Home Health Registered Nurse - Case Manager

Complete assessment and nursing care in accordance with quality standards. Provide initial and ongoing nursing assessment and appropriate care based on clinical and professional judgment.

• Complete an initial assessment of the participant and family to determine home care needs, including a complete physical assessment and history of health issues; determine nursing diagnosis.
• Reassess participant health and nursing needs as required and provide health care instructions.
• Develop a nursing care plan that identifies goals and establishes therapeutic, preventive, and rehabilitative nursing actions; ensure participant and family involvement in the planning process.
• Implement appropriate therapeutic, preventive, and rehabilitative nursing procedures as outlined in the plan of care; make necessary revisions as participant status and needs change.
• Provide counsel to the participants in meeting health needs.
• Develop and implement discharge planning as part of the plan of care.
• Ensure that all services are delivered consistently with the standard practice of professional nursing.
• Document contacts and needed follow-up information accurately, thoroughly, and within agency, funding source, and regulatory authority timelines.
• Participate in certification and regulatory authority surveys as assigned.
• Complete special projects assigned by the supervisor.
• Provide nursing services to participants consistent with established professional nursing practices, state and federal licensing regulations.
• Exercise professional judgment to assess participant needs, evaluate and plan for meeting care needs, and implement the authorized Plan of Care.
• Make home visits to participants to provide nursing services.
• Prepare clinical notes and update the primary physician as necessary and at least every 60 days.
• Effectively communicate with the physician regarding the participant's needs and report changes in the participant’s condition; obtain/receive physician orders as required.
• Ensure that equipment and other necessary items/services are available in a timely manner.
• Instruct, supervise, and evaluate home health aide care every 14 days.
• Participate in On-Call rotation as assigned.
• Conduct marketing activities under the direction of the supervisor.
• Conduct quality control of Oasis entries as directed by the supervisor.
• Regular and predictable attendance.

• Bachelor’s degree with one year of experience in home health preferred.
• Satisfactory background check.
• Licensed in the State of Missouri as a Registered Nurse.
• Must maintain current CPR certification.
• Ability to travel.

• Handle emergency or crisis situations effectively.
• Remain flexible when faced with schedule changes, interruptions, or difficult situations.
• Keep confidential information confidential.
• Demonstrate personal integrity and sound judgment.
• Model professional attitude and demeanor.
• Establish priorities, demonstrate sound time management and organizational skills.
• Demonstrate willingness to share knowledge and expertise with others.
• Engage in active and careful listening to others.

• May be exposed to extremes of heat and cold weather conditions. Must be able to travel during various inclement weather conditions.
• May be exposed to infections and contagious diseases. Contact with participants under a wide variety of circumstances. May be exposed to participant elements. Subject to varying and unpredictable situations.
• OSHA exposure Category I - includes tasks that involve exposure to blood, body fluids, and tissue conditions.

Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

The Whole Person is an equal opportunity employer committed to hiring staff members reflecting the great diversity of our community. Reasonable accommodations will be made upon request. People with disabilities are strongly encouraged to apply.