HCBA OCM RN Case Manager - San Jose

JOB DESCRIPTION 

 

Position: OCM RN Case Manager 

Pay Range: $95,000 -$105,000 PER YR 

Reporting To: Lead OCM RN Case Manager 

Work Type: Remote 

 

POSITION SUMMARY: 

The OCM RN Case Manager is responsible for the clinical care and coordination of services provided to patients in their home or place of residence. This includes providing clinical services, such as comprehensive assessments, administration and management of medications or performing treatments ordered by the physician, identifying, organizing, coordinating, and monitoring services needed by a recipient.  

 

QUALIFICATIONS: 

• Must have a current, unsuspended, un-revoked license to practice as a Registered Nurse in California.  

• Knowledge of the current Nursing Practice Act. The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The NPA is in the California Business and Professions Code starting with Section 2700. Regulations which specify the implementation of the law appear in the California Code of Regulations. 

• Possesses current CPR certification. 

• Proficient in the use of computers. 

• Minimum two (2) years’ experience in a home health organization, primary care clinic, or a health facility. One (1) year experience in healthcare quality management preferred. 

• Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures. Must be free from signs of infection and illness.  

• Exercises excellent judgment and possesses knowledge of current nursing practices, with demonstrated exemplary clinical, analytical, and documentation skills. 

• Possesses good written and verbal communication skills. Fluent in English. 

• Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements. 

• Familiarity with Title 22 

 

 

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

The following is a representation of the major duties and responsibilities of this position. The Registered Nurse will use the nursing process to assess and manage the patient’s medical needs. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions. The RN will provide and maintain proper licensure and provide such to the Agency. 

 

• Provides nursing services, as part of the Case Management Team, for each assigned caseload and client. 

• Ensures proper tracking, charting, progress notes and case records for each enrolled client within time guidelines and assures completion according to Agency’s policies and procedures. Documents patient intervention and response for accurate intervention using established guidelines.    

• Ensures proper timekeeping and scheduling, as discussed with supervisor. 

• Works collaboratively with the Social Worker on their Case Management Team (CMT). 

• Completes assessments and reassessments based on the timeline determined upon a participant’s enrollment in the program.  

• Follow up with the participant after emergency and inpatient facility admission.  

• Reports all incidents and issues that arise before, after or during an assessment to the lead RN. 

• Maintain all scheduled visits on the calendar.  

• Review all documents associated with the applicant to be prepared before completing assessment. 

• Completes all assessments within the outlined timeframe which is stated in the HCBA policy and procedure handbook. 

• Manages complaints from clients, families or friends.   

• Reports all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in an RCFE) or DHCS and APS (if abuse or neglect occurs in PH). Reports fraud. 

• Reviews the Significant Incident Reports (SIRs) with client and staff, as necessary.   

• Participates in Education, Training and Quality Improvement Activities. Monitors compliance and assists Agency in maintaining compliance with Federal, State, Local, and HIPAA Regulations, as well as Joint Commission Standards and Labor Laws. 

• Screens applications/applicants for HCBA Waiver to determine if the applicant meets the minimum HCBA Waiver LOC eligibility requirements. 

• Schedules and conducts comprehensive health and ps