Registered Nurse (RN) Case Manager – TX Alternate Administrator

Job Description

RN Case Manager / TX Alternate Administrator

Job Description:
The RN Case Manager / Alternate Administrator plans, organizes and directs home care services and is experienced in nursing, with emphasis non-medical home and community based health care. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. Additionally as the Alternate Agency Administrator the RN Case Manager must meet all the requirements of Texas admin code 97.243

Essential Job Functions

  1. Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es).
  2. Regularly re-evaluates patient nursing needs.
  3. Initiates the plans of care and makes necessary revisions as patient status and needs change.
  4. Uses health assessment data to determine nursing diagnosis.
  5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.
  6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician.
  7. Counsels the patient and family in meeting nursing and related needs.
  8. Provides health care instructions to the patient as appropriate per assessment and plan.
  9. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.

Administrative responsibilities

  • A license holder or the license holder’s designee must designate an individual who meets the qualifications and conditions set out in §97.244 of this chapter (relating to Administrator Qualifications and Conditions and Supervising Nurse Qualifications) to serve as the administrator of the agency.
  • A license holder or the license holder’s designee must designate in writing an alternate administrator who meets the qualifications and conditions of an administrator to act in the absence of the administrator.

Administrator responsibilities

  1. An administrator must be responsible for implementing and supervising the administrative policies and operations of the agency and for administratively supervising the provision of all services to agency clients on a day-to- day basis. An administrator must:
    • manage the daily operations of the agency
    • organize and direct the agency’s ongoing functions
    • administratively supervise the provision of quality care to agency clients
    • supervise to ensure implementation of agency policy and procedures
    • ensure that the documentation of services provided is accurate and timely
    • employ or contract with qualified personnel
    • ensure adequate staff education and evaluations according to requirements in §97.245(b) of this chapter (relating to Staffing Policies)
    • ensure the accuracy of public information materials and activities
    • implement an effective budgeting and accounting system that promotes the health and safety of the agency’s clients and
    • supervise and evaluate client satisfaction survey reports on all clients served
  2. An administrator or alternate administrator must be available to agency personnel in person or by telephone during the agency's operating hours and in accordance with the rules in this chapter, including §97.210 of this subchapter (relating to Agency Operating Hours), §97.404(h)(2) of this chapter (relating to Standards Specific to Agencies Licensed to Provide Personal Assistance Services), §97.523 of this chapter (relating to Personnel Requirements for a Survey), and §97.527 of this chapter (relating to Post-Survey Procedures).
  3. An administrator must designate in writing an agency employee who must provide DADS surveyors entry to the agency in accordance with §97.523(e) of this chapter (relating to Personnel Requirements for a Survey) if the administrator and alternate administrator are not available.

Supervision of services

  1. Except as provided in paragraph (3) of this subsection, an agency licensed to provide licensed home health services, licensed and certified home health services, or hospice services must directly employ or contract with an individual who meets the qualifications in §97.244 of this chapter to serve as the supervising nurse.
  2. An agency must designate in writing a similarly qualified alternate to serve as supervising nurse in the absence of the supervising nurse.
  3. The supervising nurse or alternate supervising nurse must:

    • be available to agency personnel at all times in person or by telephone
    • participate in activities relevant to services furnished, including the development of qualifications and assignment of agency personnel
    • ensure that a client's plan of care or care plan is executed as written and
    • ensure that an appropriate health care professional performs a reassessment of a client’s needs:
      1. when there is a significant health status change in the client’s condition
      2. at the physician’s request or
      3. after hospital discharge

    A supervising nurse may also be the administrator of the agency if the supervising nurse meets the qualifications and conditions of an administrator described in §97.244(a) and (b) of this chapter.
    An agency that provides only physical, occupational, speech or respiratory therapy, medical social services, or nutritional counseling is not required to employ or contract with a supervising nurse. A qualified licensed professional must supervise these services, as applicable.
    Supervision of branch offices and alternate delivery sites. An agency must adopt and enforce a written policy relating to the supervision of branch offices or alternate delivery sites, if established. This policy must be consistent with the following:

    1. for a branch office, §97.27 of this chapter (relating to Application and Issuance of a Branch Office License) and §97.321 of this chapter (relating to Standards for Branch Offices)
    2. for an alternate delivery site, §97.29 of this chapter (relating to Application and Issuance of an Alternate Delivery Site License) and §97.322 of this chapter (relating to Standards for Alternate Delivery Sites).

