Home Health Registered Nurse, RN Case Manager - Manchester, NH

Job Requirements

The role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. It involves performing duties such as assessing, planning, implementing, and evaluating the care needs of patients or providing nursing care and identified clinical support tasks within the scope of practice for achievement of the patient's plan of care as directed.

• Provides professional nursing care to patients.
• Absorbs and implements the nursing process.
• Manages projects / processes, works independently with limited supervision, coaches and reviews the work of lower level professionals, resolves difficult and sometimes complex problems.

Qualifications

• Massachusetts RN Licensure.
• Valid state issued Driver’s License.
• One (1) year of acute medical/surgical nursing experience.
• Cardiopulmonary Resuscitation (CPR) Certification.

Duties and Responsibilities

• Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures.
• Assesses patient/family learning needs, style and limitations and adjusts for delivery of information.
• Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team.
• Adapts to new and unusual situations without affecting work performance negatively.
• Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge.
• Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies.
• Reconciles medications with patient and physician consistently.
• Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.
• Effectively manages assigned caseload, within the team model of care delivery.
• Establishes a daily work plan based upon patient/family priorities of service and total area needs.
• Promptly triages patient visits, messages, and phone calls according to priority and urgency.
• Demonstrates excellent physical assessment and care planning skills.
• Demonstrates current knowledge of pharmacology and medication administration and reconciliation.
• Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.
• Effectively manages assigned caseload, within the team model of care delivery.
• Establishes a daily work plan based upon patient/family priorities of service and total area needs.
• Promptly triages patient visits, messages, and phone calls according to priority and urgency.
• Coordinates care and discharge planning with other team members during case conferences.
• Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided.
• Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed.

About Care at Home

Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is an equal opportunity employer.