RN-Case Manager

Assess client health needs by developing and implementing Plans of Care based on clinical assessments, diagnosis, and utilization guidelines. Coordinate care by integrating health team members, obtaining medical orders to adjust visit frequency or treatment plans, and supervising LPNs and Home Health Aides to ensure compliance. Document client admissions, progress, and discharge summaries accurately in OASIS and clinical records while monitoring core measurements for departmental compliance. Administer medications, teach nursing care appropriate to client conditions, and report altered health status to the physician and Clinical Team Manager. Participate in interdisciplinary conferences, back-up calls, and accreditation programs while maintaining current knowledge through ongoing CEUs.