Family Health Coordinator

6 days ago

White Plains, New York, United States Mitchell Martin Full time

Join Mitchell Martin in White Plains, NY as a Community Health Nurse for a contract/long-term opportunity with potential for direct hire. We offer an attractive salary of $65,000 - $85,000 per year, commensurate with experience.

About the Role:

We are seeking a skilled and compassionate Community Health Nurse to provide nursing visits to PACE members and their families. As a key member of our interdisciplinary team, you will work under the direction of a Care Manager to assess and evaluate the health care needs of patients and families, identifying opportunities for preventative, therapeutic, and rehabilitative care.

Your Responsibilities Will Include:

  • Carrying out the agency's mission, philosophy, goals, and objectives within guidelines of Agency policy and position function
  • Interpreting and implementing the Agency's philosophy to staff and members of the community
  • Assuming responsibility for assignments given, seeking supervision appropriately, performing within the limits of your education and experience
  • Providing professional nursing care using all elements of the nursing process, assessing and evaluating the health care needs of patients and families with consideration regarding physiological, psychological, social, and environmental factors
  • Identifying complete, accurate, and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration with the PCP to maintain compliance with state and federal regulations
  • Participating in mandatory PACE comprehensive care planning meetings routinely as required by PACE regulations, collaborating with all members of the IDT in developing a comprehensive care plan based on member-specific needs, physician orders, UAS-NY CAPS, other IDT assessments, members' specific parameters, and identified goals that are respectful of member, family, community, and agency resources
  • Implementing the nursing care plan and revising it whenever necessary by regularly assessing, observing, and evaluating the patient's condition, needs, and response to care, making appropriate nursing judgments and decisions for care plan revision
  • Initiating and applying appropriate preventative, therapeutic, and rehabilitative nursing procedures and techniques, administering medications and treatments as prescribed by the PCP, ability to independently perform skilled nursing procedures and techniques based on the changing nursing needs that the member requires
  • Teaching the patient and family/caregivers self-techniques whenever appropriate, providing instruction regarding medication, diet, safety, and treatment modalities in accordance with the plan of care
  • Recognizing and utilizing additional opportunities for health counseling/education with patients, families, and other caregivers, providing them with information that will facilitate decisions regarding the promotion, maintenance, and restoration of health
  • Delegating responsibility appropriately and supervising ancillary personnel in a manner that will assure quality care and compliance with the care plan
  • Evaluating for and promoting a safe environment for the patient and complying with National Patient Safety Goals
  • Completing, maintaining, and submitting all required documentation that is timely, accurate, and relevant, meeting all requirements for UAS-NY assessor function: timely completion within regulatory standards, follow-up assessments, and significant change assessments as needed
  • Reviewing and confirming eligibility of member in the PACE program based on Nursing Facility Level of Care (NFLOC) score obtained from the UAS-NY assessment, confirming eligibility of members with the members of the IDT
  • Performing care coordination as part of their nursing visits to PACE members across all settings of care, collaborative care coordination to include internal (e.g., other IDT members) and/or external health care professionals (e.g., MD specialists, SNF staff, hospital staff) in a manner that assures care plan coordination as well as continuity of care

Qualifications:

  • Degree from an NLN accredited school of nursing required, BSN preferred
  • A current New York State License to practice as a Registered Nurse
  • Minimum of one (1+) year general clinical nursing experience in a certified home health agency (CHHA), acute care, medical surgical, and/or critical care experience required, clinical nursing experience must be within one (1) year from date of hire or transfer required
  • Minimum of one (1+) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring
  • Possess and maintain good physical stamina and mental health, including satisfactory health clearance as required by NYS regulations and Agency policy
  • Current Driver's License, required insurance, and car available for work as required
  • Additonal Requirements: legally authorized to practice in the State in which the healthcare professional will perform the function, medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact, computer/laptop proficiency required, good organizational, observation, communication, and judgment skills, self-directed with ability to work with supervision, flexible and cooperative in fulfilling role obligations

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