Per Diem Home Health RN: Case Manager & Educator (401k)

Bayhealth, Inc; Campbell (CA); On-site; USD 82,656 - 117,096; Full time

Benefits offered by this job

401k matching

Clinical management support

Job summary

Bayhealth, Inc. is seeking a Per Diem Home Health RN to plan, organize and direct home care services in patients’ homes and communities.

The role emphasizes community health education and collaboration with a multidisciplinary team. You will perform initial assessments, develop and adjust plans of care, teach patients and families, supervise LVNs and HHAs, and ensure discharge planning is integrated into the care plan.

Qualifications

• Associated Degree in Nursing or higher from an accredited school of nursing.
• Minimum one year of recent acute care experience in an acute care hospital or a skilled nursing facility.
• One year of home health care experience as an RN.
• Current licensure in State, CPR certification and valid driver's license.
• Knowledgeable in OASIS data set, care coordination, and willing to work with a multidisciplinary team.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

Responsibilities

• Carries out duties as an RN case manager, managing a caseload of homebound patients who require skilled care at home with a multidisciplinary team and the treating physicians.
• Completes an initial assessment of patient and family to determine the multidisciplinary skilled care needs at home.
• Develop plan of care based on the comprehensive assessment and review of the History and Physicals (H&P) of the current and previous illness(es), as well as resources available in the agency and community.
• Develop individualized care plans collaboratively with the patient, family/caregiver in a multidisciplinary approach.
• Regularly re-evaluates patient nursing needs and revises POC accordingly.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Performs therapeutic procedures and instructs the patient/family/caregiver on medications and treatments as prescribed by the physician.

Skills

RN case management

OASIS data set

Multidisciplinary teamwork

Family/patient education

Education

Associate Degree in Nursing

Tools

EMR software

Care coordination software

Job description

Bayhealth, Inc. is seeking a Per Diem Home Health RN to plan, organize and direct home care services in patients’ homes and communities.

The role emphasizes community health education and collaboration with a multidisciplinary team. You will perform initial assessments, develop and adjust plans of care, teach patients and families, supervise LVNs and HHAs, and ensure discharge planning is integrated into the care plan.