LVN Nurse Care Manager
4 weeks ago
The Nurse Care Manager is a health and human services specialist who acts as a guide and advocate for families who are caring for older relatives or disabled adults. The Nurse Care Manager is educated and experienced in fields related to aging life care / care management, including a specialized focus on issues related to aging and elder care. The Nurse Care Manager will provide professional insight to clients in their homes. This involves coordinating client status through comprehensive care planning on a weekly basis. Nurse Care Manager collaborates with and ensures that doctors orders are followed, supports family decision-making, monitors medications, surveys physical activity and safety in the home, along with psychological behavior. Nurse Care Manager supports clients through a holistic, client-centered approach. Nurse Care Manager will support families through guidance leading families to the actions and decisions that ensure quality care and an optimal life for client through: assessment and monitoring; planning and problem-solving; education and advocacy; and family caregiver coaching.
Reports to Director of Care Management
In-home Nurse visits with client
Development of comprehensive plan of care following thorough assessment of physical, functional, and psycho-social status
Provide hospital/facility visits when as needed
Facilitating conference calls between the client and family as needed to clarify treatment plans
Attend physician appointments and facilitate communication between doctor, client, and family
Interact with the health care system effectively and frequently
Reconciling prescribed medication
Assessing clients environment, functional, psycho-social status and financial well-being
Identifying and developing action plans to empower clients to remain and thrive at home
Help families adjust, cope and problem-solve around long-distance and in-home caregiving
Connecting clients and their families with medical, legal, housing, insurance and financial issues
Coaching clients to manage their health and well-being
Completing required paperwork and documentation within the time frame required
Strategic and analytic thinking to address gaps in care
Help determine types of services including home health and hospice that are right for client and assist in engaging and monitoring those services
Reviewing financial management or consulting with a clients accountant or Power of Attorney
Help clients and families with insurance concerns, claims, and applications
Assist client and families identify local resources as needed
Provide effective advocacy for clients and their families, promoting the clients wishes with health care and other providers, ensuring that clients needs are being adequately addressed
Refer to legal experts, elder law attorneys, estate planners as needed
Provide crisis intervention as needed, supporting clients navigate through emergency departments and hospitalizations, rehabilitation stays, ensuring that adequate care is available to the client
Provides continued ongoing assessment to support clients in attaining their maximum functional potential
Promotes individual independence through encouragement, maintaining safety and security concerns.
Perform other duties as requested by Director of Care Management
Knowledge of health care policies.
Knowledge of medical ethics.
Knowledge of quality assurance techniques.
Knowledge of written and verbal communication techniques.
Knowledge of effective teamwork techniques.
Knowledge of interpersonal sensitivity techniques.
Knowledge of leadership techniques.
Knowledge of management planning techniques.
Knowledge of problem-solving techniques.
Knowledge of decision-making techniques.
Knowledge of time management techniques.
Knowledge of stress management techniques.
Knowledge of prioritizing techniques.
A wide degree of creativity and latitude is expected.
Ability to demonstrate effective interpersonal relations.
Ability to effectively communicate orally and in writing.
Ability to utilize strong clinical and psycho-social assessment skills
Ability to gain respect and cooperation.
Ability to inspire and motivate Home Care Partners and Agency Caregivers
Ability to direct work groups toward a common goal.
Ability to oversee the work of Home Care Partners.
Ability to plan and organize work.
Ability to resolve conflict.
Ability to administer policies and implement procedures.
Ability to identify problems and determine effective solutions.
Ability to work independently and in cooperation with others.
Ability to provide advice and consultation to others.
Good physical and mental health.
Mental fortitude and stability to handle stress.
Physical and mental ability to drive a vehicle
Nursing Degree and Registered Nurse Licensure/Licensed Vocational Nurse
Current Drivers License
Proper Vehicle Insurance Coverage
Licensed Nurse with at least one year of post graduate case management experience
Complex Care Management/Case Management/Managed Care experience
Community-based or In-Home visit experience
Experience working with either Geriatric, chronically ill or functionally challenged populations
Computer skills and resources:
Ability to use a variety of electronic information applications/software programs, electronic medical records experience
Intermediate to Advanced computer skills and proficiency with Microsoft Word, Outlook, and Excel, and web navigation skills
Access to a secure computer in order to accommodate data entry within required timelines
Access to High-speed internet connectivity
Valid drivers license, car insurance, and access to an automobile for home visits to client is required
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