Payactiv: pay-on-demand. Cash out earned money when and where you need it!</li>
</ul>
<p><b>Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.</b></p>
<p><i>
Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against </i><i>protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national </i><i>origin, religion, disability, and veteran status.</i></p></div></div>

RN Case Manager - Hospice (Arlington / Fairfax County, VA)

Alignment Healthcare

<div><p>Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.</p><p></p>
Location: Fully Remote (Must be licensed in California)<br>
Schedule: Monday&ndash;Friday, 8:00 AM &ndash; 5:00 PM PT<br>
Language: Bilingual candidates strongly preferred (Spanish and Vietnamese)<br>
<br>
Join the Team That&rsquo;s Redefining Healthcare!<br>
<br>
Are you a compassionate Registered Nurse with a passion for improving the lives of seniors and complex care patients? Join Alignment Health as a Telephonic RN Case Manager for our Special Needs Plan (SNP) members &mdash; all from the comfort of your home!<br>
<br>
This is a fully remote, phone-based position where you'll play a vital role in helping members navigate their care journeys, close gaps in care, and overcome barriers to better health. (HIPAA compliant work space)<p></p><div><div><b>
What You'll Do</b></div><div>
As an <b>RN Case Manager (SNP)</b>, you will:</div><ul><li><div>
Provide telephonic case management to <b>medically complex and chronically ill members</b></div></li><li><div>
Conduct <b>comprehensive health assessments</b> and create individualized care plans</div></li><li><div>
Coordinate care with internal and external partners, including physicians and specialists</div></li><li><div>
Educate members and caregivers on disease management and preventive care</div></li><li><div>
Monitor member progress and advocate for timely, appropriate interventions</div></li><li><div>
Identify and help resolve service or access issues impacting care quality</div></li></ul><div></div><div><b>
Requirements</b></div><div><b>
Must-Haves:</b></div><ul><li><div><b>
Active, unrestricted RN license in California</b> (Non-Compact)</div></li><li><div><b>
Minimum 2 years of clinical nursing experience</b></div></li><li><div><b>
At least 1 year of case management</b> experience</div></li><li>
Proficiency with Microsoft Office (Word, Excel, Outlook)</li></ul><div></div><div><b>
Nice-to-Haves:</b></div><ul><li><div>
Bilingual (Spanish, Korean, Mandarin, etc.)</div></li><li><div>
Previous <b>health plan</b> or <b>IPA</b> experience</div></li><li><div>
Bachelor's Degree in Nursing (BSN)</div></li></ul><div></div><div><b>
Licensure Requirement Upon Hire:</b></div><ul><li><b>
Active, unrestricted RN license in California</b> (Non-Compact)</li><li><div>
Must be willing to obtain RN licensure in <b>Nevada</b>, <b>Arizona</b>, <b>North Carolina</b>, and <b>Texas</b> (company reimburses costs)</div></li></ul><div></div><div><b>
Work Environment</b></div><ul><li><div><b>
Fully remote</b> &mdash; work from anywhere in the U.S., but must work <b>Pacific Time hours</b></div></li><li><div>
All communication is conducted via phone, email and Teams.</div></li><li><div>
Company-provided equipment and IT support included</div></li></ul><div></div><div><b>
Why Join Alignment Health?</b></div><div>
At Alignment, we&rsquo;re changing the way healthcare is delivered for the most vulnerable populations. We're committed to innovation, compassion, and delivering meaningful outcomes &mdash; and we want <b>you</b> to be a part of that journey.</div><div></div><div><b>
Benefits &amp; Perks</b></div><ul><li><div>
Competitive compensation</div></li><li><div>
Full suite of health benefits (medical, dental, vision)</div></li><li><div>
401(k) with employer match</div></li><li><div>
Generous PTO and paid holidays</div></li><li><div>
Career growth and continuing education support</div></li><li><div>
Rewarding referral bonuses for successful hires</div></li></ul><div></div><div><b>
Apply Today</b></div><div>
Be part of something bigger. Bring your skills and compassion to a team that values connection, service, and innovation.</div><div></div><div>
Apply now or refer a colleague who would thrive in this role:</div><div>
https://careers.alignmenthealth.com</div><div></div><div><b>
Note:</b> This position is not open to LVNs. California RN license is required.</div></div><div></div><div><div><div><div><p>
Essential Physical Functions:</p><p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><ul><li>
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.</li><li>
The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.</li></ul></div></div></div></div>
Pay Range: $77,905.00 - $116,858.00<p>
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
</p><p></p><p>Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.</p><p></p><ul><li><i>DISCLAIMER: Please</i><i> beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal </i><i>information. Please</i><i> be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at </i><i>https://reportfraud.ftc.gov/#/</i><i>. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health&rsquo;s talent acquisition team, please email </i><i>careers@ahcusa.com</i><i>.</i></li></ul></div>

