Registered Nurse (RN) - Home Health

Atrium Health; Albemarle (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

Job summary

Atrium Health is seeking a compassionate RN Case Manager to oversee a patient caseload in the home health setting, ensuring timely care and documentation per the plan of care and physician orders.

You will collect health data from home visits and EMR, analyze risks, coordinate a multidisciplinary team, supervise LPNs and HHAs, and ensure high-quality outcomes for patients with complex needs.

Qualifications

• Graduate from an accredited School of Nursing; BSN preferred.
• Current RN license in the state of work; MLS or temporary license acceptable per policy.
• BLS certification required.

Responsibilities

• Manage daily patient caseload in home health per plan of care and MD orders.
• Collect health data from home visits, telephonic contacts and EMR.
• Analyze data to identify risks and coordinate case conferences for high-risk patients.
• Prioritize issues based on patient health, safety, and service impact.
• Identify language, literacy or other barriers and engage appropriate resources.
• Develop and communicate an actionable plan of care with the care team.
• Direct care coordination and supervision of licensed practical nurses and home health aides.
• Perform required treatments and therapies per policy and regulations.
• Evaluate progress toward patient-centered goals.

Skills

Care coordination

Clinical assessment

Patient education

Education

RN license

BSN preferred

Tools

EMR systems

Job description

Job Responsibilities

• 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.

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.