This is an out-patient position that requires an independent and experienced RN-Case Manager. Primary functions are to coordinate patient care with the interdisciplinary care team, including physician, patient/family and referring agency; and administer skilled nursing care for clients of all ages in their place of residence and assumes the responsibility of care. Will also implement/develop/document the plan of care. Assess home health patients to identify the physical, psycho social and environmental needs as evidenced by documentation, clinical record, case conference, team report and evaluations. Assure continuity of quality patient care delivered with appropriate documentation. Monitor assigned cases to ensure compliance with requirements of third party. Perform on-call responsibilities and provide on-call services to patients/families as assigned. Supervises and provides direction to the home health aides and LVN.