Case Manager; RN Home Health

Responsibilities

• Provides initial and on-going assessment of client needs using the OASIS data elements incorporated into the Comprehensive Assessment.
• With input from patient/care giver and in conjunction with physician, formulates and implements plan of care.
• Evaluate effectiveness of care plan and make necessary adjustments.
• Provides for the emotional and physical comfort and safety of client taking into consideration their rights and cultural background.
• Receives and transcribes physician orders.
• Notifies physician and Agency supervisor of unusual reactions and/or changes in client’s condition.
• Documents all appropriate observations and treatments in keeping with Agency policies and procedures.
• Participates in case conferences, team meetings, staff meetings, and Performance Improvement activities as assigned.
• Provide any skilled nursing service for which appropriately trained which is prescribed under the plan of care. Prepares clinical progress notes as per agency policies and procedures.
• Provide 60 day summary of skilled services and client outcomes to physician and Agency supervisor in keeping with Agency policies and procedures.
• Adheres to all Agency policies and procedures including but not limited to the HIPAA Privacy rule.
• Maintains strict confidentiality of all patient, employee and Agency information.
• Other duties as assigned by supervisor and for which (s) he is qualified.
• Conducts self in professional manner at all times and in all situations.
• Participates in all agency in-service programs.