Home Health RN Case Manager

Job Description

About Company

CenterWell Home Health, a part of CenterWell and a Humana company, specializes in providing personalized, comprehensive home care. Their services cater to patients who are managing chronic conditions or recovering from injuries, illnesses, surgeries, or hospitalizations. Their care teams are interdisciplinary, including nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers. The collective goal of these teams is to help patients rehabilitate, recover, and regain independence, enabling them to lead healthier and happier lives.

CenterWell aims to create patient-centric experiences. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and the fourth-largest pharmacy benefit manager, CenterWell focuses on holistic patient health, addressing physical, emotional, and social well-being.

Humana Inc. (NYSE: HUM) is the parent company of CenterWell. It offers a stable environment with industry-leading benefits and opportunities for career growth. Humana and CenterWell collectively employ over 30,000 clinicians dedicated to prioritizing health for their teammates, patients, communities, and the company. They support employees’ personal and professional well-being from day one by offering flexible scheduling, clinical certifications, leadership development programs, and career coaching. Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits designed to support whole-person well-being, encouraging personal wellness and smart healthcare decisions.

Job Description, Detailed

This role is for a Home Health RN Case Manager who will join a caring community focused on putting health first. The position involves making a meaningful impact daily by providing personalized, one-on-one care to help patients regain independence in their homes. The RN Case Manager will work closely with a dedicated team of physicians and clinicians to develop and manage care plans that support recovery.

Key Responsibilities of a Home Health RN Case Manager:

• Provide admission, case management, and follow-up skilled nursing visits for home health patients.
• Administer ongoing care and case management for each patient, providing necessary follow-up as directed by the Clinical Manager.
• Confer with physicians to develop initial plans of treatment based on physician’s orders and initial patient assessments.
• Provide hands-on care, management, and evaluation of the care plan, and teach patients in accordance with physician orders, under Clinical Manager’s supervision.
• Revise care plans in consultation with physicians based on ongoing assessments and as required by policy/regulation.
• Coordinate appropriate care, encompassing various healthcare personnel such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers.
• Report patient care/condition/progress to the patient’s physician and Clinical Manager on a continuous basis.
• Implement patient care plans in conjunction with the patient and family to assist them in achieving optimal resolution of needs/problems.
• Coordinate, oversee, and supervise the work of Home Health Aides, Certified Home Health Aides, and Personal Care Workers. This includes providing written personal care instructions/care plans that reflect the current plan of care and monitoring the appropriate completion of documentation by these workers as part of the supervisory/leadership responsibility.
• Discharge patients after consultation with the physician and Clinical Manager, preparing and completing all needed clinical documentation.
• Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.
• Prepare visit/shift reports, update/summarize patient records, and confer with other healthcare disciplines to provide optimum patient care.

Required Experience/Skills:

• Education: Diploma, Associate, or Bachelor Degree in Nursing.
• Experience: A minimum of one year of nursing experience is preferred. Strong med surg, ICU, ER, or acute experience is highly valued. Home Health experience is a plus.
• Licensure/Certifications: Current and unrestricted Registered Nurse licensure, and current CPR certification.
• Skills: Strong organizational and communication skills are required.
• Transportation: A valid driver’s license, auto insurance, and reliable transportation are required.

Pay Range:

• Per Visit/Unit: $45.00 – $63.00
• Per Year Base Pay (Full-Time, 40 hours/week): $70,500 – $96,900.
• *Note:• The compensation range is an estimate of starting base pay. Actual pay may vary based on geographic location, individual job-related skills, knowledge, experience, education, and certifications.

Scheduled Weekly Hours:

• 40 hours

Description of Benefits:

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offer competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for employees and their families, acknowledging that life extends outside of work. Benefits include:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off, including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance
• Many other opportunities supporting well-being.

Equal Opportunity Employer:

It is the policy of Humana not to discriminate against any employee or applicant for employment based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. Humana also takes affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and advance in employment individuals with disability or protected veteran status, basing all employment decisions only on valid job requirements. This policy applies to all employment actions, including recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship, at all levels of employment.