Remote Bilingual Spanish Telephonic RN Nurse Case Manager (California RN Required)

Namaste Home Health + Hospice

<div><p><b>JOB SUMMARY</b></p><p>
The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.</p><p></p><p><b>
DUTIES &amp; RESPONSIBILITIES</b></p><p></p><p><b>
Patient Care</b></p><ul><li>
Completes hospice admissions. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patient&rsquo;s status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary</li><li>
Uses health assessment data to determine nursing diagnosis.</li><li>
Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.</li><li>
Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician&rsquo;s plan of care.</li><li>
Counsels the patient and family in meeting nursing and related needs.</li><li>
Provides health care instructions to the patient as appropriate per assessment and plan.</li><li>
Assists the patient with the activities of daily living and facilitates the patient&rsquo;s efforts toward self-sufficiency and optional comfort care.</li><li>
Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.</li></ul><p></p><p><b>
Communication</b></p><ul><li>
Completes, maintains and submits accurate and relevant clinical notes regarding patient&rsquo;s condition and care given.</li><li>
Records pain/symptom management changes/outcomes as appropriate</li><li>
Communicates with the physician regarding the patient&rsquo;s needs and reports changes in the patient&rsquo;s condition; obtains/receives physicians&rsquo; orders as required.</li><li>
Communicates with community health related persons to coordinate the care plan.</li><li>
Teaches the patient and family/caregiver self-care techniques as appropriate.</li><li>
Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers</li><li>
Works in concert with the interdisciplinary group.</li><li>
Provides and maintains a safe environment for the patient.</li><li>
Assists the patient and family/caregiver and other team members in providing continuity of care</li><li>
Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.</li><li>
Attends interdisciplinary group meetings.</li></ul><p></p><p><b>
Additional Duties</b></p><ul><li>
Participates in on-call duties as defined by the on-call policy.</li><li>
Ensures that arrangements for equipment and other necessary items and services are available.</li><li>
Supervises ancillary personnel and delegates responsibilities when required.</li><li>
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.</li><li>
Fulfills the obligation of requested and/or accepted case assignments.</li><li>
Actively participates in quality assessment performance improvement teams and activities.</li></ul><p></p><p>
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.</p><p></p><p><b>
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills &amp; Abilities)</b></p><ul><li>
Graduate of National League for Nursing accredited school of nursing.</li><li>
Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.</li><li>
Management experience not required. Responsible for supervising hospice aides.</li><li>
Registered nurse with current licensure to practice professional nursing in the state.</li><li>
Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.</li><li>
Shows ability to organize and prioritize workload independently.</li><li>
Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.</li><li>
Maintains a current CPR certification.</li><li>
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.</li><li>
Self-directed and able to work with minimal supervision.</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>

