RN Case Manager -Weekends - Full-time / Part-time

FT DODGE HOME CARE

FTE: 0.6

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES :

The weekender case manager performs the duties of the case manager each week-end from noon on Friday-Monday morning report unless otherwise authorized to be absent from work or on PTO. The Case Manager coordinates and delivers patient care to ensure the achievement of patient outcomes and ensure patient satisfaction with the care received.

The Weekender Case Manager performs the following duties:

Assumes accountability for assessing, coordinating and implementing care and services using tele-monitoring for all appropriate patients as assigned:

Accurately completes OASIS assessment information and develops patient care plans with five days of the admission visit.

Places a tele-monitor in the patients home at the time of admission.

Incorporates the use of tele-monitoring into the home care patient clinical assessment, care plan development and patient care.

Reviews the OASIS documentation and care plan with the Clinical supervisor/Supervisor as requested.

Attends case conferences as requested.

Maintains a high level of productivity performing the majority of necessary in-home visits for patients on their census and performs and documents a minimum of one telephone visit on each monitored patient weekly.

Performs SOC visits, post-hospital evaluations, patient re-certifications, discharges and supervisory visits within the work base as assigned.

Implements clinical protocols during the admission visit as dictated by patients diagnosis (as appropriate). Reports vital sign alerts and subtle changes in vital sign trends to the physician according to protocol in a timely manner. Initiates additional physician orders as needed and implements appropriate interventions. Provides thorough instruction and disease management education to patients and/or caregivers as ordered by the physician. Educates patients, families, and caregivers about disease process and recommended self care. Ensures that all patients and/or their caregivers understand their rights and responsibilities. Formulates and updates Home Health Aide care plans as appropriate and performs supervisory visits for Home Health Aides every fourteen days. Performs on-call duties as assigned. Ensures organizational sustainability through the efficient use of corporate resources.

Completes all documentation accurately and submits to office within 24 hours of visit, phone call and/or change in treatment or orders. Reviews and follows up on lab work in a timely manner and documents follow up activities. Maintains a current medication list in the patient record. Reviews medication list for drug interactions and contraindications and notifies the physician of any identified interactions or contraindications. Participates in clinical record audits, quality monitoring activities and patient outcome improvement initiatives. Coordinates the patient care plan with all disciplines.

Communicates care plan updates to clinical supervisor Monday morning in accordance with clinical supervisor guide lines.

Promotes the services of UnityPoint at Home internally and externally.

GENERAL DUTIES

Attends and participates in in-service training programs, team conferences and other workshops as assigned.

Maintains current knowledge base and nursing skills through continuing education activities and/or in-service classes.

Follows agency policies and procedures when performing job duties.

Maintain regular and consistent attendance at work.

Behave in a manner consistent with Mission, Vision, Values and Expectations for Excellence.

Maintain compliance with OSHA, Accreditation Standards and Risk Management guidelines.

Maintain compliance with Personnel policies and procedures.

Behave in a manner consistent with all Corporate Compliance policies and procedures.

Meets measures as determined and required for job productivity and performance improvement.

Employee is responsible for completion of communication tasks and activities in a timely manner. This would include, but is not limited to: responding to email, voicemail or telephony messages, promptly, accurately, and professionally; attending staff meetings as scheduled or viewing videotapes of those meetings; asking questions of team members and supervisors when needing clarification about various day-to-day issues or patient needs; and reviewing employee communication pieces, to stay aware of UnityPoint at Home programs and initiatives.

Perform other duties as requested by the Clinical supervisor.

QUALIFICATIONS REQUIRED :

Graduate of State Board approved program for Registered Nurses.

Current license to practice nursing according to the state where service is provided.

CPR: Maintain a valid Basic Life Support (BLS) Healthcare Provider Card with Re-certification.

Strong interpersonal skills.

Ability to work as a collaborative team member.

Ability to understand and apply guidelines, policies and procedures.

Strong computer skills.

Valid licensed driver with automobile insurance in accordance with state and/or organizational requirements.

QUALIFICATIONS PREFERRED:

Masters education in health related field.

BSN or BS in health related field.

PICC line and Chemotherapy certification

Previous home care experience.

CONTINUING EDUCATION REQUIREMENTS

All staff are expected to participate in appropriate continuing education as may be requested and/or required by their immediate manager. In addition, staff are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. All staff must attend mandatory educational programs.

COMMITMENT TO VALUES:

The following behavior is expected from those employed by this organization:

Patients First

Focus decision making on whats best for our patients Provide high-quality, compassionate care Communicate effectively with patients, families and other providers Improve patient experience and outcomes through care coordination Integrity

Be accountable to our patients and each other Rise above self-interest for the greater good Embrace public transparency of quality and safety metrics Earn our patients trust and deliver on commitments Pursuit of Excellence

Lead healthcare transformation, embracing innovation Exceed patient expectations in quality and service Embrace best practices and evidence-based care Value providers and staff by providing a great work environment Partnership

Share common goals and work together across the system, while acknowledging and adapting to regional needs Embrace diversity, respect differences and value individuals across all disciplines Be professional and take a positive approach to problem solving Recruit and retain partners and staff who share our values and vision Community Stewardship

Be strong, transformative community partners Identify and respond to community health needs Promote wellness and prevention

Teach and develop healthcare providers to improve the workforce

EOE M/F/V/D