RN Case Manager

Assess patients, coordinate care, support discharge and transition planning, and manage ongoing outpatient care. Develop care plans, educate patients and families, promote self-care, supervise LPNs and home health aides, document progress, and collaborate with the care team in a home and community-based setting. Assess patients and work with the care team to develop and implement plans of care. Refer patients to other disciplines based on identified needs and document referral decisions. Educate patients on health, independence, rehabilitation, and self-care techniques. Supervise LPNs and home health aides. Document care accurately and communicate patient progress to the clinical manager and care team. Provide staff education and assigned on-call services to patients and families. Patient assessment Care planning Care coordination Discharge planning Transition planning Patient education Self-care instruction Clinical documentation Referral coordination Staff supervision 401k Current state RN license Current CPR certification Valid driver's license Reliable transportation Liability insurance