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Cynet HealthStaff is seeking an experienced RN for Home Health to perform in-home evaluations and coordinate patient care. The role involves assessing health status, care needs, and preferences, then guiding the development of personalized long‑term service plans.
You will review medical documentation, update electronic records, and communicate care options to patients and families. Effective collaboration with interdisciplinary team members and a focus on continuity of care are essential to
Profession: RN
Specialty: Home Health
Duration: 260 Days
Shift: 2x3 Days
Hours per Shift: Not specified
Experience: Two (2) years of experience in a home health setting within the last fifteen (15) years
License: Current RN Licensure in Client
Certifications: Basic Life Support (BLS) required before the start date
Must-Have:
Description:This position involves conducting initial in-home pre-evaluations of patients.The evaluations include assessing health status, strengths, care needs, and preferences.Nurses will guide the development of individualized long-term care service plans.Reviewing consumer medical documentation and relevant health referral forms is required.Evaluation data must be entered into an electronic evaluation form and transmitted as needed.Documentation of any concerns, conflicting information, and other issues during the evaluation process is necessary.Emphasis on continuity of care is crucial to reduce fragmentation, duplication, and gaps in treatment plans.Discussion with consumers about healthcare options, support needs, service vendor options, and waiver options is part of the role.Initiating communication between consumers for enrollment into managed care health plans is expected.Enhancing communication and collaborative relationships with interdisciplinary care team members is essential for improving care coordination.Nurses will collect quality review data and documentation to support outcome measurements The …….. ...…..