Hospice RN Case Manager - East Denver/North Aurora/NE Metro

<div><p><b>JOB SUMMARY</b></p><p>
The registered nurse plans, organizes and directs/coordinates home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.</p><p></p><p><b>
DUTIES &amp; RESPONSIBILITIES</b></p><ul><li>
Complies with accepted ethical conduct and Professional Standards of Nursing Practice as set forth by the American Nurses Association and the &ldquo;Nurse Practice Act&rdquo; of the State of Colorado.</li><li>
Practices and maintains patient safety and dignity by abiding by Federal, State, Local and (insert company name) policy &amp; procedures as pertains to patient protected health information and HIPAA (Health Information Portability and Accountability Act).</li><li>
Assess the physical, psychosocial, and environmental factors that affect a patient&rsquo;s health. In addition, they perform in-depth functional assessments and medication assessment.</li><li>
Performs physical assessments which may include but is not limited to interviewing patients and their caregivers about the patient&rsquo;s health history and diagnoses, and includes performing a complete physical assessment of all the patient&rsquo;s body systems and capabilities, along with a review of nutritional needs.</li><li>
Performs a psychosocial assessments which may include but is not limited to assessing the patient&rsquo;s cognitive, developmental, behavioral, and coping status and includes screening for anxiety, depression, and abuse or neglect. Furthermore, a psychosocial assessment discovers the patient&rsquo;s language preference, health literacy, learning style, and cultural needs and preferences. Special attention is paid to the multiple impacts the patient&rsquo;s illness and disease have on the family, the caregiver, and the patient&rsquo;s/family&rsquo;s finances.</li><li>
Performs environmental assessments which may include but is not limited to focusing on risks within the home and community to the patient&rsquo;s and home health clinician&rsquo;s personal health and safety. A home environmental assessment includes attention to obstacles within the home that may increase the risk for falls, presence of needed safety features, presence of smoke alarms, and safety practices that are required for home treatments, such as oxygen safety. Sanitation issues that may affect the risk of infection are also assessed.</li><li>
Performs comprehensive medication assessments which may include but is not limited to reconciling medications in the home to the prescriber&rsquo;s list and the patient&rsquo;s diagnoses; monitoring the medications for effectiveness, side effects or adverse effects, and interactions; assessing the ability of the patient and the caregiver to safely and consistently administer the medications; and identifying any barriers or issues related to medication adherence.</li><li>
Performs comprehensive functional assessments which may include but is not limited to determine the patient&rsquo;s risk for falls and ability to safely perform activities of daily living (ADLs) and independent activities of daily living (IADLs), including the ability of the patient and caregiver9s) to safely manage all medical/assistive devices and equipment.</li><li>
Assesses client&rsquo;s condition and needs, through the collection of health data, the recognition, interpretation and reporting of symptoms and psychological responses and re-evaluates the client nursing needs as required.</li><li>
Document diagnoses and identify problems from the assessment data.</li><li>
Partners with the patient, family, and other caregivers to identify specific, measurable, attainable, relevant, and time-defined (SMART) goals for the patient based on the patient&rsquo;s identified problems and diagnoses.</li><li>
Develops a plan of care in collaboration with the patient, family and other caregivers, and other healthcare providers.</li><li>
When the need for other services and supplies is identified, the home health nurse collaborates with the inter-professional home health team to further develop the most effective and economical plan.</li><li>
Develops and implements nursing plan of care with consideration for the dignity and desires of the client care, organizes and participates in direct client care, performs treatment and administers medications.</li><li>
Implements the plan of care and provides skilled nursing interventions to patients, as well as patients&rsquo; families and caregivers, including direct care, teaching, counseling, coaching, care management, and resource coordination.</li><li>
Implements care management which includes report communication to the NS or NM as instructed per (insert company name) protocol.</li><li>
Care management communication also includes frequency by discipline and other needs communicated to (insert company name) Scheduling as instructed per (insert company name) protocol.</li><li>
