Mobile Hospice RN Case Manager – Home Visits

Your Health Organization; Augusta (GA); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation

Bonus opportunities

401K matching

HDHP + HSA

Generous PTO

Vehicle allowance

Job summary

Your Health is seeking a Registered Nurse to service patients throughout the Augusta area. The Nurse Case Manager visits patients in homes and facilities, coordinating care with providers and telemedicine as needed. This full-time, 12-hour shift role requires reliable transportation and the ability to travel daily.

We offer competitive compensation, 401K matching, and generous PTO as part of our benefits. Join a growing primary care team dedicated to delivering quality care across facilities,

Qualifications

• Must be a Registered nurse. License must be in good standing with appropriate board/issuer.
• A minimum of three (3) years clinical experience preferred.
• Experience in community settings preferred.
• Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
• Strong written and verbal skills.
• Basic computer knowledge.
• Ability to manage and demonstrate effective leadership skills.
• Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
• Ability to foster a cooperative work environment.
• Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
• Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order

Responsibilities

• Facilitate receiving all medical records from the patient’s primary provider and specialists.
• Review medical records.
• Complete consents with patients.
• Enroll patients in Care Management, if they meet eligibility criteria.
• Initiate a Care Management Plan of Care, if the patient is eligible.
• Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
• Complete AWV’s to be reviewed by the provider.
• Complete cognitive impairment screenings.
• Complete Social Determinants of Health (SDoH) assessments and/or screenings.
• Complete ACP’s to be reviewed with the patient by the provider.
• Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
• Evaluate for RPM devices, resources, or tools that may improve the patient’s quality of life.
• Communicate and coordinate care.
• Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
• Evaluate for adaptive equipment and DME.
• Evaluate for safe environment.
• Evaluation of acute condition(s) or follow-up from previous visit.
• Appropriately and accurately document and log Care Management activities. Work in conjunction with care team to keep the patients Care Management care plans up to date.
• Coordinate with the patient’s health care team, providers, physical and occupational therapists, home health or hospice representatives and other individuals in the patient’s care plan.
• Facilitate visits with appropriate provider or entity.
• Facilitate a telehealth visit with a provider for coordination of care, when necessary.
• Coordinate with the patient’s hospice interdisciplinary team and other individuals in the patient's care plan.
• Participate in IDG meetings, when necessary.

Skills

Registered Nurse

Home visits

Care coordination

Communication

Travel driver

Education

RN license in good standing

Tools

EHR systems

Telemedicine platforms

Job description

Your Health is seeking a Registered Nurse to service patients throughout the Augusta area. The Nurse Case Manager visits patients in homes and facilities, coordinating care with providers and telemedicine as needed. This full-time, 12-hour shift role requires reliable transportation and the ability to travel daily.

We offer competitive compensation, 401K matching, and generous PTO as part of our benefits. Join a growing primary care team dedicated to delivering quality care across facilities,