RN Case Manager/ New York, NY, 24 months Contract

Full Job Description

Job Description

RN Case Manager

2 years

Day (7am to 3.30pm), Evening (3pm to 11.30pm) and Night shifts (11pm to 7.30 am)

A. Assess individual's needs and provide nursing care as indicated:

1. Weekly: visits each individual's home as assigned; assesses their health care needs and follows-up accordingly.

2. Provides hands on nursing care as required.

3. When providing back-up nursing coverage during medical leaves/vacations; includes a weekly contact to ensure these individuals' needs are met (contact should be on-site but can be via telephone when time does not allow on-site visit).

4. The RN will assign the LPN caseload, ensures that the LPNs are practicing within the scope of practice of an LPN as per NYS Education Department guidelines.

B. Monitors individuals' health progress and provides required documentation:

1. Documents individual's health care status objectively, clearly and concisely. Documents whenever there is a change in the individual's status, and their response to care.

2. Documentation requirements include but are not limited to:

i. On-going continuing notes, annual nursing assessments (IRA); semi-annual drug regimen reviews(IRA), pressure ulcer assessments; charts – weight; bowel; menses; client specific med sheets; medical information sheets. All documentation is to be done in time frame specified by nursing policy and procedure.

ii. Reviews and initials consultation reports and discusses the follow-up course of action with the primary MD in a timely manner.

iii. Annually evaluates each individual's capability to self-administer medication. In conjunction with the treatment team, develops goals as indicated to reach their maximum potential for independence.

C. Coordinates and oversees the scheduling of medical/health appointments to meet individual's needs:

1. Utilizes and keeps current medical tracking forms.

2. Works with designated house staff to ensure that medical appointments are scheduled as indicated and adhered to in a timely manner.

3. Provides a completed, comprehensive consultation report for the staff to take on the medical appointment.

4. Reviews the consult recommendations and discusses with the primary MD as indicated in a timely manner.

D. Meets the Medication/Pharmaceutical requirements of individuals:

1. Reviews MD orders monthly and verifies accuracy on MAR. Compares new MAR against previous month to ensure changes are carried over. Initials the MD orders and MAR denoting accuracy.

2. Weekly, reviews the MARs for accuracy and completeness. Initials MAR at the end of the month and files into consumer chart after verifying that it is accurate and complete. Follows up when discrepancies noted.

3. Ensures that medication is ordered by staff in a timely manner.

4. Ensures that a med inventory is conducted and maintained in accordance with nursing policy.

5. Establishes and maintains a complete, clean medication station with adequate supplies.

6. Ensures that meds are logged in and checked upon pharmacy receipt and reports any pharmaceutical dispensing errors to the Mental Hygiene Nurse Program Coordinator (NPC).

7. Provides information to the Approved Medication Administration Personnel's (AMAPs) on the medication prescribed; their expected effects and possible side effects (client specific medication sheet).

E. Medication Certification of AMAPS:

1. Oversees the clinical competency of AMAPs and documents accordingly.

2. Provides annual med recertification to AMAPs which includes a written test, observation of medication pour, review of medication administration policies including but not limited to; verification of new orders, transcription of orders, documentation, discrepancy in meds, reordering meds; vital sign competency, health emergency protocol, and nurse on-call procedure.

3. Follows the Nursing Policy & Procedure with regard to medication errors

F. Interdisciplinary Team Member:

1. Keeps team aware of individual's health status.

2. Participates at case reviews (IRA = semiannual); provides documentation when attendance at review not possible.

3. Attends monthly Res. Hab. meetings (provides information should attendance at meeting not be possible).

4. Advocates for individuals in reference to prioritization of treatment needs

5. Participates at Surrogate Decision Making Committee meetings.

6. Communicates changes in medical/nursing treatment &/or health status to staff, assuring information is comprehensive, understood and timely.

G. Training/Supervision of Staff = Direct Care:

1. Develops and maintains information on health conditions and nursing plans of care for individuals residing in each home.

2. Ensures that staff is trained on individual's health conditions/nursing plans of care and oversees this on a routine basis.

3. Is available for consultation with staff, families, community consultants regarding individual's health care needs.

4. Ensures that staff is kept aware of universal precautions (infection control standards).

5. Provides annual medication recertification and ongoing oversight

H. Training/Supervision of Staff

1. Provides on-site training to LPNs regarding the health care data to be collected and documented.

2. Weekly, follows-up with the LPN(s) to evaluate their delivery of care.

3. Documents supervision and participates in their performance evaluation.

I. Infection Control Surveillance:

1. Notifies Infection Control Nurse of any infectious disease processes e.g. antibiotic therapy, TB conversions, exposure incidents in the residence or at day program.

2. Reviews and maintains immunization standards for individuals; documents updates on the immunization record and Medical Information Summary.

3. Adheres to & practices standards as set forth in Infection Control Guidelines

J. Completes all nursing tasks in a comprehensive and timely manner:

1. Completes assignments in an efficient manner and consistent with the time frames allotted.

2. Provides back up nursing coverage when primary nurse is off duty and contacts the home(s) to determine health care needs at least weekly.

3. Maintains a current Nursing Policy and Procedure Manual; ensures its accessibility to staff within assigned homes.

4. Maintains certification in CPR.

5. Maintains current RN license.

6. Maintains certification in Infection Control for Health Care Workers.

K. Medications and tube feeding task as explained in Exhibit B.

L. RN Case Management is a specialized and highly-skilled component of patient care management.

M. RN Case Management has an accepted and recognized role in the coordination of care required by patients with chronic, catastrophic or complex high-risk or high-cost health care issues.

N. RN Case Management also has a recognized role in the coordination of care required by patients with developmental disabilities.

O. Case Management is a set of activities designed to assist developmentally disabled and their support systems in managing medical and mental health conditions and related psychosocial problems more effectively, with the goal of:

1. Improving functional health status and quality of life or dignified dying.

2. Enhancing the coordination of care

3. Eliminating the duplication of services

4. Reducing the need for expensive health care services.

P. The RN Case Manager may have a case load of 20 to 25 Individuals based on the acuity of illness, geographical area and/or other factors that may impact care.