RN Case Manager

Spectrum Health Companies is a Minnesota-based statewide community health care provider of Assisted Living, Memory Care, Homecare and Independent Living services.

SCHEDULE: Part-time day opening!

WAGE: Based on experience

The Case Manager is responsible for client care by ensuring the resident's needs are met through assessments and reassessments of the residents, development and implementation of appropriate care plans, monitoring of residents' services, and the supervision of assisted living staff. Position will provide direct nursing services to clients, thereby assisting each resident to reach and maintain his or her highest level of performance and independence.

PRINCIPAL ACCOUNTABILITIES:
 Responsible for implementing the nursing process, including assessment, diagnosis, planning, goal setting, implementation and evaluation, in the delivery of professional and paraprofessional services for residents in senior housing.
 Meet with the resident and family to accurately complete all pre-screening and admission paperwork, explaining the care plan and resident/family responsibilities.
 Assures residents have up-to-date care plans that address their needs and preferences, including interventions to address any areas of vulnerability and individualized medication management, treatment or therapy management plans. Reassesses the resident and modifies the care plan, if necessary, based on a change in condition or change in service.
 Monitor resident's funding sources to assure that prior authorization is obtained and transferred accurately and timely to the Prior Authorization Department and that the appropriate payors are billed, when appropriate. Work with building manager to ensure all necessary authorizations are obtained in a timely manner.
 Provide case management for residents, including the involvement of additional services, such as hospice, homecare, and transitions to the hospital, nursing home or other facilities. Participate in care conferences as needed.
 Supervise and coordinate maintenance of appropriate, accurate and complete documentation of information on clients and staff under your supervision according to agency policy.
 Market the wide range of health care services to potential clients and their families.
 Participate in care conferences to provide nursing and home health expertise for client discharges as needed.
 Assist in orienting, training, competence assessment and day-to-day scheduling of qualified staff to ensure appropriate delivery of client services.
 Provide direct and indirect supervision and management of paraprofessional and other professional staff providing home health services to residents to assure delivery of high-quality care; re-train, evaluate or correct employees' performance according to established criteria and policies.
 Assures that residents' medication management and records are up to date, medication administration procedures are followed properly, investigate any errors and issues with staff, and implement corrective action as needed. Work with pharmacies to ensure accurate medications are received and medication reconciliation is current.
 Assures that each assisted living staff person is oriented to the individual needs of each resident the person will serve and that staff clearly understands and follows all client care procedures. Delegate appropriate nursing functions according to State Licensure and agency policies and procedures.
 Assist in workers' compensation process as necessary to complete timely claims.
 Maintain compliance with current county, state and federal regulations affecting health care.
 Actively participate in agency-wide activities and its continuous quality improvement program. Responsible for evaluating the care program's level of excellence and implementing process improvement strategies as indicated.
 Respond to questions and calls from employees, clients, clients' families, doctors, outside case managers, etc., regarding problems, concerns, or general information regarding clients.
 Prepare reports to meet predetermined schedules and actively participate in scheduled managerial and staff meetings.
 Perform other functions as deemed appropriate by the Management or Executive Team.

EDUCATION SPECIFICATIONS:
Current licensure as a Registered Nurse in the State of Minnesota. Bachelor's degree in nursing preferred, but not necessary.

EXPERIENCE:
Preferably, a minimum of two years' experience in nursing in health care. Prior supervisory/management experience preferred.

Spectrum is an EOE/Drug Free/AA employer.

Salary : $32 - $35