Home Health Nurse Specialist

1 week ago

Duluth, Minnesota, United States CenterWell Home Health Full time
About CenterWell Home Health
CenterWell Home Health is dedicated to providing personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery, or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover, and regain their independence so they can live healthier and happier lives.

Job Description
We are seeking a highly skilled Registered Nurse to join our team as a Home Health Nurse. As a Home Health Nurse, you will provide skilled nursing care and case management for home health patients, ensuring optimal health outcomes through effective coordination with healthcare professionals. Your responsibilities will include developing and revising care plans based on assessments, and training Home Health Aides and personal care workers under your supervision. You will also be involved in continuous communication with physicians and Clinical Managers to report on patient progress and adjust treatment as necessary.

Key Responsibilities:
* Provide admission, case management, and follow-up skilled nursing visits for home health patients.
* Administer ongoing care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.
* Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.
* Provide hands-on care, management, and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.
* Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
* Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides, and external providers).
* Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis.
* Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.
* Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides, and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care.
* Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.
* Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
* Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.

Requirements
* Diploma, Associate, or Bachelor Degree in Nursing
* Minimum of one year nursing experience preferred
* Strong med-surg, ICU, ER, acute experience
* Home Health experience a plus
* Current and unrestricted Registered Nurse licensure
* Current CPR certification
* Strong organizational and communication skills
* Valid driver's license, auto insurance, and reliable transportation.

About Us
CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth-largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional, and social wellness of our patients.

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