Responsible for providing client care in the field with accurate documentation. Essential Functions: 1. Provides comprehensive assessment of patients to determine eligibility and continued eligibility. 2. Reports significant findings to the appropriate physician. 3. Submits documentation in a timely, complete and accurate manner. 4. Implements physicianâ€™s orders in a timely, complete and accurate manner. 5. Performs comprehensive coordination of care and case management for each assigned patient. 6. Plans, coordinates and implements the patientâ€™s plan of care in compliance with Agency and governmental regulations. 7. Performs patient care visits in accordance with Agency productivity requirements. Provides patient care delivery in a manner that enhances the overall mission, vision, philosophy, goals and objectives of the Agency. Creates and maintains accurate field charts to facilitate continuity care. 8. Participates in a minimum of 75% of required meetings. 9. Acts as a consultant to other Agency staff. 10. Complies with all local, state, and federal laws. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Education: Associates degree in Nursing. JD-Field Case Manager-Apr 2017 2 Minimum Experience: 1 year home health care experience and/or 1 year medical/surgical experience. Strong communication skills. Strong computer skills. Bilingual (Spanish) fluent: Speaking, Reading and Writing. Licenses/Registrations: Colorado RN license in good standing with the Department of Regulatory Affairs. Up to date car insurance and driver license will be required. Minimum Knowledge/Skills/Abilities: Strong analytical/problem-solving skills to evaluate the quality of care services and resolve issues. Strong time management and organization skills Strong computer skills. Ability to work with electronic medical records system. Ability to comprehend, analyze correct and formulate medical/nursing documents. Ability to effectively communicate with staff, clients and medical personnel. Ability to advocate for and relate to clients/families and their concerns. Ability to remain current in the skills and knowledge necessary to provide quality patient care. Current knowledge of laws and regulations related to home care. Ability to travel to client homes on a regular basis. Physical/Mental Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to handle objects, tools, or controls and communicate effectively with other people. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee is regularly required to drive to client homes. Working Conditions: Home environment. May be exposed to occupational hazards such as communicable diseases, harmful chemicals, and/or disoriented or combative patients. Must be able to work under stress and be emotionally capable of coping with changes in activity. Equipment Used: Computer based word processing and electronic health records. Medical Equipment.