RN Case Manager (Floater)

Position Overview

The RN Case Manager is a direct link between medical services and the ICF/IRA residents and staff as well as with clinical professionals outside the program. The RN Case Manager is responsible for the complete nursing care and performance of all routine medical procedures within the scope of the nursing practice. The RN Case Manager is responsible for supervising LPNs, AMAP and Direct Support Professionals (milieu counselors) in the performance of nursing tasks and activities. The RN must possess a working knowledge of OPWDD rules and regulations and JBFCS policies and procedures. The RN must be capable of supervising, understanding and working effectively with diverse populations.

Key Essential Functions

• Provide direct nursing care as prescribed by the physician/Nurse Practitioner, in compliance with recognized nursing standards and State and Federal regulations.
• Uses nursing process to make continuing assessments of the individuals with developmental disabilities total health needs.
• Maintain direct interaction with consumers on a regular basis, but in no case, at a frequency of less than once per week.
• Perform nursing assessments, by direct physical examination, of each consumer upon entry into the program quarterly (at a minimum) thereafter.
• Develop and implement an individualized plan for nursing service. The nursing care plan must be updated at least annually or whenever there is significant change in the consumer's condition.
• Coordinate all acute and ongoing health services, as indicated by need and regulatory mandate.
• Monitor health and behavioral status, labs and efficacy of prescribed treatments. Ensure timely communication of findings to appropriate clinical personnel.
• Ensure that all medical record documentation is accurate, timely and outcome based and reflected in the nursing notes.
• Provide initial and ongoing, but at a minimum frequency of annually, training to staff in all nursing tasks, functions, protective and preventive health measures including health and hygiene methodologies, control of communicable diseases and infections, detection of signs and symptoms of illness, first aid, and seizure management.
• Ensure that training in the above noted areas is given to all new hires and per diems prior to their assuming client specific work assignments.
• Provide training and ongoing support to direct care staff regarding medication administration, tube feeding and diabetic care utilizing the standard curriculum approved by OPWDD.
• Conduct annual clinical performance evaluations for unlicensed direct support staff for procedures including medication administration, tube feeding and insulin administration.
• Maintain documentation of all training curriculums, attendance and post training testing.
• Must have experience and ability in working with electronic health record management, electronic care coordination and electronic health record interface with external service providers.
• Active participant in the Interdisciplinary Team (IDT).
• All other duties, as assigned.

Core Competencies

• Translate research and other forms of knowledge to improve practice processes and outcomes.
• Communicate practice knowledge effectively, both orally and in writing.
• Participate in agency quality improvement projects to ensure best client outcomes.
• Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect.

Educational/Training Required

Active, unrestricted New York State license as a Registered Professional Nurse. Bachelor's degree and a minimum of 3 years clinical experience in a hospital or primary care setting preferred.

Experience Required/Language Preference

Experience with the Intellectually Disabled population preferred. Managerial experience preferred. Must possess excellent verbal and written communication skills. Ability to work in a team environment. Must be able to work independently and possess sound independent judgment and decision making skills.

Computer Skills Required

Proficiency in Microsoft Office Suite applications required.