PA - Pittsburgh - RN Case Manager

About the role

Position Title: RN Case Manager, Pennsylvania Operations is a pivotal role within the structure of Abby Care. You will own the end-to-end management of a dedicated group of patients in the home setting, ensuring clinical pathways are followed precisely. This position requires you to act as the central orchestrator of care, bridging the gap between complex medical orders and the practical reality of patient homes. You will translate physician directives into actionable, step-by-step plans for caregivers to execute safely and effectively. Success in this role hinges on your ability to combine sharp clinical judgment with meticulous organization and deep empathy for patients and families. Your daily work will directly influence the quality of in-home care and contribute to the measurable improvement of patient outcomes across the Pennsylvania network.

Key facts

What you'll do

Coordinate the daily clinical activities for a specific patient caseload, acting as the primary liaison between families, caregivers, and physicians.

Create, implement, and continuously update detailed, patient-specific care plans that adhere to medical standards and reflect the unique environment of each home.

Oversee the performance and adherence to protocols of Home Health Aides and Certified Nursing Assistants to maintain safety and quality.

Utilize electronic health record systems to document patient progress with precision, ensuring all entries are completed within mandated timeframes.

Educate family members and informal caregivers on treatment protocols, medication schedules, and emergency response procedures to build their confidence.

Assess emerging clinical issues promptly and escalate them through the appropriate channels to guarantee patient safety and uninterrupted care.

Participate in rotating on-call schedules, including weekends and holidays, to manage phone triage and address urgent concerns outside of regular hours.

Monitor key performance indicators related to hospital readmission rates, caregiver satisfaction, and patient well-being to drive continuous improvement.

Perform administrative responsibilities related to the role, such as mileage verification and appointment scheduling, to support operational efficiency.

Verify that all care documentation is accurate, timely, and compliant with regulatory and company standards.

Communicate regularly with primary care providers and therapy teams to align on treatment goals and adjust plans as necessary.

Track patient progress over time, identifying trends that indicate improvement or requiring intervention.

Ensure all interactions with patients and families reflect the highest level of professionalism and compassion.

Act as an advocate for the patient, ensuring their voice is heard within the broader care team and decision-making process.

Requirements

To be considered for this position, you must hold an active Registered Nurse license in Pennsylvania or a multi-state compact license.

You must possess an Associate's Degree in Nursing or a Bachelor of Science in Nursing from an accredited institution.

A minimum of two years of recent clinical nursing experience is mandatory for this role.

You must have reliable personal transportation, a valid driver's license, and current auto insurance to travel to patient homes.

You must be capable of adapting to variable work hours, including evenings, weekends, and on-call shifts as required.

You must be able to manage a high volume of patients while maintaining accuracy in documentation and communication.

You must demonstrate strong critical thinking skills to assess patient status and determine appropriate escalation paths.

You must comply with all HIPAA regulations and company policies regarding patient confidentiality and data security.

Practical notes

The role is based in Philadelphia, Pennsylvania, and operates on a hybrid schedule.

You must have reliable transportation, a valid driver's license, and current auto insurance for local travel to patient homes.

This position requires flexibility to work evenings, weekends, and rotating on-call hours.

There are no specific visa sponsorship details or published deadlines for this position in the provided source material.