Company Overview Compassion Home Care, Inc. is dedicated to providing high-quality home health services designed to support patients in their healing process within the comfort of their own environment. Our mission is to enhance patient well-being through compassionate, personalized care delivered by skilled healthcare professionals. Job Summary We are seeking a dedicated and experienced Health Home Registered Nurse Case Manager to coordinate comprehensive care for patients in the home setting. The ideal candidate will possess a strong clinical background with expertise in patient assessment, discharge planning, and case management. This role involves collaborating with healthcare teams to develop individualized care plans, ensuring optimal health outcomes, and managing complex cases across diverse medical conditions. Duties 1. Under direct supervision of the Clinical Director. 2. Reviews Plan of Care developed by Registered Nurse. 3. Continually re-evaluates patient needs and updates Plan of Care as needed. 4. Notifies all disciplines involved in patient care of orders on Plan of Care. 5. Keeps track of patient encounters in order to maintain correct frequencies. 6. Develops and provides skilled nurse schedules on weekly basis. 7. Attends scheduled case conferences and develops written documentation of case conference to develop Plan of Care. 8. Communicates frequently with all disciplines involved in patient care in order to provide quality and continuity of patient care. 9. Reviews and co-signs, as needed, all orders and provides copes of orders for all disciplines involved. 10. Handles all incoming calls regarding patients under the Case Manager's care. 11. Notifies physician of any abnormalities reported by field staff as needed. 12. Notifies patient/family of changes in Plan of Care as they occur as applicable. 13. Is available to all disciplines involved in patient care during business hours in case of problems or questions concerning patients. 14. Participation in on-call rotation is required. Qualifications Valid nursing license with current registration; e Proficiency in EMR/EHR systems and knowledge of healthcare regulations including HIPAA. Home Health experience required. Excellent client communication skills coupled with the ability to collaborate effectively with multidisciplinary healthcare teams. Benefits Health & Dental Insurance Paid time off

Retirement Account Mileage Reimbursement Aflac Vision Insurance Job Type:

Full-time Benefits:

Dental insurance Health insurance Life insurance Mileage reimbursement Paid sick time Paid time off Vision insurance

Experience:

Home health: 1 year (Required)

License/Certification:

RN License (Required) CPR Certification (Required)

Work Location:

In person