Formulates, notifies, and carries out client care plan which identifies nursing actions toward achievable goals according to client needs.</li><li>
Maintains a safe, therapeutic environment for the client.</li><li>
Initiates and maintains care coordination while participating in the development of the Plan of Care which includes but is not limited to: obtains physician&rsquo;s orders; clarifies those orders obtaining necessary revisions as needed; informs the physician of changes in the clients condition which may include but in not limited to laboratory and diagnostic reports; provides written summary reports to the physician; and completes all required patient documentation.</li><li>
Participates in patient education, health counseling and teaching with the patient, caregiver and family members as designated per specific patient HIPAA releases.</li><li>
Provides ongoing assessment and evaluation of the patient&rsquo;s progress toward expected outcomes and thus determines the effectiveness of the plan of care providing any necessary modification as needed.</li><li>
Maintains detailed records of nursing actions, client progress, and response to therapy and teaching so that the Plan of Care can be documented and evaluated.</li><li>
Provides ongoing assessment and supervision of care given by ancillary personnel (LPN and C.N.A./C.H.H.A.) to ensure the plan of care is being followed to thereby obtain the best possible outcomes of care provided.</li><li>
Initiates preventative and rehabilitative nursing procedures.</li><li>
Coordinates discharge planning and prepares discharge summaries and instructions.</li><li>
Initiates cardio-pulmonary resuscitation and institutes other emergency procedures when necessary.</li><li>
Communicates information effectively to appropriate personnel to facilitate continuity of care.</li><li>
Motivate patients, families, and caregivers in health promotion and disease management by applying change theory, learning principles, and teaching skills.</li><li>
Accepts accountability for own practice.</li><li>
Maintains competency by participating in in-service, mandatory meetings or education or in-services, and continuing educational programs.</li><li>
Participates in Monthly, Quarterly, Annual trainings as well as other meetings required by Namaste Home Health and Hospice.</li><li>
Coordinates care of all agency disciplines which may include, but not be limited to, Nursing, Certified Home Health Aide, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Worker, and other services delivered to clients of the agency.</li><li>
Complies with agency policies, protocols, and standard procedures.</li><li>
Provides consultation to NS, NM, DCS, and HR for proper placement of qualified personnel</li><li>
Completes all required documentation within 24 hours of the patient visit.</li><li>
Completes within 24 hours all documentation sent back for correction.</li><li>
Other duties and tasks as assigned by the Namaste Home Health and Hospice Home Care Emergency Command Center communication tree in the event of a local, regional or national emergency and/or disaster.</li><li>
Employee responds, as required, to support emergency response plan activation.</li><li>
Employee participates in exercises and drills for emergency preparedness, as required.</li><li>
Employee completes emergency preparedness training as identified as appropriate for this employee level.</li><li>
Other duties and tasks as assigned.</li><li>
Other duties / responsibilities that support the agency&rsquo;s core values of Commitment, Advocacy, Respect, and Excellence.</li></ul><p></p><p><b>
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills &amp; Abilities)</b></p><ul><li>
Must have graduated from an approved school of nursing and be licensed in the state where practicing.</li><li>
Minimum of two years of experience, at least one of which is in the area of public health or home care nursing is preferred.</li><li>
Maintains a current CPR certification.</li><li>
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.</li><li>
Self-directed and able to work with minimal supervision.</li><li>
Demonstrates excellent observation, problem solving, verbal and written communication skills; nursing skills per competency checklist.</li><li>
Shows ability to organize and prioritize workload independently.</li><li>
Management experience not required. Responsible for supervising home health aides.</li><li>
Prolonged or considerable walking or standing. Able to lift, position, or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, or crouching. Visual acuity and hearing to perform required nursing skills.</li></ul><p></p><p>
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.</p><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>

