Home Health RN Case Manager providing nursing services including patient assessments and care plans in the Milwaukee area. Collaborating with healthcare teams to ensure quality patient care and continuity.
Responsibilities
Assumes responsibility for caseloads consisting of patients in specialty areas
Conducts initial assessment to obtain thorough physical, social and environmental data
Establishes the plan of care in accordance with the physician orders and patient needs
Provides direct patient care and adjusts nursing care processes as needed
Identifies problems, modifies nursing care plan, and evaluates outcomes within an appropriate time frame
Advises and consults with family and other personnel, as appropriate
Provides on-going assessment of patient response to treatments and teaching and applies interventions as appropriate
Updates and revises plan of care as indicated
Completes documentation including visit assessment, OASIS, 485 and verbal orders accurately and promptly and within the standards
Communicates with physicians to confirm and update patients' plan of care
Provides status updates and ensures ongoing communication with the physician and other members of the health care team
Facilitates the discharge planning process according to standards and utilizes resources to assure continuity of care after discharge
Participates in developing the discharge plan with the patient/family, physician, social worker, and other staff members as appropriate
Participates in chart audits and continuous quality improvement activities as requested
Identifies, develops and participates in process improvement opportunities that will enhance the quality of the services provided
Maintains and updates accurate clinical and patient records according to agency, state, and federal guidelines
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served
Requirements
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) needs to be obtained within 6 months unless department leader has determined it is not required
A valid drivers license issued by the Division of Motor Vehicles or Driver 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
Must have a tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families
Benefits
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Paid Time Off programs
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
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