PM Home Health Registered Nurse Case Manager- North Milwaukee
Aurora Health Care · Milwaukee, WI · 2 mo ago
OTHRFull-time
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.
- Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served.
- Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's status.
- Interprets the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs.
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.
- Valid driver's license issued by the Division of Motor Vehicles or state of Illinois.
- Associate's Degree in Nursing.
- Typically requires 3 years of experience in clinical nursing.
Skills
- 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 necessary equipment such as FAX, computer, copier, telephone system.
- Ability to assess data reflecting the patient's status and interpret the appropriate information needed to identify each patient's requirements.
- Tolerance for differences and appreciation of multi-culturalism and diversity of patients and their families.
- Must possess and provide proof of a valid Driver License and a registered, functional car with adequate insurance coverage.
Physical Requirements and Working Conditions
- Capable of the manual dexterity required to use and operate a variety of equipment.
- Physical ability to move about in confined spaces, including bending, twisting, kneeling, squatting, and occasionally reaching one or both arms overhead.
- Able to work safely with people of various sizes and weights with diverse and complex medical conditions and physical limitations.
- Able to sit, stand, walk, and climb stairs for limited to prolonged periods of time.
- Physical stamina to attend to patient care requirements over a period of three or more hours without complete rest.
- Accurate vision to read gauges and measuring devices and to interpret written instructions.
- Subject to extreme temperature changes due to weather conditions.
- Subject to exposure to chemical and hazardous waste and communicable disease.
- Must be able to:
- Lift up to 50 lbs from floor to waist.
- Lift up to 20 lbs from waist to overhead.
- Lift and carry up to 40 lbs at waist height a reasonable distance.
- Push/pull with 30 lbs of force.
- Perform a sliding transfer of 150 lbs with a second person present.