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Home Health RN / Nurse Case Manager

Chartwell Wisconsin
Job Description
Chartwell Midwest Wisconsin has been an industry leader in Middleton since 1994 and is an affiliate of UW Health.  Chartwell services patients throughout the state of Wisconsin, as well as portions of Illinois, Iowa, and Minnesota.  Chartwell offers competitive wages, flexible scheduling, great benefits, and the ability to work with an outstanding team.

Position Summary
The Home Health RN/Nurse Case Manager coordinates and directs the home care patient's care based on individual patient needs.  The Home Health RN/Nurse Case Manager is responsible for independent management of the Home Health patient population requiring the use of advanced assessment, teaching, and decision-making skills.  The Home Health RN/Nurse Case Manager is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes place regularly, and appropriate documentation in completed.

The Home Health RN/Nurse Case Manager cares for a caseload of home health patients by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician.  The Home Health RN/Nurse Case Manager educates patients, families, caregivers, and community providers to safely perform care and provides follow-up by evaluating effectiveness of the home care plan and monitoring the patient’s response to the plan.  Each Home Health RN/Nurse Case Manager belongs to a geographically organized work team. 

Position Responsibilities
  • Assesses physical, functional, psychosocial, and cognitive status of the home care patient utilizing interview observations and physical exam techniques.              
  • Assesses the home environment for safety, infection control, and community resource needs.
  • Collects information for assessment with the patient, family, physician and other health care team members.
  • Incorporates multidisciplinary data into the nursing assessment of the home care patient.
  • Establishes individualized, measurable goals in consultation with the patient, family and other health care providers.
  • In response to information indicating urgent and/or emergent risk to home care patients, notifies the physician immediately and notifies the supervisor of the action taken.
  • Evaluates patient’s responses to care based on a continuing assessment and analysis of nursing intervention and alternatives for nursing care.
  • Facilitates and coordinates interdisciplinary care conferences with groups of complex patients.
  • Exhibits sound nursing judgment and decision making skills in coordinating patient care.
  • Identifies and adapts teaching materials with home care patients and families.  Creatively uses these tools to maximize the learner’s success.
  • Involves the home care patient and family in identification of individual requirements/perceptions of learning needs.
  • Accurately completes admission and revisit documentation, documentation of completed communications, billing and employee statistical information, and payroll documentation.

  • Registration as a professional nurse in the State of Wisconsin required.
  • Valid driver's license and current care insurance required.
  • CPR certification required.
  • Bachelor's degree in Nursing preferred.
  • Minimum of one year relevant clinical nursing experience required.
  • Recent, relevant experience in a Medicare-certified home health agency as a case-manager, primary nurse, or BSN student or familiarity and work experience using home health software documentation applications preferred.
  • Current IV therapy skills, with knowledge of venous access devices and ambulatory pumps preferred.

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Short-term and long-term disability
  • Supplemental life insurance
  • 401(k) Plan
  • Flex spending
  • Paid time off

To Apply:
Submit cover letter and resume to: chartwell@chartwellwisc.com
Contact Information