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Fairview Health Services RN Case Manager Homecare in St. Paul, Minnesota


Do you love providing one on one care to patients? Do you like the idea of being out and about in the community versus going to the same place every day for work? Take your nursing skills directly to your patient's home! With the changes in healthcare where patients are being discharged more quickly from the hospital there is a much greater need for home care. This growing field is both challenging and rewarding! As a RN Case Manager for HealthEast Home Care you will enjoy working directly with your patient and their family during a time where your knowledge and skill can make a world of difference. You will collaborate with physicians and our large interdisciplinary team to develop and execute a comprehensive care plan for each patient. The American Nurses Association (ANA) appropriately described home health nursing as a "synthesis of community health nursing and selected technical skills from other nursing specialities". You will use all of your nursing knowledge and skill in this very rewarding specialty!

Responsibilities/Job Description

  • Maintains knowledge of, and complies with, all relevant laws, regulations and policies, procedures and standards

  • Actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes

  • Reviews patient referral information and evaluates eligibility and appropriateness for home care services

  • Performs patient assessment based on HealthEast Home Care's framework of practice and applies standard nursing principles to ensure effective and appropriate home care services

  • Directs, plans and initiates appropriate action independently and responsively in home Care situations

  • Collaborates with physicians, and other health care professionals, i.e., rehab, social work, pastoral care, and patients and families in developing a quality home care plan

  • Educates the patient/caregiver on how to self-manage their own disease on a day-to-day basis

  • Manages/supervises a team of RNs, LPNs and HHAs to provide effective and appropriate home care

  • Evaluates and documents on the patient's medical record the physical, psychosocial and teaching-learning needs of patient and family


  • Associate's degree in Nursing required. Bachelor's degree preferred

  • Basic Life Support (BLS) from the American Heart Association (AHA)

  • RN-MN

  • PHN

  • 1 year nursing experience in acute/skilled facility within the past 5 years required, 2 years preferred.

  • Additional home care and supervisory experience preferred

  • Experience: 1 year of direct-care RN experience within the past five required, which included observation and independent assessment complex cases such as surgical, behavioral, wound care, orthopedic or cardiac care (post-surgical)

  • Additional nursing, home care and supervisory experience preferred (This replaces the current experience qualification)

  • Knowledge: Knowledge regarding Medicare/Medicaid and third-party payors

  • Demonstrated knowledge of evidence-based nursing practices and current patient care best practices. Knowledge of Microsoft Office Suite software, healthcare records systems, and basic computer skills

  • Assessment, Planning, Evaluation: Collects and analyses pertinent data and/or clinical findings

  • Incorporates clinical findings and scientific evidence in the development, coordination and implementation of an individualized plan of care to achieve desired outcomes

  • Evaluates progress towards goals and outcomes identifying opportunities for improvement and change

  • Coaching: Ability to provide guidance and feedback to help an employee or groups of employees strengthen their knowledge, skills and abilities to accomplish a task or solve a problem

  • Computer Skills Basic: Ability to use a computer and applications that are associated with performing basic work tasks (use a mouse, navigate in Windows, Outlook, etc)

  • Evidence Based Practice: Evaluates and/or assists in the evaluation of practice in relation to existing evidence identifying opportunities for the generation and use of research

  • Nursing Process: Utilizes the nursing process to provide holistic, compassionate, safe, high quality, population based care

  • Patient Safety: Demonstrates practices that support safety with recognition of variations in populations served, preventing harm to patients, families, employees, and themselves

  • Professional Practice: Demonstrates behavior consistent with the standards, scope of practice, ethics, and characteristics of a licensed professional

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Fairview Health Services ( is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/DisabledAll qualified applicants will receive consideration without regard to any lawfully protected status.

Requisition ID 2019-29938

Profession Nursing (RN/LPN)

Speciality HomeCare/Hospice

Location HealthEast Corporate

Shift day

Hours per 2 weeks 80

Department Clinical Services - Skilled Nu