Fairfax RN (Registered Nurse) Case Manager

Ashealthnet; Fairfax (VA); In loco; USD 70.000 - 90.000; Tempo pieno

Descrizione del lavoro

Ashealthnet is seeking an experienced Registered Nurse Case Manager to lead assessment and planning for patient care in home health settings across Arlington, Alexandria, Falls Church and surrounding areas. You will coordinate multidisciplinary teams, educate patients and families, and ensure compliant documentation.

The role emphasizes proactive care to minimize hospital readmissions. The RN will manage visits within the assigned geographic area, document outcomes within required timelines, and

Competenze

• Active RN license in the state of employment.
• Minimum of one year of RN experience in an acute care setting; home care preferred.
• Ability to communicate effectively with patients, families, physicians and care teams.

Mansioni

• Oversees patient care from start to finish of episode and updates orders.
• Participates in multi-disciplinary care planning and documentation.
• Provides skilled nursing care at patients' homes as ordered by the physician.
• Educates patients and families on disease management and preventive measures.
• Ensures accurate clinical documentation and compliance with Medicare/agency guidelines.
• Works to reduce re-hospitalizations by proactive visit planning and supervision of care teams.

Conoscenze

Nursing

Communication

Care coordination

Patient education

Documentation

Formazione

Registered Nurse license

Descrizione del lavoro

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.**SCHEDULE:** M-F 8:3Oa-5:00p**On-Call** Requirements**Territory**: Arlington, Alexandria City, Alexandria, Falls Church, Kingstown, Ft.Belvior, Lorton, Mt.Vernon**SUMMARY**:The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for the assessment of the patient condition and plan of care. The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state.**KEY RESPONSIBILITIES*** Oversees the overall care of the patient from beginning to end of episode* Updates all doctor orders in patient chart accordingly* Notifies doctor of any significant changes of the patient's condition* Manages multi-disciplinary care as applicable* Provides skilled nursing care in a patient's home as ordered by the attending physician* Observes and monitors patient conditions* Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change* Administers medication as prescribed by the physician* Helps decrease re-hospitalizations by front loading visits for high risk patients* Promotes continuity of care with appropriate admissions, transfers and discharges* Counsels patient and family on the disease/injury processes and how to manage* Incorporates patient and family in development of plan of care* Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions* Listens to patient and family members* Oversees and supervises total care of patient provided by nurse aides and LPNs* Evaluates the treatments and medical condition of the patient according to the plan of care* Determines if the level of care being provided meets the patients' needs* Communicates with the LPNs and nurse aides on supervisory visit results* Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines* Documents all aspects of treatment, assessments, and patient education* Maintains active RN license* Communicates with scheduler any changes outside the normal* Participates in all on-call requirements and case conferences* Attends in-service trainings and mandatory agency meetings* Drives to patient's primary location per scheduled visit.* Daily attendance at assigned visit locations.* Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits.* Documents all aspects of start of care visits within 24 hours of visits.* Completes and submits all required documentation within specified company requirements.* Follows plan of care as permitted within the scope of practice for a Registered Nurse.* Fulfills RN visits in assigned geographic location per patient need within federal and state specifications.* Other duties as assigned.**QUALIFICATIONS*** Minimum of one year of experience as an RN in an acute care setting. Home care experience is desired.* Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers.* Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients.* Knowledgeable on nursing best practices.* Ability to make appropriate nursing judgments.* Ability to identify a situation and handle it with the best possible solution.* Detail-oriented and observant.* Disciplined style of work ethic with the ability to prioritize and be timely* Ability to follow directions and work as a team member.* Valid driver's license and auto insurance with your name as a listed driver.**EDUCATION AND CREDENTIALS*** Registered Nurse with current license in the state of employment.**PHYSICAL DEMANDS**The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations.**Knowledge**Reading, Speaking, Writing English - Constantly 66%-100%Communications Skills - Constantly 66%-100%Computers / PDA - Constantly 66%-100%**Physical**Walking - Frequently 34%-66%Bending - Occasionally 2%-33%Standing - Occasionally 2%-33%Sitting - Frequently 34%-66%Driving - Frequently 34%-66%Lifting up to 50 lbs. with or without assistance - Occasionally 2%-33%Stretching/Reaching - Occasionally 2%-33%Climbing - Occasionally 2%-33%Hand/finger dexterity - Constantly 66%-100%Stooping (bend at waist) - Occasionally 2%-33%**Sensory Activities**Distinguish smell/temperature - Occasionally 2%-33%Hearing/Seeing - Constantly 66%-100%Talking in person - Constantly 66%-100%Talking on the telephone - Frequently 34%-66%Hearing in person - Constantly 66%-100%Hearing on the telephone - Frequently 34%-66%Vision for close work - Constantly 66%-100%**Other Sensory Activities**N/ATRANSITIONAL WORK IS AVAILABLE (ALTHOUGH SOME JOBS MAY REQUIRE SPECIFIC TRAINING) SUCH AS: ANSWERING PHONES, FILING, COMPUTER WORK/DATA ENTRY, ATTENDING TRAINING/CONTINUING EDUCATION, REVIEWING SAFETY MANUALS & OTHER EDUCATIONAL MEDIA, AND ASSISTING OR PERFORMING OTHER TASKS WITHIN RESTRICTIONS ASSIGNED.#INDINO4We'll help you put your passion for patient care to work. Apply today!This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.We are an Equal Opportunity Employer.