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Registered Nurse Care at Home

UnityPoint Health Finley Hospital

1 Positions

ID: 25637707

Posted On 01/04/2023

Job Overview


RN Case Manager Care at Home

Monday-Friday 8a-5p

1.0 FTE Full Time Benefits, 40 hours/week

The RN Case Manager uses clinical nursing knowledge, physical assessment, teaching and procedural skills to deliver safe, high quality, high experience patient care in the patient’s place of residence. The RN Case Manager develops, delivers, and oversees the Care at Home plan of care under the direction of the patients’ Primary Care Provider (PCP), in collaboration with the Care Coordination Team, and, as applicable, under the direction of the Care at Home Provider. The RN Case Manager ensures appropriate interdisciplinary involvement to optimize the best outcome for each patient. The RN Case Manager is responsible for case managing the patients’ plan of care supporting safe, high quality care resulting in improved economic outcomes and exceptional patient experience.

Why UnityPoint Health?

  • Culture – At UnityPoint Health, you Come for a fulfilling career and experience  a culture  guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
  • Benefits – Our competitive  Total Rewards  program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
  • Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
  • Development – We believe equipping you with support and  development opportunities  is an essential part of delivering a remarkable employment experience.
  • Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

Visit us at to hear more from our team members about why UnityPoint Health is a great place to work. 


Essential Functions/Responsibilities:

Essential functions are the duties and responsibilities that are essential to the position (not a task list). o not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.

% of Time


Clinical Excellence/Patient Care

· Assesses the needs of patients and families, providing appropriate teaching and making the necessary referrals to provide continuity of care.

· Integrates and coordinates the care of the at-risk population across the healthcare continuum.

· Develops an individual plan of care using a collaborative approach with the patient/family and health care team.

· Ensures quality and safe delivery of services to patients according to care plan. Uses equipment and supplies safely, effectively, and efficiently.

· Promptly completes documentation to assure an accurate legal record of patient’s care and time and travel entries.

· Communicates clinical status and plans clearly, succinctly and accurately to interdisciplinary care team, administrative support team, leaders, and physicians.

· Delivers high quality care utilizing the nursing process while demonstrating knowledge and clinical skills of the specialty required on assigned unit in accordance with established policies, procedures and standards of care.

· Utilizes holistic approach (considering biopsychosocial, spiritual, educational, safety, and related criteria) appropriate to the age of the patients and families served in the assigned service area.

· Serves as a patient advocate, educator and as central source of communication for the patient, their support systems, and referral sources.

· Conferences with clinical management, physician and interdisciplinary team in order to provide high quality, cost effective care.

· Care is outcome-oriented, reflects measurable progress and goals toward discharge.

· Facilitates advance care planning discussions to ensure appropriate care coordination and high-quality care based on patient’s long-term goals of care.

· Delegates and provides direction for other healthcare providers and hold them accountable for their involvement in the plan of care.

· Utilizes critical thinking in making independent judgments, and maintains responsibility and accountability for the knowledge of conditions of assigned patients.

· Identifies risk for acute hospitalization and proactively prevents adverse events.

· Reviews multidisciplinary care provision, conducts own clinical review and participates in peer audit, as applicable.

· Assists in the promotion of services and products.

· Performs “on-call” duties and weekend/after hour visits on a rotational basis as assigned.

· Performs other duties as requested by supervising leader to facilitate smooth and effective operations of the organization.


Development & Patient Education

· Continues professional development and involvement in professional activities that enhance nursing practice by sharing knowledge through networking and research.

· Assess and chooses teaching strategies appropriate to the patient’s and their families’ age specific needs, culture, gender, readiness to learn and level of comprehension.

· Provides patient, family, and/or caregiver education and information pertinent to diagnosis and safety issues.

· Consults appropriate resources to provide specialized education.

· Demonstrates knowledge that patient and workplace safety is a priority by preventing errors, accidents and infections and reporting potential or actual concerns immediately.


Basic UPH Performance Criteria

· Demonstrates the UPaH / UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

· Demonstrates ability to meet business needs of department with regular, reliable attendance.

· Employee maintains current licenses and/or certifications required for the position.

· Practices and reflects knowledge of HIPAA, Accreditation Organizations (such as ACHC, CHAP), OSHA and other federal/state regulatory agencies guiding healthcare.

· Completes all annual education and competency requirements, as assigned, within the calendar year

· Is knowledgeable of UPaH, Ambulatory, and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of UPaH leadership. Takes appropriate action on concerns reported by department staff related to compliance.


Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.


Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.


Graduate of State Board approved program for Registered Nurses.

Complete and maintain UPH Person-Centered Care: Three opportunities completed per year required (Oct – Sept scheduled year).

Attend all mandatory education programs.

BSN or BS in health related field.

Masters education in health related field.

PICC line and Chemotherapy certification


Strong interpersonal skills.

Ability to work as a collaborative team member.

Ability to understand and apply guidelines, policies and procedures.

Strong computer skills.

Previous home care experience or demonstrated clinical efficiency.


Valid / maintained license as a Registered Nurse for all states applicable to practice.

Valid / maintained Basic Life Support (BLS) Healthcare Provider Card with Re-certification.

Valid / maintained Mandatory Reporter course by state(s) requirement.

Valid / maintained driver’s license and automobile insurance in accordance with state and/or organizational requirements.


Writes, reads, comprehends and speaks fluent English.

Multicultural sensitivity.

Microsoft Office – basic computer skills.

Customer/patient focused.

Critical thinking skills using independent judgment in making decisions.


Use of usual and customary equipment used to perform essential functions of the position.

Required to drive personal vehicle to perform essential functions of the position. Mileage reimbursement provided per policy.

Work may occasionally require travel to other UPH facilities. May drive a UPH vehicle, rental or own vehicle.

  • Area of Interest: Nursing;
  • FTE/Hours per pay period: 1.00;
  • Department: SN Visits- Pop- DBQ;
  • Shift: 8a - 5p, Monday - Friday, no required weekends, holidays or con-call;
  • Job ID: 125839;

Primary Contact


Michelle Pickel

HR Recruiter, HR










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Health Care


Dubuque, IA

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UnityPoint Health Finley Hospital

About the Company


UnityPoint Health team members come for a job, but stay for a career. As a team member, regardless of your position, you'll get the chance to change lives on a daily basis in order to deliver our vision of the Best Outcome for Every Patient, Every Time. That privilege drives employees' passion for making a difference in the lives of our patients, helping them create healthier, more rewarding lives.

At UnityPoint Health - Finley Hospital, we know our collective actions determine the experience we create. Our team members strive to work as one through four key values:

* Foster Unity
* Own the Moment
* Champion Excellence
* Seize Opportunity

If you are interested in joining our team, please visit to learn about our many opportunities and to fill out an online application.


UnityPoint Health Finley Hospital is a 126-bed community hospital. We employ more than 800 full-and-part-time employees.  Finley Hospital is a not-for-profit, locally owned, regional healthcare facility part of the UnityPoint Health system. Finley Hospital is committed to bringing the best medical care to the tri-state area. We offer comprehensive, full service health care that is coordinated around our patients.  We have consistently been recognized as a leader in health care.