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Must Have Home Health Experience As a Case Manager
Required Certifications
- CA RN License
- BLS from AHA
Position Overview
We are seeking an experienced RN responsible for the overall management of patients, including the provision of direct care with a designated visit productivity standard. This role involves planning, organizing, and directing all patient care services for patients in the assigned caseload in accordance with current standards and regulations, ensuring the optimal degree of quality care is maintained. The position is responsible for coordinating the interdisciplinary team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. The service area includes a radius of up to 35 miles from the home office.
Manager's Note
- Recent experience in home health is required, not hospice.
- Case Management in a hospital setting is not applicable to this role.
Responsibilities
Assessment and Planning of Patient Care
- Conducts patient and family assessments encompassing physiological, spiritual, and emotional areas.
- Collaborates with physicians and other healthcare team members to interpret, adjust, and coordinate in-home patient care plans to ensure patient-centric care with continuity.
- Partners with peers, other healthcare providers, and management to streamline patient workflow, improve outcomes, and provide the highest care quality.
- Communicates patients' plan of care to co-workers, physicians, and other departments.
Provision of Patient Care
- Provides competent, compassionate, and cost-effective patient care in accordance with policies, scientific principles, and evidence-based nursing practices.
- Maintains a safe, comfortable, and therapeutic environment for each patient and their families/support group in accordance with regulations.
- Delegates tasks effectively to team members based on legal scopes of practice, licensure, educational preparation, and individual capability.
- Communicates treatments and activities to patients and families in a clear, collaborative manner, ensuring understanding through teach-back methods.
- Delivers safe and effective patient care in compliance with established policies and procedures, as well as local, state, and federal regulations.
- Upholds confidentiality of all patient protected health information (PHI) and protects it from accidental, intentional, or inappropriate disclosure.
- Remains current in advancements, trends, and best practices related to acute care and area of specialty.
Evaluation of Patient Care
- Monitors patient care interventions, assesses therapies, evaluates outcomes, and intervenes as warranted.
- Conducts ongoing education for patients and their families to ensure optimal care from admission through transitions of care.
- Reassesses, evaluates, and documents each patient's response to the plan of care and adjusts the plan as needed.
- Reports any safety or compliance concerns via the patient safety reporting mechanism.
- Participates in the analysis of safety events to prevent future occurrences.
- Accurately documents and updates all treatment information in the patient's electronic health record (EHR).
- Develops, implements, and documents formal teaching and transition planning that includes the patient/family in care for identified health needs.
Seniority level
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OtherIndustries
IT Services and IT Consulting
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