About this role
We are seeking RN Case Managers to provide 1:1 skilled care to patients in their homes. You will assess your patient, develop and execute a client-centered plan of care in collaboration with the interdisciplinary team. Schedule is flexible with no weekend requirements and consistent support from clinical manager team. We are a Medicare certified agency providing care to a wide variety of clinical needs, ages ranging from 18-100+. We take pride in the relationships we have built in our community and are looking for quality skilled clinicians to join our team. If this sounds like it might be a fit for you, we'd love to talk with you!
Full-time and Part-time opportunities available.
QUALIFICATIONS:
- Graduate of an approved school of professional nursing and currently licensed in Colorado.
- One (1) year nursing experience, preferred.
- Acceptance of philosophy and goals of this Agency.
- Ability to exercise initiative and independent judgment.
Qualifications
RESPONSIBILITIES
- Provides services in accordance with the plan of care.
- Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesses
- eligibility and homebound status and develops the plan of care in coordination with other IDT members.
- Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients needs.
- Initiates the plan of care and necessary revisions.
- Furnishes those services requiring substantial specialized nursing skill.
- Initiates appropriate preventive and rehabilitative nursing procedures.
- Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.
- Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.
- Informs physician and other personnel of changes in the patients condition and needs.
- Counsels the patient and family/significant others in meeting nursing related needs.
- Participates in in-service programs, supervising and teaching other nursing personnel.
- Understands and adheres to established Agency policies and procedures.
- Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
- Determines the amount and type of nursing needed by each individual patient.
- Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker.
- Supervises the LPN/LVN every 30-days and supervises the HHA/CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.
- Assigns home health aides to specific patients with written patient care instructions.
- Conducts patient care conferences on patients assigned to his/her care.
- Participates in peer review and quality management as assigned.
- Participates in utilization review of medical records as assigned.
- Gives total patient care as needed.
- Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
- Appropriately utilizes ICD-10 diagnoses and codes.
- Observes confidentiality, safeguards all patient related information.
- Attends staff meetings and patient care conferences as scheduled.
- Completes documentation and paperwork in a timely manner per Agency policy.
- Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.
- Demonstrates competent performance of technical skills according to established procedures.
- Understands and adheres to established policies and procedures.
- Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
- Maintains acceptable attendance status, per Agency policy.
- Reports all incomplete work assignments to Clinical Manager.
- Appearance is always within Agency standard; is clean and well-groomed.
- Demonstrates effective time management skills through daily documentation and infrequent overtime for routine assignments.
- Maintains clean and neat work environment.
- Demonstrates sound judgment, critical thinking and decision making.
- Maintains current CPR certification.
- Performs other duties as assigned.