Qualifications

Position Qualifications:

  1. Graduate of an accredited school of nursing. A minimum of 1 year of experience as an RN within the last 36 months
  2. A registered nurse (RN) licensed in Texas or in accordance with the Texas Board of Nursing rules for Nurse Licensure Compact (NLC) and valid drivers license.
  3. Must meet the initial educational training requirements specified in §97.259 of the TX Admin Code (relating to Initial Educational Training in Administration of Agencies).
  4. Responsible for the direct supervision of home health aides.
  5. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
  6. Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills

(a) Administrator Qualifications
For an agency licensed to provide licensed home health services, licensed and certified home health services, or hospice services, the administrator and the alternate administrator must:
(A)be a licensed physician, registered nurse, licensed social worker, licensed therapist, or licensed nursing home administrator with at least one year of management or supervisory experience in a health-related setting, such as:

  • a home and community support services agency
  • a hospital
  • a nursing facility
  • a hospice
  • an outpatient rehabilitation center
  • a psychiatric facility
  • an intermediate care facility for individuals with an intellectual disability or related conditions or
  • a licensed health care delivery setting providing services for individuals with functional disabilities or

(B)have a high school diploma or a general equivalency degree (GED) with at least two years of management or supervisory experience in a health-related setting, such as:

  • a home and community support services agency
  • a hospital
  • a nursing facility
  • a hospice
  • an outpatient rehabilitation center
  • a psychiatric facility
  • an intermediate care facility for individuals with an intellectual disability or related conditions or
  • a licensed health care delivery setting providing services for individuals with functional disabilities

(b) Administrator Conditions

  1. An administrator and alternate administrator must be able to read, write, and comprehend English.
  2. An administrator and alternate administrator designated as an administrator or alternate administrator for the first time on or after December 1, 2006, must meet the initial educational training requirements specified in §97.259 of this subchapter (relating to Initial Educational Training in Administration of Agencies).
  3. An administrator and alternate administrator designated as an administrator or alternate administrator before December 1, 2006, must meet the continuing education requirements specified in §97.260 of this subchapter (relating to Continuing Education in Administration of Agencies).
  4. A person is not eligible to be the administrator or alternate administrator of any agency if the person was the administrator of an agency cited with a violation that resulted in DADS taking enforcement action against the agency while the person was the administrator of the cited agency.
  5. (A)This paragraph applies for 12 months after the date of the enforcement action.
    (B) For purposes of this paragraph, enforcement action means license revocation, suspension, emergency suspension of a license, denial of an application for a license, or the imposition of an injunction but does not include administrative or civil penalties.
    (C) If DADS prevails in one enforcement action against the agency and also proceeds with, but does not prevail in, another enforcement action based on some or all of the same violations, this paragraph does not apply.

  6. An administrator and alternate administrator must not be convicted of an offense described in Chapter 99 of this title (relating to Denial or Refusal of License) during the time frames described in that chapter.

Additional Information

Compensation: $27 to $32 Hourly
Benefits Offered: Vision, Medical, Life, Dental, 401K
Employment Type: Full-Time


About Loved Ones: In-Home Personal Care & Nursing Services

Loved Ones is an in home personal care and nursing agency. Founded in 1996 Loved Ones is deeply rooted in our unyielding dedication to provide our patients with a higher quality of care in the safe, familiar environment of their own home.


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