Patient Care Connect RN

1 week ago


Wichita Falls, Texas, United States DirectEmployers Full time

Join Our Team at DirectEmployers
At DirectEmployers, we are dedicated to providing exceptional healthcare services. We believe every patient deserves the highest quality of care. As part of our team, you will have the opportunity to make a significant impact on the health and well-being of individuals in your community.

Position Overview:
The Care Coach Connect RN/Case Manager plays a vital role in coordinating patient care. This position involves conducting comprehensive nursing assessments and collaborating with an interdisciplinary team to develop and implement individualized care plans.

Key Responsibilities:
1. Conduct in-home visits to assess and evaluate the needs of patients.
2. Perform urgent care visits to prevent hospital admissions and ensure optimal care at home.
3. Continuously assess the impact of chronic illnesses on patients' overall well-being.
4. Identify caregiver stress and provide appropriate community resources.
5. Implement and adjust care plans based on patient needs and feedback.
6. Engage in advanced care discussions with patients and families, documenting their preferences.
7. Educate patients and families about disease management and end-of-life care options.
8. Participate actively in interdisciplinary team meetings, contributing to patient care strategies.
9. Maintain accurate documentation of patient progress and care interventions.
10. Provide telephonic follow-up and case management as required.

Qualifications:
- Active Registered Nurse license in the state of employment.
- Current BLS certification or willingness to obtain within 30 days.
- Minimum of 3 years of experience in a clinical or healthcare setting.
- Strong nursing skills and proficiency in computer applications.
- Reliable transportation for home visits.

Preferred Qualifications:
- Certification in Hospice and Palliative Care Nursing.
- Experience in community-based nursing and advanced care planning.
- Bilingual proficiency in English and Spanish is a plus.

Physical and Mental Requirements:
- Ability to lift and move patients as needed.
- Capability to work in various environments and adapt to changing situations.

At DirectEmployers, we are committed to fostering a diverse and inclusive workplace. We value the contributions of all team members and strive to create an environment where everyone can thrive.

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