RN Case Manager

Company: Breakthrough Healthcare
Location: Saint Louis
Posted on: February 19, 2026

Job Description:

Job Description Job Description RN Case Manager Retention Bonus Total Autonomy No-Hassle Documentation Are you a seasoned Home Health RN who loves the patients but hates the "red tape"? At Breakthrough Healthcare , we don’t just give you a patient list; we give you a team. As a Case Manager here, you are the clinical lead. You’ll have the support of LPNs and Aides to handle routine visits, allowing you to focus on high-level assessments, complex care, and real outcomes. The "Breakthrough" Difference Keep Your Life: A flexible schedule that respects your "off" time. No more bringing OASIS home to the dinner table. The Payoff: Competitive salary mileage Annual Retention & Performance Bonuses that actually reward your loyalty and precision. Your Support Squad: You aren’t doing this alone. Our office handles the authorizations and coordination, while our LPNs and Aides execute the routine care you delegate. Tech that Works: Our EMR is streamlined for efficiency, meaning less clicking and more caring. What Your Day Looks Like You are the architect of recovery. You’ll lead the charge in: Precision Assessments: Nailing the OASIS and SOC to ensure the highest quality of care. Clinical Strategy: Developing individualized "Blueprints for Healing" and adjusting them as your patients thrive. Leadership: Mentoring LPNs and Aides to ensure every patient gets the "Breakthrough" standard of care. Advocacy: Being the bridge between physicians, families, and your interdisciplinary team. Job Duties: Demonstrate efficient teamwork with the staff. Demonstrate competence in documenting with Oasis. * Coordinate care for the patient. * Understand and perform the admission process plan of care. * Coordinates services and schedules patient visits. Supervise LPN and HHA field staff as indicated. * Provide in-service education per Clinical Manager direction. Attend seminars, conferences, workshops, and self-studies in areas that will enhance position (e.g. leadership, communication, geriatric care, and pediatric care). Follow Medicare and Medicaid regulations. * Observe, assess, and document patient symptom and progress. * Perform the initial home care visit and re-evaluate patient needs and progress when needed. * Notify physician of change in the patient’s condition. * Coordinate and monitor all patient care and services. * Complete paperwork timely and efficiently. * Maintain patient records according to policy and procedure. * Educate patients and caregivers on disease process, medications, plan of care, and treatment plans according to the policy and procedure manual. * Follow infection control policy in and out of the office. * Provide quality of care to patients in their homes according to policy and procedures. * Participate in the on-call schedule. * Participate in and support quality improvement programs. The Full Package Health & Wealth: Medical, Dental, Vision, and a 401(k) with matching. Rest: Generous PTO and a culture that encourages you to use it. Growth: Referral programs and opportunities to move into clinical leadership. Manageable Pace: Realistic productivity standards (5–6 visits) designed for quality, not just quantity. Ready to lead with confidence? Stop being just a "number" at a giant agency. Join a team that knows your name and values your expertise. Apply Today — Start your new chapter in 2 weeks! Requirements What We’re Looking For The Expert: At least 2 years of Home Health experience (you know OASIS like the back of your hand). The Leader: A Missouri-licensed RN who can command a room (or a living room) with confidence. The Professional: Someone who values accuracy, timely documentation, and compassionate communication. Benefits The Full Package Health & Wealth: Medical, Dental, Vision, and a 401(k) with matching. Rest: Generous PTO and a culture that encourages you to use it. Growth: Referral programs and opportunities to move into clinical leadership. Manageable Pace: Realistic productivity standards (5–6 visits) designed for quality, not just quantity.

Keywords: Breakthrough Healthcare, St. Louis , RN Case Manager, Healthcare , Saint Louis, Missouri