Home Health Registered Nurse (RN) Case Manager

Optimae values diversity and we encourage everybody, including those from traditionally overlooked identity groups, to apply. The registered nurse plans, organizes and directs home care services and is experienced innursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es). Regularly re-evaluates patient nursing needs. Initiates the plan of care and makes necessary revisions as patient status and needs change. Maintains all regulatory conditions of participation in the patient home and in all documentation to meet federal and state requirements Uses health assessment data to determine nursing diagnosis. Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan of care. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication Prepares clinical notes and updates the primary physician when necessary and at least every 60 days. Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required. Communicates with community health-related persons to coordinate the care plan. Additional Duties Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Supervises Licensed Practical Nurse as per agency policies and regulatory requirements Other duties as assigned Position Qualifications Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting preferred. Current licensure in state and CPR certification. Bachelor's degree, with one (1) year of home health care experience preferred. Management experience not required. Responsible for supervising home health aides. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

Job Type:

Full-time Benefits:

401(k) Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person