Home Health RN Case Manager - Central/West Denver Metro

ECHO

<div><p><b>Primary Purpose:</b></p><p>
To provide support and facilitate care for members who require case management. To work collaboratively with the Health Plan and Hospital Case Management Departments to facilitate services. To collaborate with the treating physician and IPA Medical Director in the review and decision-making process regarding the provision of appropriate health care and service requests. Case Management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates an individual&rsquo;s health needs through communication and available resources to promote quality and cost-effective outcomes. If applicable, the CM will coordinate care for Cal Medi-Connect program members to ensure that all aspects of the CMC program description are implemented and followed. All services under Medicare and Medi-Cal will be coordinated and monitored, including CCS, IHSS, CBAS, and BH. The case manager is a licensed nurse (RN or LVN). A care manager can be a licensed social worker (MSW) or a licensed nurse (RN or LVN).</p><p>
All candidates for any position within case management will have the appropriate education and experience to meet requirements and the service needs of the population.</p><p><b>
Principal Duties and Responsibilities (* = essential functions):</b></p><ul><li>
To utilize the Case Management functions: assessor, planner, facilitator, advocate. *</li><li>
To facilitate services at the appropriate Health Plan center of excellence. *</li><li>
To utilize the most cost-effective case rates and contracts. *</li><li>
To review and process clinical information in accordance with regulatory mandates to facilitate patient healthcare and services across the continuum of care. *</li><li>
To perform catastrophic case management as appropriate to the patient&rsquo;s medical condition and healthcare needs, utilizing the standards of practice for Case Management.</li><li>
To interface professionally and courteously with all internal staff and external customers to ensure appropriate exchange of information. *</li><li>
Preparing for and participating in health plan audits onsite as required.</li><li>
To actively participate in Utilization Management Committees regarding Case Presentations and problem-solving.</li><li>
To participate in the development of Case Management Policies and Procedures.</li><li>
To actively participate in the discharge planning process.</li><li>
To monitor and participate in the SNP/Duals program</li><li>
To monitor and participate in the CMC program</li><li>
To ensure all members are living in the least restrictive environment</li><li>
To follow the UM/QI/CM/SNP/CMC program descriptions</li><li><b>
Assigned to On-Call after-hours Customer Service Care.</b></li><li>
To perform other duties as assigned.</li></ul><p><b>
Job Specifications (KSAs):</b></p><ul><li>
Requires extensive and specialized knowledge of utilization and case management processes, generally acquired through 2-3 years or more of experience as a case manager in a Managed Care Environment, or through successful completion of a nursing program.</li><li>
Requires prior Case Management experience, preferably with catastrophic cases.</li><li>
Requires an active RN or LVN license in the state of employment.</li><li>
Requires clinical expertise, generally acquired through 3 to 5 years of acute nursing practice.</li><li>
Requires excellent written and verbal communication skills.</li><li>
Requires computer experience, particularly with Microsoft Word and Excel, familiarity with Cozeva (a plus), and the ability to learn new software applications quickly.</li><li>
Requires problem-solving and critical thinking skills.</li><li>
Requires professional demeanor and the ability to contribute to a positive work environment.</li><li>
Requires knowledge of regulatory standards such as Medicare, TitleXXII, and Medi-Cal*</li><li>
Requires extensive knowledge of health plan guidelines.</li></ul><p><b>
Position Performance Criteria:</b></p><ul><li>
Demonstrates proficiency in UM and Case Management, including but not limited to:</li></ul><ul><li>
Catastrophic Case Management</li><li>
Transplant Management</li><li>
Referral review</li><li>
Out-of-network management</li><li>
Denial letter process</li><li>
Concurrent/inpatient review and bed-day management.</li><li>
Demonstrates the effective practice of Case Management Standards of Care, including:</li></ul><ul><li>
Assessment</li><li>
Case Identification and Selection</li><li>
Planning</li><li>
Monitoring</li><li>
Evaluating</li><li>
Outcomes</li><li>
Sets appropriate priorities to meet departmental goals and objectives, including but not limited to:</li></ul><ul><li>
Demonstrates ability to efficiently manage case load.</li><li>
Demonstrates ability to set appropriate priorities</li><li>
Consistently makes prudent and sound decisions</li><li>
Manages multiple tasks while meeting required timeframes</li><li>
Adheres to departmental policies and procedures</li></ul><ul><li>
Demonstrate knowledge of Health Plan guidelines.</li><li>
Demonstrates knowledge of federal, state, NCQA, and health plan regulatory requirements and approved criteria guidelines.</li></ul><ul><li>
Ensures consistency in the application of the utilization process.</li><li>
Maintains knowledge of new legislation and disseminates information to providers and co-workers.</li></ul><ul><li>
Demonstrates ability to give concise, articulate, and accurate case presentations to Medical Director, UMC, etc., including problem-solving.</li><li>
Demonstrates cost savings.</li><li>
Consistently demonstrates professional work ethic, collegial interaction with others, and reliability, while contributing to a positive work environment, including but not limited to:</li></ul><ul><li>
Professional appearance and demeanor</li><li>
Meets departmental attendance needs on-site</li><li>
Participates verbally in group activities, i.e., staff meetings, etc.</li><li>
Demonstrates respect for co-workers and customers.</li><li>
Works collaboratively with other departments to identify and resolve issues.</li></ul><p></p><p><br>
Hourly Range is: $33.50 to $45.00 per hour</p></div>

Inpatient Nurse Case Manager

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