21 days old

Registered Nurse RN (Case Mgr.)

Rochester, New York 14623
  • Job Type
  • Job Status
    Full Time, Part Time
  • Shift
    1st Shift, 2nd Shift, 3rd Shift, Weekends
  • Jobs Rated

Summary:  The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time. This involves the assessment of patient and family needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and supervises Private Duty Nurses (PDN) as applicable.

Essential Responsibilities/Accountabilities:

  • Identifies and prioritizes health problems based on assessment
  • Develops or implements an interdisciplinary Plan of Care based on the needs identified during the assessment, with input from the patient (and their caregivers as applicable), in collaboration with the attending physician and other care team members
  • Manages and coordinates patient care, including clinically complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports
  • Exhibits proficiency and accuracy in the completion of comprehensive assessment/documentation, which may include assessments required by payer sources (e.g., Outcome and Assessment Information Set (OASIS), Hospice Item Set (HIS)).
  • Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care
  • Communicates all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner
  • Facilitates the development and implementation of patient discharge plans as indicated
  • Documents all patient care and coordinating activities per agency standards
  • Assesses the need for additional services (aide, therapies, social work or a community service) and obtains orders and arranges care as indicated
  • Supervises and evaluates care provided by Licensed Practical Nurses and/or home health aides in the performance of his/her patient care duties
    • Works collaboratively with other care team members by communicating all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner.
    • Correctly identifies patient/family risk factors and establishes goals and interventions to reduce/remove risk from the plan of care to enable patients to remain in the least restrictive care setting.
    • Coordinate/participate in interdisciplinary team meetings/patient care conferences.
    • Patient needs are prioritized; visits outside primary team assignment or geographical area may be required in order to meet patient need.
    • Practices according to Agency and community standards
    • Participates in utilization review and/or continuous quality improvement activities as requested.
    • Attends required staff meetings, in-services and/or supervisory conferences.
    • Participates in on-call schedule and weekend/holiday schedule as assigned.
    • Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values and adhering to the Corporate Code of Conduct.
    • Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
    • Regular and reliable attendance is expected and required.
    • Performs other job-related duties as assigned by management.

     Level II – similar responsibilities for level I, in addition to the following:

    • Offers process improvement suggestions and participates in the solutions of more complex issues/activities.
    • Mentors new staff & assists with coaching whenever necessary.
    • Serves as an informal leader, role model and resource to other staff in a positive clinical leadership role.
    • Provides consistent positive results of audits.
    • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health.
    • Manages more complex assignments and larger caseloads with appropriate utilization of services.


Minimum Qualifications:

Level I

  • Graduate of an accredited school of professional nursing and a valid NYS registered nursing license required with a minimum of one year’s experience in an acute care setting required (two years preferred).
  • Specialized clinical experience and skills may be required for certain teams, such as infusion, oncology, pediatrics, cardiac, hospice and/or palliative care.
  • Must demonstrate solid interpersonal, organizational and time management skills.
  • Basic computer skills are necessary, including but not limited to the ability to navigate on a personal computer within a Windows-based operating environment; the ability to access and create basic e-mail messages; and the ability to open, edit and save basic electronic documents if necessary.
  • Must be able to document clinical notes and assessments within an electronic medical record.
  • With training provided, must demonstrate the ability to learn and utilized new systems, computer applications and operating environments as necessary.
    • A valid New York State Driver’s License and the ability to pass a driver’s license record background check.
    • Requires reliable means of transportation for use during entire shift and the ability to travel to and from required locations as needed to perform the essential responsibilities of the job.


    Level II – requires similar qualifications as level I, plus:

    • A minimum of 2 years of home care experience.
    • Understands when to escalate to management.


    Work Environment


    This job is fast paced and operates in a home-like setting with direct patient contact.


    This role requires regular travel (e.g. driving) to various locations and adaptability to various living conditions.


    Tasks may vary based on patient need and physician directed orders.


    Contact with slippery surfaces may occur, especially during icy/wintery conditions.


    Contact with domestic animals may occur.


    Contact with household dust, scents, and/or known job related chemicals (e.g. chemo, antiseptic agents) may occur.


    Physical Demands


    While performing the duties of this job, the employee is regularly required to speak, listen, and frequently interact with patients and coworkers.


    Use of near vision, far vision, depth perception and field of vision is constant.


    This position is very active and requires standing, walking, bending, kneeling, manual/repetitive handling and stooping during entire shift and climbing stairs and sitting on occasion.


    This position requires the ability to recognizes problems, develops problem solving strategies using logical and scientific thinking; evaluates the effectiveness of solutions.


    The employee must frequently lift and/or move items over 10 pounds and up to 50 pounds on occasion.


    In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. If you need to request a reasonable accommodation under the ADA, please contact Employee Case Management.




  • Health Care / Social Assistance

Jobs Rated Reports for Registered Nurse

Posted: 2019-01-24 Expires: 2019-02-23
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Registered Nurse RN (Case Mgr.)

Lifetime Care Home Health Care and Hospice
Rochester, New York 14623

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Registered Nurse
118th2018 - Registered Nurse
Overall Rating: 118/220
Median Salary: $70,000

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