Yale New Haven Health System

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Registered Nurse Case Manager is responsible for admitting patients for home care services, developing the patient's plan of care, coordinating with the patient's provider and other disciplines for the provision of services, and ensuring the safe delivery of patient care.

EEO/AA/Disability/Veteran

Responsibilities

• 1. Assesses/reassesses patients and establishes plans of care that are patient specific.
• 2. Collaborates with providers, other disciplines, and communicates all changes promptly.
• 3. Assesses payment sources and is responsible for ensuring ongoing authorizations as necessary.
• 4. Educates and instructs patients/caregivers in their ongoing medical maintenance. Begins discharge planning on admission.
• 5. Completes all documentation within 24 hours. Must include changes in condition, follow-up with provider or other disciplines with supporting documentation.
• 6. Evaluation of patient progress and prompt action
• 7. Oversight of LPNs and Home Health Aides.
• 8. Schedules patients independently according to the individual plan of care.
• 9. Attends all staff meetings, inservices, other required meetings. Compliance with all mandatory requirements.
• 10. Follows policies and procedures.
• 11. Thorough and accurate OASIS documentation.
• 12. Coordinates and manages the care of patients receiving services in their home.
  • 12.1 Participates in case management conferences and documents per guidelines.
• 13. May perform other duties as assigned.

Qualifications

EDUCATION

Nursing Diploma or Associates Degree in Nursing. Bachelors in Nursing preferred.

EXPERIENCE

Minimum two (2) years of nursing experience in an acute care setting. Previous home care experience is desirable but not required.

LICENSURE

Registered Nurse with a valid (or eligible) Connecticut license required. A valid driver's license and proof of car insurance are required when using a personal vehicle for company business. Access to a dependable vehicle in order to travel to multiple stops a day. CPR certification is required and must be maintained. Candidates who do not have certification are required to obtain it within 3 months (90 days) of hire.

SPECIAL SKILLS

Excellent clinical knowledge, verbal/written skills, and organizational skills. Must be able to work independently. Able to competently assess patients' needs and follow through accordingly. Strong ability to work with providers and members of the multidisciplinary team.

PHYSICAL DEMAND

Ability to perform tasks involving physical activity, which includes heavy lifting, extensive bending, administering CPR, patient bracing, standing, and stairs. Requires exposure to blood and body fluids, hazardous materials, and communicable diseases.

Additional Information

Active RN License, BLS certified, Behavorial Health homecare experience preferred however not required.

Must be able to provide own transportation and visit patients in our service area.

Able to work autonomously.

Excellent communication skills.

Weekend and Holiday requirement.

YNHHS Requisition ID

160158