From short term rehab and recovery to long term skilled nursing care, hospice services, restorative care, and even respite care, we are by your side. IntegriHome, has been caring for area families since 1989, providing top-quality skilled nursing care for short-term rehabilitation and long-term care. We focus on maximizing patient recovery, comfort, and independence for the highest possible quality of life. From post-surgery and post-hospital rehabilitation to long-term care for a chronic illness, our highly skilled care teams provide compassionate attention and specialized care every step of the way.

The RN Case Manager manages and delivers comprehensive home health services, including Oasis assessments, Plan of care development, including goal development and interventions to patients within their place of residence in collaboration with primary care physicians. Additional duties may include telephone triage, problem-solving, patient/caregiver/family education, advocacy, and support.

This is a full-time, 40-hour-per-week position. Yearly Salary Range (based on years of experience) - $94,000 - $99,000

Job Duties:

• Assesses patient/family learning needs, style and limitations and adjusts for delivery of information
• Establishes realistic goals and develops individualized plans of care in collaboration with the patient, family and members of the health care team
• Collaborates with patient/family and other healthcare providers and/or community resources with planning of care and discharge.
• Follows physician orders on all patients assigned in accordance with patient care policies
• Reconciles medications with patient and physician consistently
• Effectively manages assigned case load, within the team model of care delivery
• Establishes a daily work plan based upon patient/family priorities of service and total area needs.
• Promptly triages patient visits, messages, and phone calls according to priority and urgency.
• Demonstrates excellent physical assessment and care planning skills.
• Supervises HHA in accordance with state and federal requirements.
• Demonstrates knowledge of pharmacology and medication administration and reconciliation
• Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions.
• Completes documentation accurately and timely
• Performs on-call responsibilities and on call services to patients and families assigned
• Participates in agency quality management and safety activities
• Participates in ongoing staff meetings and in-services

Qualifications
(Minimum qualifications will be considered required unless specifically stated otherwise)
Experience:
• Minimum of one (1) to two (2) years of experience in health care.
• Experience in home health preferred.
Education and Training:
• An associate's degree in nursing is required.
• A bachelor's degree in nursing is preferred. (not needed)
License, Certification & Registration:
• Possesses and maintains current CPR Certification.
• Current Massachusetts licensure: Registered Nurse
• Valid driver's license

IntegriHome is proud to be part of Integritus Healthcare, a leading not-for-profit provider of post-acute care services, skilled nursing and rehabilitation, hospice and senior living solutions. As a Medicare Certified Home Health agency, the Integrihome providers offer expertise and personalized support in the comfort of our patients' homes. ssesses patients' physical, and psychosocial needs in a sensitive caring manner following established Standards of Nursing Practice and Home Health procedures.