Overview Job Description - Registered Nurse RN Care Manager Home Health (25037022)
Registered Nurse RN Care Manager Home Health
Job Number: 25037022
The role you’ll contribute The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs the home care patient’s care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health patient population requiring the use of advanced assessment, teaching and decision-making skills. The nurse is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant knowledge and experience is consistently applied to new patient populations. The Care Manager cares for a caseload of home health patients by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home care plan, and monitoring patient/family’s response to the plan to achieve patient/family goals and top decile outcomes. The Care Manager also identifies performance improvement and home health standard of care initiatives and assists to design or implement programs to address needed changes.
The value you’ll bring to the team Coordin ates 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. Optimizes schedule daily to support productivity, efficiency and maintain best practice visit utilization.
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 patient’s 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 patient’s 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.
Qualifications The expertise and experiences you’ll need to succeed:
Current Registered Nursing License in State of Practice
Valid Driver’s License and current car insurance
Active American Heart Association BLS
Minimum of 1 year relevant clinical RN experience
Education and Experience Preferred:
Bachelors degree in nursing
Recent, relevant experience in a Medicare-certified home health agency as a visit nurse
COS-C
Job Details Job : Home Care
Organization : AdventHealth Shawnee Mission Home Health
Primary Location : US-MO-Kansas City
Work Locations : ADVENTHEALTH PT SOLUTIONS PW 8644 N BOARDWALK AVE Kansas City 64154
Operating Unit: AH Shawnee Mission Home Health