Overview Field RN, Care Manager, Home Health, Willits
Summary: Plans, organizes and directs home care services to meet the needs of patients in their homes. Manages a patient caseload in an effective and efficient manner. Provides patient care independently, but also collaborates with other core disciplines to meet care goals. Functions as a resource to patients, family members, and other care team members.
Responsibilities Completes initial and ongoing comprehensive assessments of the patient’s needs at appropriate time points. Conducts nursing assessments, discusses and teaches pertinent aspects of nursing care and patient rights and responsibilities. Identifies and reports problems, abnormal findings, or nursing diagnoses that need follow up.
Implements plan of care in accordance with identified needs. Participates with the patient to clarify mutually agreed upon goals and incorporates these goals into the plan of care. Provides direct and/or indirect skilled, safe, quality care. Coordinates patient care with other disciplines and integrates input from disciplines. Performs ongoing nursing assessments and updates plans of care as needed.
Accurately documents all pertinent information and ensures timely submission of documentation. Updates nursing plans and medication profiles when changes occur.
Counsels and educates the patient and family in meeting healthcare/nursing needs. Provides learning opportunities for patient and caregiver, including written materials as appropriate. Initiates appropriate preventative and rehabilitative nursing procedures.
Complies with legal requirements, standards, policies and procedures including HIPAA. Demonstrates professional conduct and commitment to the mission and values of Adventist Health. On-call duties may be required based on location and agency needs.
Performs other job-related duties as assigned.
Qualifications Education and Work Experience: Bachelor’s Degree in Nursing (BSN) preferred; acute care facility or home care experience preferred.
Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice required; CPR/BLS required; valid driver’s license and at least 21 years old; current automobile insurance and reliable vehicle; basic life support certification required.
Organizational Requirements Adventist Health requires all associates to receive required vaccinations where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. By applying, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices.