Home Health Registered Nurse

2 weeks ago

Green Bay, United States TotalMed Full time
Job DescriptionJob Description

Position Summary:

The RN Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of the MCO. The team’s goal is to promote the overall well-being of the members the MCO serves by providing high quality, person-centered, outcome-based care.

Under general direction of the Care Management Supervisor, this position provides care management and service coordination to members. As a member of the IDT, the RN Care Manager (RNCM) arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT staff monitors the provision of services based on the member-centered plan per policy and procedures, and Department of Health Services (DHS) contract requirements.

  • As part of an interdisciplinary team (which also includes a care manager and the member and/or legal representative), the RNCM conducts a comprehensive assessment of the member's outcomes, needs and risks; and reassesses as the member’s outcomes and/or condition changes.
  • Coordinate acute and primary care services, care transitions and related follow-up care.
  • Develop, coordinate, monitor, and evaluate members’ outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers.
  • Promote prevention and wellness by incorporating preventative, supportive, restorative, and rehabilitative care into the care planning process.
  • In collaboration with the Care Manager (CM), implement risk mitigation strategies to promote the member’s health, safety and independence while respecting the member’s rights.
  • Participate in on-going training to maintain current knowledge to ensure compliance with Federal and State regulations, policy and procedure and accepted professional standards.
  • Create and maintain member records as required by the Department of Health Services (DHS) contract and company policy.
  • Participate in, via face-to-face, in-home visits and care conferences involving the member, their supports, and providers to assess, reassess, and address health and medically related needs.

Qualifications:

  • Current License to practice as a Registered Nurse in the State of Wisconsin.
  • Two (2) or more years of skilled nursing experience preferred, ideally in gerontology/disabilities and/or home care.
  • Ability to access members’ homes which are not required to comply with the ADA regulations.

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