Home Health RN Case Manager
2 weeks ago
We are seeking a skilled Home Health RN Case Manager to join our team at Advocate Health. The successful candidate will be responsible for managing caseloads of patients in specialty areas, conducting initial assessments, and establishing plans of care in accordance with physician orders and patient needs.
Key Responsibilities- Assume responsibility for caseloads consisting of patients in specialty areas.
- Conduct initial assessments to obtain thorough physical, social, and environmental data.
- Establish plans of care in accordance with physician orders and patient needs.
- Provide direct patient care and adjust nursing care processes as needed.
- Identify problems, modify nursing care plans, and evaluate outcomes within an appropriate time frame.
- Advise and consult with family and other personnel, as appropriate.
- Provide ongoing assessment of patient response to treatments and teaching, and apply interventions as appropriate.
- Update and revise plans of care as indicated.
- Complete documentation, including visit assessments, OASIS, 485, and verbal orders, accurately and promptly, and within standards.
- Communicate with physicians to confirm and update patients' plans of care.
- Provide status updates and ensure ongoing communication with the physician and other members of the healthcare team.
- Facilitate the discharge planning process according to standards and utilize resources to assure continuity of care after discharge.
- Participate in developing the discharge plan with the patient/family, physician, social worker, and other staff members, as appropriate.
- Participate in chart audits and continuous quality improvement activities, as requested.
- Identify, develop, and participate in process improvement opportunities that will enhance the quality of the services provided.
- Maintain and update accurate clinical and patient records, according to agency, state, and federal guidelines.
- Registered Nurse license issued by the state in which the team member practices.
- Basic Life Support (BLS) for Healthcare Providers certification, issued by the American Heart Association (AHA), within 6 months, unless department leader has determined it is not required.
- A valid driver's license, issued by the Division of Motor Vehicles, or a driver's license issued by the state of Illinois.
- Associate's Degree in Nursing.
- Typically requires 3 years of experience in clinical nursing.
- Excellent communication skills.
- Strong interpersonal skills and the ability to work with a variety of clients with patience and respect.
- Good organizational, analytical, and problem-solving skills.
- Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.
- Proficiency in clinical skills, with the ability to work under direction and make sound judgments.
- Ability to operate the necessary equipment to perform the job, i.e., FAX, computer, copier, telephone system.
- Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs.
- Tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families.
- Must possess and provide proof of a valid driver's license and a registered, functional car with adequate insurance coverage.
- Must be capable of the manual dexterity required to use and operate a variety of equipment.
- Must have the physical ability to move about in confined spaces, including bending, twisting, kneeling, squatting, and occasionally reaching one or both arms overhead.
- Must be able to work safely with people of various sizes and weight with diverse and complex medical conditions and physical limitations.
- Must be able to sit, stand, walk, and climb stairs for limited to prolonged periods of time to complete required paperwork, gain entry to patients' residences, travel from assigned visits, and attend a variety of work-related activities.
- Must have the physical stamina to attend to patient care requirements over a period of three or more hours without complete rest.
- Must have accurate vision to read gauges and measuring devices and to interpret written instructions.
- Subject to extreme temperature changes due to weather conditions.
- Subject to exposure to chemical and hazardous waste and communicable disease.
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