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Taking on The Case Manager Role

Lovethenurse2b25 specializes in CCRN, Geriatrics.

Hello All, 

Im starting a new job as a Full time nurse case manager for home health. I have a year experience in nurse working at a Subacute rehab hospital and per diem at a Longterm care facility. Unfortunately I had to make the decision to find other employment due to a low census as a result of covid at both jobs. I was cancelled on numerous occasions and in march for a month. I also have prenursing experience in home health. Please provide any advice or helpful tips good or bad. Im very nervous but also happy to know that the organization has a teaching hospital so I can expect to learn a lot. Also, eventually transfer into the hospital.

 

Have you thoroughly revealed your job description? They will describe the position as " case manager" to entice candidates, when in actuality you are doing basic home visits. Is the agency actually owned  by a hospital?

Lovethenurse2b25 specializes in CCRN, Geriatrics.

50 minutes ago, Been there,done that said:

Have you thoroughly revealed your job description? They will describe the position as " case manager" to entice candidates, when in actuality you are doing basic home visits. Is the agency actually owned  by a hospital?

Yes, the largest hospital organization in my area. The job description does mention intake, assessments, revisits, wound care and osha. I also saw there was an option to do home infusion. But I am not currently iv certified. There is several weeks of training offered and a preceptor for a period of time. Although it was not my first choice especially with the amount of traveling involved , I am grateful to be employed after what I experienced during this pandemic. 

amoLucia specializes in LTC.

I'm STRONGLY tending to lean along the lines with PP, BTDT,  in that you will prob be managing clients thru skilled home care visits. Likely, they become your caseload and as you will be the primary one visiting, you are essentially their case manager since you are managing their care.

Sounds like 'splitting hairs' but that's what it really may be. In the current past, I have had 'visiting nurses/therapists' providing direct care, but I did have a 'for the record' case manager. And this was thru a very good hospital-system with an excellent home health division. I dealt with the care providers; I rarely went thru the CM.

Your situation could go either way, altho the addt'l info you provided makes me think more home visits.

7 hours ago, Lovethenurse2b25 said:

Yes, the largest hospital organization in my area. The job description does mention intake, assessments, revisits, wound care and osha. I also saw there was an option to do home infusion. But I am not currently iv certified. There is several weeks of training offered and a preceptor for a period of time. Although it was not my first choice especially with the amount of traveling involved , I am grateful to be employed after what I experienced during this pandemic. 

That job description is vague. Will you start out with several weeks of training with a preceptor?

Hoosier_RN specializes in dialysis.

HH case managers are simply lead nurse over their patient load. Generally a short orientation 1-2 weeks, tops, often shorter. Start learning about OASIS (not osha), as it is the documentation set you will use for patients. Good luck. It's stressful, but you can learn to balance it

amoLucia specializes in LTC.

To me, OP's job description entry sounds like 'field work' as versus 'office work'.  Also "esp with the amount of travelling involved". And who does "wound care"? OP has some strong clinical work experience, but not extensive or diverse.

I'm getting the feeling that the term 'case manager' may just be a company euphemism for 'lead field nurse'.

I have an assigned 'case manager' thru my health insurance PPO plan. I have regularly scheduled telephone conferences with her. (In fact, I have to call her back on Monday for my update.) And I have a 'case navigator' with my new oncology service provider. She's my first call to my provider.

This can be a TERRIFIC opp'ty for OP to learn all the HH nuances and cement her future to eventually expand into traditional 'case management' within the hospital system. But I do say this position has generated some conversation. 

OP - Good luck to you on your new future.

Lovethenurse2b25 specializes in CCRN, Geriatrics.

6 hours ago, Been there,done that said:

That job description is vague. Will you start out with several weeks of training with a preceptor?

To add on to the job description; it includes updating the POC, teaching the patients, families and home health aides. Collaborating with the insurance nurse and following the payers guidelines. I was told the training would be up to six weeks and slightly shorted due to covid.  

14 hours ago, Lovethenurse2b25 said:

Yes, the largest hospital organization in my area. The job description does mention intake, assessments, revisits, wound care and oasis. I also saw there was an option to do home infusion. But I am not currently iv certified. There is several weeks of training offered and a preceptor for a period of time. Although it was not my first choice especially with the amount of traveling involved , I am grateful to be employed after what I experienced during this pandemic. 

 

Lovethenurse2b25 specializes in CCRN, Geriatrics.

6 hours ago, Hoosier_RN said:

HH case managers are simply lead nurse over their patient load. Generally a short orientation 1-2 weeks, tops, often shorter. Start learning about OASIS (not osha), as it is the documentation set you will use for patients. Good luck. It's stressful, but you can learn to balance it

Thanks for the insight. Osha was a typo. The orientation is about 6 weeks with a few days of classroom training and the remaining time with a preceptor. 

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