Home Health Case Manager II

Company:

Mercy Health Home Care and Hospice by Compassus

 

Position Summary

The Home Health Case Manager is responsible for modeling the 3 Company values of Compassion, Integrity, and Excellence, and for promoting the Compassus philosophy, using the 6 Pillars of success as the foundation. The position is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Case Manager maintains a direct relationship with the patient and his/her family. Responsible for ensuring we effectively utilize treatment resources while working to improve patient outcomes. Assumes the responsibility for caring for a group of complex patients requiring an initial assessment and ongoing monitoring of their condition. Nursing care reflects independent assessment, planning, implementation, and evaluation of the patient's physical, psychological, and sociocultural needs. In collaboration with members of a health care team, develops and monitors the patient's clinical pathway depending on patient's progress. Works closely with physicians and collaborates with nursing and ancillary staff in implementing the patient's plan of care. Works with Quality Analysis and support services to actively audit the outcome of the caseload.

Position Specific Responsibilities

• Performs initial assessment that assists in development and coordination of plan of care. Establishes a system for coordinating a patient case load throughout home care. Assists and maintains method for tracking patients' progress.
• Articulates role of Case Manager to patient and/or patient's family, physicians and all others involved in the assigned patient's care.
• Reviews aggregate variance and determines a path of action.
• Precepts new employees as assigned.
• Assists in the development, review and evaluation of plan of care.
• Explores strategies to reduce length of stays and resource consumption within the case managed populations, implements them, monitors and evaluates the results.
• Works collaboratively with staff.
• Seeks consultation with agency leadership about cases that are presenting problems or have significant variances. Arranges for the continuity of the plan and provides for coverage during long, short, and unexpected absences.
• Establishes a means of communicating to and collaborating with the physicians, appropriate staff members, and other health care professionals involved in the Case Manager's caseload. Shares/develops assessments, goals, and usual patterns of care for patients involved in the case load.
• Participates in case conferences for ongoing coordination of the patient plan of care.

Education and/or Experience

• Minimum Associate level nursing degree in an accredited program, prefer Bachelor of Science in Nursing
• Minimum one (1) to two (2) years of nursing practice in medical/surgical, acute, critical care, or hospital care required. Experience in a home health or hospice setting preferred.

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Excellent communication skills, both oral and written, necessary in order to relate effectively with people from a variety of backgrounds and different patient populations.
• Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Demonstrates clinical competency, evidence of nursing leadership, and coordinates the nursing care of a specific group of patients. Demonstrates competencies in the use of equipment essential in the care of patient age groups as indicated. Understands and integrates clinical information from multiple discharge disciplines. Knowledge of community resources and third-party payors. Knowledge of state and federal rules and regulations for Medicare and Medicaid and other regulatory agencies.

Certifications, Licenses, and Registrations

• Current RN license in the state of Ohio.
• CPR certification

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Build a Rewarding Career with Compassus
At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters
We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage
•  Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. 
• Career Development: Access leadership pathways, mentorship, and personalized professional development.
• Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
• Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
• Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
• A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join?
At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.