RN CASE MANAGER

Company: Seva Home Health
Location: Visalia
Posted on: September 2, 2024

Job Description:

CASE MANAGER JOB DESCRIPTIONREPORTS TO: CLINICAL MANAGERJOB GOAL:Provides and leads the care of the patient and family to achieve the highest quality clinical outcome and patient and family satisfaction through effective and efficient use of resources.MINIMUM QUALTIFCATIONS:RN or PT with at least 1 year of nursing or therapy experience with 1 year in home health care preferred. Leadership or supervisory experience preferred.Demonstrated excellence in clinical assessment, clinical judgment, time management, communication, and collaboration.Ability to evaluate the effectiveness of the plan of care.Ability to manage collaborative decision-making during the entire length of stay.Possesses strong communication and organizational skills.Skilled in documentation, patient assessments, time management, critical thinking, and productivity standards.Self-directed and innovative, empowered, and accountable.Prolonged or considerable walking and standing. Able to life, 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 RESPONSIBILITIES:Leads the clinical care decisions for assigned group of patients and clinicians.Evaluates the effectiveness of the plan of care and implements necessary changes while communicating the plan to other members of the care team (Pod).Understanding of Medicare admission criteria and eligibility.Assessment of patient/caregiver needs for OASIS and throughout episode (performs all OASIS events).As SOC clinician, documents patient/caregiver involvement in the initial plan of care, performs medication reconciliation, completes medication profile and/or reviews existing profile on first visit.Ensures that patient home chart contains required documentation at Start of Care and is updated as necessary.Develops therapeutic relationship with the patient and patients family/caregiver while involving them in the patients care.Communicates with the physician at start of care and ongoing regarding the patients needs and reports any changes in the patients condition; obtains and receives physician verbal orders as required.Knowledge of state/federal regulations, evidence-based practice standards, and coordination of care and community resources.Ensure/audits that the 485, Medication profile and schedule/calendar are in each patient home chart and clinical documentation is evident of review with patient/caregiver.Weekly Pod update and Case Conference with Clinical Manager.Communication with patient, family care team and community resources.Care follow-up and re-assessment throughout the episode.Discharge Planning and scheduling in collaboration with Pod members.Appropriate frequency utilization based on patient assessment need and best practice.Supervision of Home Health Aides.Participates in on-call duties and weekend rotation as defined by the on-call policy.Maintains an adequate trunk stock of supplies and equipment.Join our growing team!Seva Home Healthis locally owned and growing company seeking anRN Case Manager. Our goal is to continually serve our community by providing high-quality, compassionate care in the intimate setting of our patients' homes.We are currently looking for aRegistered Nurse Case Managerto serve patients in Tulare and Kings Counties. Home health experience ideal, and we will provide training and support.BenefitsCompetitive salaryFocused one to one patient careFlexible work schedule & reasonable work hoursMedical benefitsAccrued PTO401k matchingContinued educationSupportive and friendly work environmentRequirementsMinimum of 1 year of experience as a Registered Nurse with a valid licenseCurrent CPR/BLS CertificationValid drivers license and automobile insurance as required by state lawComfortable driving to patient homes for patient visitsPrior experience in Home Health, Hospice, Infusion, or Home Care preferredResponsibilitiesInitiate, develop, and implement the patient Plan of Care (POC). Revise as needed in consultation with the patient, physician, and other team members when appropriate.Establish patient-specific goals and incorporate therapeutic, preventative and rehabilitative nursing services.Responsible for the oversight and delivery of quality, patient-centered care rendered in the patients home or living facility.Communicate necessary revisions to patient status and/or needs with the entire care teamRegularly consult, advise and reevaluate patient status with patient, family, patient representative and other team members as appropriate regarding safety, plan and outcome of care and discharge planning.Provide complete, accurate and timely documentation consistent with the plan of careby Jobble

Keywords: Seva Home Health, Visalia , RN CASE MANAGER, Executive , Visalia, California