The posting
Our PM Nurses Begin Their Shifts at 12:00 PM – Balance Built In! Our Case Manager Registered Nurses (RN) are responsible for partnering with the Clinical Director and team to administer and coordinate skilled nursing care to patients requiring home care services. Services are provided in accordance with physician’s orders, under the direction and supervision of the Clinical Director, and in compliance with applicable laws and regulations and the policies of the organization.
WHAT YOU'LL DO Clinical Care
Provides direct care and case management of assigned patients, including initial assessment and development of plan of care, as well as oversight and administration of prescribed medications and treatments
Maintains and updates schedules of all disciplines in patient’s home
Consistently assesses and evaluates patient’s status and goals and revises the plan of care as necessary
Communicates adjustments to plan of care to all team members in the appropriate time frame to support consistent delivery of care
Complete authorization modifications in a timely manner, where needed
Initiates and applies appropriate preventative, therapeutic, and rehabilitative procedures and maintains communication regarding patient care with the physician, supervisory personnel, and other professional staff involved in patient care
Consistently monitors and manages patient medications; maintains an accurate medication profile; coordinates prescription refills with physicians and pharmacies and picks up medication refills as needed
Teaches the patient and family/caregiver self-care techniques as appropriate
Provides medication, diet, and other instructions as ordered by the physician
Recognizes and utilizes opportunities for health counseling with patients and families/caregivers
Provides and maintains a safe environment for the patient
Reports unsafe conditions, complaints and incidents on behalf of patient as appropriate
Observes and supervises Home Health Aide & LPN to evaluate performance and quality of care
Accepts responsibility of assignment to perform a specialized procedure, such as IV therapy, when qualified with appropriate training and proven competency in the delivery of the therapy
Uses supplies and equipment effectively and efficiently
Maintains equipment per agency policy
Fulfills the obligation of assigned patient case load including tracking of patient status when transferred, following up with other healthcare facilities providing care to patients, resuming care of patients when appropriate
Adheres to HIPAA laws and maintains patient confidentiality always
Other duties assigned by the case manager/clinical management, i.e., performing field supervisions of care team members as required by agency policies
Performs other duties as assigned
Documentation
Completes and submits accurate, timely clinical notes including all OASIS documents, visit authorization requests, physician orders, and all other clinical documentation regarding patient’s condition and care provided in accordance with Innovive company policies
Communication and Meetings
Communicates with physicians and other agencies providing nursing or related services on a consistent basis to ensure continuity of care and implementation of a comprehensive care plan
Acts as part of the interdisciplinary care team
Participates in scheduled clinical and internal/external case management meetings
Attends vendor and referral meetings as needed and assigned, or as patient conditions require
Documents all meetings and outcomes for patient medical record
Coordinates with pharmacies, insurance companies and other service providers as needed to facilitate timely and appropriate provision of patient care
WHAT YOU HAVE
Graduate of an accredited school of professional nursing
Is currently licensed as an RN through the State Board of Nursing and meets one of the following criteria:
RN with a bachelor’s degree in nursing and one year of related working experience
RN with a diploma or associate’s degree with two years related work experience
Has passed the National Council Licensure Examination (NCLEX)
Complies with accepted professional standards and principles
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order, or other reliable means of transportation
Possesses and maintains CPR certification
Has presented a pre-employment physician’s health clearance including negative TB skin test and/or CXR and other tests as required by organization policy
Has satisfactory references from nursing school, previous (or current) employers and/or professional peers
PREFERRED EDUCATION AND EXPERIENCE
Prior experience caring for mental health patients
1–2 years’ experience in a home health environment
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequently required to stand
Frequently required to walk
Frequently required to sit
Continually required to use hands and fingers
Frequently required to climb, balance, bend, stoop, kneel or crawl
Occasionally required to lift/push light weights (less than 25 pounds)
Occasionally required to lift/push light weights (greater than 25 pounds)
Moving, lifting, or transferring of patients may be required on occasion
Frequent exposure to bloodborne and airborne pathogens or infectious materials
