RN Case Manager

Midland Care Connection

Midland Care Connection is a not-for-profit, community-based organization in Topeka, Kansas, dedicated to helping older adults and seriously ill individuals stay independent and supported in their homes. Established in 1978, it offers a full continuum of care, including hospice, palliative care, home health, grief and loss counseling, and its signature PACE (Program of All-Inclusive Care for the Elderly) program. Their mission centers on "meeting individual needs through innovative care solutions," and they serve people across multiple counties in northeast Kansas.

Home Health Program

The home health program historically offers skilled nursing, therapy services, home health aides, and supportive non-medical care aimed at helping people remain independent and avoid institutionalization.

People

Maintains clinical competencies.
Provides patient/caregiver education and training specific to identified needs.
Collaborates in the provision of care, treatment and services with the interdisciplinary team to meet patients' needs and maintain continuity of care between disciplines, programs, services and with other organizations as needed.
Participates in agency activities to include interdisciplinary team meetings, staff meetings, and other committee meetings as assigned and educational opportunities.

Service

Provision of skilled nursing care.
Collaborates with the physician(s) and acts as liaison for the care coordination of the designated case load.
Develop, direct, oversee and update the home health aide plan of care based on the patient's needs, strengths, limitations and goals.
Assesses patient needs and provides services within scope of practice and based on individualized plan of care appropriate to the patient's needs, strengths, limitations and goals.
Communicates/collaborates with contracting providers regarding services provided.
Evaluates care, treatment and services to include active participation in interdisciplinary team meetings
Assesses for discharge and/or