RN Case Manager Merrifield, VA

RN Case Manager

Capital Caring Health - Merrifield, VA

Capital Caring Health is committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Sign on Bonus: $10,000
Benefits begin day 1

Role

The RN Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.

Qualifications

• Current license as RN in the state where the employee will be working.
• Minimum of one (1) year nursing experience; hospice or hospital experience preferred.
• Employees working at PACE, certification of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
• Previous experience working with an EMR/EHR system.
• Mobile Driver – Valid driver’s license and automobile insurance per Company policy.
• Reliable transportation to meet visit schedule.
• Ability to use equipment with visual and auditory mechanisms.
• Ability to effectively communicate in English (verbal and written).
• Ability to visit Participant in their homes for assessments.
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation.
• Active BLS for healthcare professionals from the American Heart Association or Red Cross.

Additional Responsibilities

• Provides reassurance on the phone to patients and families, assists in finding solutions to their questions and/or recognizes the need for an in‑person visit. Coordinates in‑person visit when needed or requested.
• Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.
• Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT).
• Completes initial and semi‑annual assessment for all Company services including, but not limited to:
• Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner.
• Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs.
• Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort.
• Obtains Physician orders.
• Completes documentation per Company policy.
• Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates frequently with other members of the IDT.
• Provides all necessary clinical communication in a timely manner using SBAR.
• Discusses any potential needs with after‑hours staff.
• Develops strong relationships with case managers, physicians, etc. at facilities.

Competencies

• Satisfactorily complete competency requirements for this position.

Responsibilities of All Employees

• Represent the Company professionally at all times through the care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company’s health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company…