RN Case Manager - Capital Caring Health - Merrifield, VA

Job Description

The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant 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 Participant 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.
• Captures and documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT).
• Completes initial and semi-annual assessment for all Company services including, but not limited to:
• Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
• Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs
• Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort
• Obtains Physician orders
• Completes documentation per Company policy
• Communicates frequently with other members of the IDT
• Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations
• Develops strong relationships with case managers, physicians, etc. at facilities

Physical Demands

• While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel.
• Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance.
• Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.