RN Case Manager - Full Time - Napa/Solano County

Patient Care

• Completes an initial assessment of patient and family to determine home care needs.
• Provides a complete physical assessment and history of current and previous illness(es).
• Regularly re-evaluates patient nursing needs.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions.
• Includes the patient and the family in the planning process.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Administers medications and treatments as prescribed by the physician.
• Provides direct patient care as defined in the State Nurse Practice Act.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan of care.
• Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

• Prepares clinical notes and updates the primary physician when necessary and at least every 60 days.
• Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
• Communicates with community health related persons to coordinate the care plan.

Additional Duties

• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Instructs, supervises, and evaluates home health aide care provided every two (2) weeks.

Position Qualifications

• Graduate of an accredited school of nursing.
• Minimum of 2 years licensed experience (California).
• Current licensure in state and CPR certification.
• Bachelor’s degree, with one (1) year of home health care experience preferred.
• Management experience not required.
• Responsible for supervising home health aides.
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.

Physical Requirements

• The ability to sit occasionally for 1-3 hours.
• The ability to frequently stand for 3-6 hours.
• The ability to occasionally drive/ operate foot control for 1-3 hours.
• The ability to walk intermittently on level and or unlevel surface for less than 1 hour.
• The ability to intermittently bend or climb for less than 1 hour.
• The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours.
• The ability to lift 50 pounds frequently for 3-6 hours.
• The ability to lift greater than 50 pounds occasionally for 1-3 hours.
• The ability to carry up to 50 pounds frequently for 3-6 hours.
• The ability to carry greater than 50 pounds occasionally for 1-3 hours.
• The ability to push up to 50 pounds frequently for 3-6 hours.
• The ability to push greater than 50 pounds occasionally for 1-3 hours.
• The ability to pull up to 50 pounds frequently for 3-6 hours.