RN Case Manager

Schedule

Standard

FLSA Status: Non-Exempt

This position is classified under the Fair Labor Standards Act (FLSA) and applicable South Carolina labor regulations.

About Our Company

OneWell Health Care and its affiliated companies are dedicated to empowering individuals with Intellectual and Developmental Disabilities (IDD) and Autism to lead fulfilling, self-directed lives. We provide compassionate, person-centered care that promotes dignity, independence, and inclusion across community and home settings throughout the United States.

Position

Summary

The RN Case Manager is responsible for coordinating, managing, and overseeing nursing services for individuals with Intellectual and Developmental Disabilities (IDD) receiving services in home and community-based settings. The position ensures delivery of safe, person-centered, high-quality nursing services while maintaining compliance with South Carolina Board of Nursing regulations, South Carolina Department of Public Health requirements, Medicaid waiver requirements, HIPAA, and OneWell Health Care policies.

The RN Case Manager serves as the clinical liaison among individuals, families, physicians, Supports Coordinators, community providers, and interdisciplinary team members to ensure coordinated care, improved health outcomes, and regulatory compliance.

Position Scope

The RN Case Manager manages assigned caseloads throughout the designated South Carolina service area by:

• Conducting comprehensive nursing assessments.

• Developing and updating individualized nursing care plans.

• Coordinating interdisciplinary care.

• Supervising nursing service delivery.

• Monitoring quality outcomes.

• Ensuring compliance with all applicable federal, state, payer, and organizational standards.

• Supporting referral development and staffing coordination.

• Providing clinical education to staff and caregivers.

The position exercises independent nursing judgment within the scope of the South Carolina Nurse Practice Act.

Key

Responsibilities

The RN Case Manager is responsible for coordinating and managing nursing services for individuals receiving home and community-based services. Responsibilities include conducting nursing assessments; developing, implementing, and updating individualized care plans; coordinating care with physicians, Supports Coordinators, interdisciplinary team members, and caregivers; monitoring clinical outcomes; conducting home and supervisory visits; reviewing documentation and physician orders; ensuring regulatory compliance; maintaining accurate clinical records; and participating in quality improvement and incident reporting activities.

The RN Case Manager also provides clinical guidance, mentoring, and education to nursing staff, caregivers, and individuals; supports referral and staffing coordination; participates in interdisciplinary meetings and Individual Service Plan (ISP) reviews; promotes person-centered care and preventive health practices; and performs other duties as assigned. The position provides clinical oversight but does not have direct responsibility for hiring, termination, compensation, or disciplinary actions unless specifically delegated.

Regulatory Frameworks

The RN Case Manager shall comply with all applicable laws, regulations, and organizational policies including:

• South Carolina Nurse Practice Act.

• South Carolina Board of Nursing regulations.

• South Carolina Department of Public Health requirements.

• South Carolina Medicaid Home and Community-Based Services (HCBS) requirements.

• CMS Conditions of Participation (when applicable).

• HIPAA Privacy Rule.

• HIPAA Security Rule.

• OSHA Bloodborne Pathogens Standard.

• Americans with Disabilities Act (ADA).

• Medicaid documentation standards.

• Person-Centered Planning requirements.

• Incident reporting requirements.

• Corporate Compliance Program.

• Infection Prevention and Control standards.

• OneWell Health Care Policies and Procedures.

Confidentiality

The RN Case Manager is responsible for maintaining strict confidentiality regarding:

• Protected Health Information (PHI).

• Medical records.

• Individual records.

• Employee records.

• Financial information.

• Business operations.

• Quality assurance activities.

• Electronic health records.

Confidential information shall only be accessed, used, or disclosed as permitted by HIPAA, state law, organizational policy, and job responsibilities.

Documentation

Requirements

The RN Case Manager shall accurately complete and maintain documentation including:

• Nursing assessments.

• Care plans.

• Skilled nursing notes.

• Supervisory visit documentation.

• Individual Service Plan (ISP) documentation.

• Incident reports.

• Medication reviews.

• Physician communications.

• Coordination notes.

• Referral documentation.

• Quality assurance documentation.

• Staff education records.

• Compliance audits.

Documentation must be

• Accurate.

• Timely.

• Legible.

• Objective.

• Complete.

• Consistent with organizational policy.

• Consistent with Medicaid documentation standards.

Certifications

Required

• Current South Carolina Registered Nurse License in good standing.

• Current CPR/BLS Certification.

• Valid Driver's License.

Preferred

• Case Management Certification (CCM).

• Developmental Disabilities Nursing experience.

• Home Health Certification.

• IV Therapy Certification (if applicable).

Education

Required

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited nursing program.

Preferred

• Bachelor of Science in Nursing (BSN).

• Continuing education related to IDD, case management, home health, or community nursing.

Experience

Required

• Minimum two (2) years of Registered Nurse experience.

Preferred

• Home health nursing.

• Case management.

• Intellectual and Developmental Disabilities (IDD).

• Medicaid waiver services.

• Community-based nursing.

• Care coordination.

• Interdisciplinary team collaboration.

Technical

Skills

The RN Case Manager must demonstrate proficiency in

• Comprehensive nursing assessments.

• Clinical documentation.

• Electronic Health Record (EHR) systems.

• Microsoft Office Suite.

• Clinical care planning.

• Medication management principles.

• Care coordination.

• Quality assurance processes.

• Regulatory compliance.

• Clinical problem-solving.

• Time management.

• Organizational skills.

• Data entry.

• Telephonic and virtual communication platforms.

Languages

Required: Ability to read, write, speak, and understand English proficiently. Preferred: Bilingual proficiency (Spanish or other languages commonly spoken within the service area) is preferred but not required.

Driver License

Required: Valid South Carolina driver's license or ability to obtain one within state-required timelines. Acceptable Motor Vehicle Record (MVR). Reliable transportation. Current automobile insurance meeting state minimum requirements. Must be able to travel safely to homes, community settings, hospitals, and other provider locations.

Travel Requirement

Frequent travel throughout assigned South Carolina service areas. Travel to participant homes, community locations, hospitals, physician offices, and agency offices. Occasional attendance at meetings, trainings, conferences, and community events. Estimated travel: 50–75%, depending on caseload and geographic assignment.

Benefits

Compensation and Financial

Benefits

• Paid sick leave

• Vacation time

• Very competitive wages

• Paid public holidays (if applicable)

• Referral bonuses

• Biweekly direct deposit

• DailyPay (get paid before payday)

• Retirement plan benefits 401(k)

Health and Wellness Benefits (available for full time employees)

• Medical (PPO, Flex, and HSA plans)

• Dental and Vision

• Critical Illness Insurance

• Accident Insurance

• Hospital Insurance

• Short-Term Disability

• Long-Term Disability and Life Insurance

• Employee Assistance Program (EAP)

• Pet Insurance

Work-Life Balance and Other

Benefits

• Flexible scheduling (whenever possible)

• Supportive supervisor and work environment