Be a part of a world-class academic healthcare system, UChicago Medicine, as a Case Manager with our UCM Home Care team. This position is a 100% onsite opportunity, and you will be traveling in the field between patient's homes. You will need to be based in the greater Chicagoland area.
The Case Manager plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. Essential Job Functions Conducts comprehensive initial assessments of patients and their families to identify home healthcare needs.
Performs thorough physical assessments and obtains detailed medical histories, including current conditions, past illnesses, medications, functional status, and psychosocial factors, to develop individualized plans of care. Performs ongoing patient assessments and reassessments to evaluate nursing needs and adjust care plans based on changes in patient conditions. Develops, implements, and revises individualized care plans with measurable goals, incorporating therapeutic, preventive, rehabilitative, and psychosocial interventions.
Collaborates with patients, families, physicians, and interdisciplinary team members to establish and achieve patient-centered care goals. Administers prescribed treatments and skilled nursing interventions in accordance with physician orders and agency policies. Monitors and documents patient responses to treatments, reporting significant changes in condition to physicians and obtaining new or revised orders as needed.
Educates patients and caregivers on disease management, medication administration, safety, self-care, and health promotion to support optimal outcomes. Identifies discharge planning needs early in the care process and coordinates appropriate services and resources to ensure a safe transition of care. Maintains accurate, timely clinical documentation, including comprehensive assessments, provide treatment, progress notes, care plan updates, and interdisciplinary and physician communications.
Coordinates care with physicians, therapists, social workers, home health aides, and community resources to promote effective care coordination and patient advocacy, ensure continuity, and provide quality care. Coordinates ordering of durable medical equipment, supplies, and ancillary services necessary to support patient care in the home. Supervises, instructs, and evaluates Home Health Aides every 14 days and Licensed Practical Nurses (LPNs) every 30 days to ensure compliance with agency standards, quality of care, and regulatory requirements.
Participates in after hours, weekend and holiday on-call rotations, responding promptly to patient needs and providing clinical support as required. Commits to one hundred percent (100%) patient and customer satisfaction by always exhibiting a courteous and helpful manner during interactions with others, including patients, families, visitors, physicians, students and co-workers. Other duties as assigned.
Continuing Education
UChicago Medicine Home Care personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, personnel are expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities and as required by licensing standards. Required Qualifications Current state of Illinois nursing license as an RN.
Current BLS through American Heart Association (AHA) is required. One to two years of recent acute care or post-acute care experience required. One year of home health care experience preferred.
Excellent assessment skills, verbal and written communication skills, problem solving/critical thinking skills, computer skills; nursing skills per competency checklist. Possesses and maintains a valid driver’s license and current automobile insurance and has the availability of personal and dependable mode(s) of transportation to conduct home visits. Position Details Job Type/FTE: Full-Time (1.0 FTE)
Days, 8:00 AM – 4:30 PM Monday – Friday Work Location: Field - City of Chicago Unit/Department: UCM Home Care CBA Code: Non-Union
Full time