Registered Nurse (RN) Flex - Hospice Case Management, Triage, Admissions

Advocate Health; Monroe (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Advocate Health is seeking a Registered Nurse to manage a home health patient caseload, coordinating care and documenting per physician orders. Requires RN license and BLS, with BSN preferred. You will lead a multidisciplinary team and ensure timely, high-quality outcomes for patients in their homes.

The role emphasizes data-driven care planning, safety, and compliance with home health regulations, offering growth opportunities within a patient-focused environment.

Qualifications

• RN license required or temporary RN-PN license as applicable in state of work.
• BSN preferred per policy.
• BLS certification required by policy.

Responsibilities

• Manage an assigned patient caseload daily with timely care and documentation.
• Collects data from home assessments, telephonic contacts, and EMR.
• Analyze data to identify issues and resources, high-risk patients, and plan interventions.
• Prioritize issues based on patient health and safety.
• Develop and oversee an achievable plan of care communicated to involved parties.
• Coordinate care with multidisciplinary team; supervise LPNs and HHAs.
• Perform treatments, therapies, and procedures per regulations and policies.
• Evaluate progress toward patient-centered goals.

Skills

Care coordination

Data collection

Clinical assessment

Team supervision

Education

RN license

BSN preferred

Tools

EMR

Job description

Essential Functions

• Responsible for the daily management of an assigned patient caseload, ensuring timely care and documentation to meet the patent needs/services as prescribed in the established plan of care and per MD orders
• Collects data pertinent to the healthcare consumer's health or the situation from patient assessments in the home setting, telephonic contacts and/or related EMR information available.
• Analyzes the data to determine the issues and available resources to seek effective resolution. Identifies patients at high risk for re-hospitalization, falls and/or high utilization of resources that require additional intervention and case conferencing to ensure appropriate care and frequency of services mitigates risk and ensure high quality outcomes
• Prioritizes multi-issue, situations appropriate to the criticality of patient health and welfare, patient/staff safety and impact to effective, timely services
• Identifies barriers to situation/complaint resolution (i.e. language, literacy, psychological, etc) and follows-up with the appropriate resources or leadership to address timely and effectively
• Develops and provides oversight of a plan of care that is effectively communicated with the parties involved and supports quality patient outcomes and patient satisfaction.
• Implements the identified plan, and directs the care coordination of a multidisciplinary clinical team approach, supervision of LPNs and/or HHAs involved in the care of the assigned patient caseload to promote health and safe outcomes.
• Performs ordered treatments, therapies, and/or procedures in accordance with State Nurse Practice Act and Home Health Conditions of Participation, JCAHO and agency policy and procedures.
• Evaluates progress towards attainment of patient centered goals.

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak English in good, understandable terms. Intact sense of sight, hearing, smell, touch. Finger dexterity. Critical thinking and ability to concentrate. Must be able to respond quickly to changes in patient conditions. Physical Abilities Testing required.

Education, Experience and Certifications

Graduate from an accredited School of Nursing. BSN preferred. BLS required per policy guidelines. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works. Additional education, training, certifications, or experience may be required within the department by the nurse leader.