Registered Nurse RN Care Manager

No detailed description available.

• Coordinates and directs the care of a caseload of home patients when the primary skill needed is nursing.
• Provides comprehensive assessment, planning, implementation and evaluation for that caseload as the primary nurse.
• Sets priorities of home care caseload adapting to the changing needs of the home care patients and families.
• Utilizing assessment data, formulates a patient specific plan of care along with the patient, family and physician which is feasible within the physical, financial and emotional resources of the family.
• Establishes individualized, realistic, measurable patient centered goals in consultation with the patient, family and other health care providers including goals to improve or stabilize patients medical condition, functional abilities and promote independence.
• Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient when developing the plan of care.
• Informs the physician, clinical manager, and other appropriate members of the health care team of changes in the patients condition and needs.
• Facilitates and coordinates interdisciplinary care conferences with groups of complex patients.
• Maintains an updated clinical record on each patient, meeting required deadlines for documentation of certification, re-certification, aide supervision reports, aide care plan updates, routine recording of case coordination, care plan updates, addressing progress toward goals, and verbal orders.

• Current Registered Nursing License in State of Practice
• Valid Drivers License and current car insurance
• Active American Heart Association BLS
• Minimum of 1 year relevant clinical RN experience

• Paid Time Off from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support