RN, Care Coordinator (Marion County) M-TH 4/10s

Job Profile Summary

When you join the Chapters Health Team, you're joining a mission. As an RN, Case Manager, you'll assess and identify patient/family needs, coordinate the Plan of Care with the Interdisciplinary Team, and provide clinical, palliative, and supportive care to keep participants in their home environment as long as possible.

Qualifications

• Current license as RN in the state where the employee will be working
• Minimum of one (1) year nursing experience; hospice or hospital experience preferred
• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
• Mobile Driver - Valid driver’s license and automobile insurance per Company policy
• Reliable transportation to meet visit schedule
• Ability to use equipment with visual and auditory mechanisms
• Ability to effectively communicate in English (verbal and written)
• Ability to visit Participants in their homes to assessments
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation
• Active BLS for healthcare professionals from the American Heart Association or Red Cross

Competencies

• Satisfactorily complete competency requirements for this position

Responsibilities

• Represents the Company professionally at all times through care delivered and/or services provided to all clients
• Complies with all State, federal and local government regulations, maintaining a strong position against fraud and abuse
• Complies with Company policies, procedures and standard practices
• Observes the Company's health, safety and security practices
• Maintains the confidentiality of patients, families, colleagues and other sensitive situations within the Company
• Uses resources in a fiscally responsible manner
• Promotes the Company through participation in community and professional organizations
• Participates proactively in improving performance at the organizational, departmental and individual levels
• Improves own professional knowledge and skill level
• Advances electronic media skills
• Supports Company research and educational activities
• Shares expertise with co-workers both formally and informally
• Participates in Quality Assessment and Performance Improvement activities as appropriate for the position
• Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up
• Coincides the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs
• Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices
• Participant visit frequency dependent on risk score/needs to be determined
• Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance- ability to live safely in the community
• Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals
• Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness
• Attends daily IDT collaboration meetings
• Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines
• Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others
• Supervises patient care provided by Community Health Workers and Home Health Aides as requested
• During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services
• Performs other duties as assigned

Physical Demands

• Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance
• Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs

Compensation

$61,860.66 - $96,657.28