Home Health RN Case Manager

Home Health RN Case Manager

Requirements

• An Associate’s Degree or A Baccalaureate School of Nursing Degree.
• Current and valid license as a Registered Nurse in the state of Pennsylvania or a Compact/Multi-state Unencumbered License required.
• 2 years of experience as a Registered Nurse in a clinical setting; 1 year of home health experience preferred.
• Case management/supervisor experience and pediatric/adult care experience preferred.
• Knowledge of Medicaid paid family caregiving program and HHA scope of practice preferred (training provided if needed).
• Reliable transportation, valid driver’s license, and current auto insurance required.
• Ability to work flexible hours, travel locally, and provide on-call service to patients/families.
• Knowledge of OASIS preferred (training provided if needed).

Responsibilities

• Manage a diverse caseload, ensuring quality patient care and efficient care coordination.
• Provide coaching, oversight, and support to Home Health Aides (HHAs) to ensure high-quality patient care and adherence to clinical standards.
• Develop and implement individualized care plans based on patient assessments and goals.
• Coordinate with PCPs, therapy providers, and internal support teams to ensure comprehensive care.
• Provide education and support to patients and families regarding their health care needs and treatment plans.
• Maintain accurate and timely electronic charting, with a preference for real-time documentation.
• Ensure all documentation meets regulatory and Abby Care standards, with a minimum of 24-hour turnaround time.
• Establish and maintain effective communication with PCPs, therapy providers, and internal support teams.
• Escalate appropriate issues to Clinical Leads in a timely manner, such as order management and patient concerns.
• Participate in on-call rotation (approximately one weekend per month), holiday rotation, and possible phone triage night coverage during weekdays.
• Achieve caregiver satisfaction by providing high-quality, compassionate care and support.
• Monitor and work to improve patient readmission rates.
• Ensure extended visits remain within acceptable ranges and administrative tasks (e.g., mileage reimbursements) are completed thoroughly.

Preferred Qualifications

• 1 year of home health experience preferred.
• Case management/supervisor experience and pediatric/adult care experience preferred.
• Knowledge of Medicaid paid family caregiving program and HHA scope of practice preferred (training provided if needed).
• Knowledge of OASIS preferred (training provided if needed).