Job Description

Job Description

Job Description

Nurturing Home Healthcare is seeking an experienced and compassionate Registered Nurse (RN) Case Manager to join our growing in-office team. This role is responsible for managing and coordinating the care of home health patients, ensuring high-quality clinical outcomes, regulatory compliance, and exceptional patient experiences.

The RN Case Manager serves as a critical liaison between physicians, field clinicians, patients, caregivers, and interdisciplinary care teams. The ideal candidate will possess strong clinical knowledge, home health experience, excellent communication skills, and a thorough understanding of Medicare regulations, OASIS documentation, and care coordination processes.

This position offers an opportunity to make a meaningful impact on patient outcomes while advancing within a supportive and growing healthcare organization.

• Manage and oversee an assigned home health patient caseload from admission through discharge.
• Coordinate patient care plans with physicians, therapists, field clinicians, patients, caregivers, and interdisciplinary teams.
• Review, approve, and ensure the accuracy of clinician documentation.
• Monitor patient progress and evaluate care outcomes.
• Communicate changes in patient condition to physicians and appropriate healthcare providers.
• Ensure all clinical documentation meets agency, Medicare, and regulatory requirements.
• Maintain accurate and timely patient records using WellSky (Kinnser) .
• Participate in case conferences, interdisciplinary meetings, and care planning sessions.
• Provide clinical guidance and support to field staff.
• Monitor compliance with Medicare Conditions of Participation and agency policies.
• Assist with care plan updates, recertifications, and discharge planning.
• Support quality assurance and performance improvement initiatives.
• Identify clinical concerns and implement appropriate interventions to promote positive patient outcomes.
• Collaborate with leadership to ensure operational efficiency and exceptional patient care.

Required Qualifications

• Current and active Texas Registered Nurse (RN) License .
• Minimum of three (3) years of nursing experience .
• Prior Home Health Case Management experience required .
• Experience completing and reviewing OASIS assessments .
• Strong knowledge of Medicare Conditions of Participation (CoPs) and home health regulations.
• Experience coordinating care in a multidisciplinary healthcare environment.
• Excellent clinical assessment and critical thinking skills.
• Strong verbal and written communication skills.
• Proficiency with electronic medical record (EMR) systems.
• Ability to manage multiple priorities while maintaining accuracy and attention to detail.
• Strong organizational and time-management skills.

Preferred Qualifications

• Five or more years of Home Health nursing experience.
• Previous experience as an RN Case Manager within a Medicare-certified home health agency.
• Proficiency with WellSky (Kinnser) software.
• Experience conducting quality assurance and chart audits.
• Knowledge of value-based care and outcome-driven patient management.
• Experience mentoring or supporting field clinicians.
• Bachelor's Degree in Nursing (BSN) preferred.
• Familiarity with regulatory surveys, compliance standards, and accreditation requirements.
• Leadership experience or interest in advancing into supervisory roles.

Physical Requirements

• Ability to work in an office setting for extended periods.
• Ability to sit, stand, walk, bend, and reach throughout the workday.
• Ability to use a computer, telephone, and other office equipment for prolonged periods.
• Ability to review clinical records and documentation accurately.
• Ability to communicate effectively with patients, caregivers, physicians, and staff members.
• Ability to occasionally lift and carry office materials weighing up to 20 pounds.
• Visual acuity sufficient to review medical records and electronic documentation.
• Ability to perform repetitive hand and wrist movements associated with typing and computer usage.

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