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.
Responsibilities
Assess patients and coordinate care in home setting
Develop care plans and educate patients/families
Collaborate with care team in discharge planning
Qualifications
RN Case Manager
Home health nursing experience preferred
LPN/home health aide supervision
Required Skills
case managementcare coordinationdischarge planningpatient educationhome health supervision