RN-Case Manager-PACE Program-Lehigh Acres

About the role

When you join the Chapters Health Team, you're joining a mission. We're dedicated to providing top-notch patient care and exceptional customer service in our communities every day. Our employees are the key to our success!

Responsibilities

• Assesses and identifies patient/family needs, utilizing the nursing process.
• Coordinates the Plan of Care with the Interdisciplinary Team (IDT).
• Provides clinical, palliative and supportive care to the patient/family unit.
• Documents patient/family contact information in the EMR and communicates with the IDT.
• Completes initial and semi-annual assessments for all Company services.
• Communicates with physicians and other IDT members to initiate the Plan of Care.
• Performs skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort.
• Obtains physician orders and completes documentation per Company policy.
• Facilitates referrals to all service lines and works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates with the IDT and provides clinical communication using SBAR.
• Develops strong relationships with case managers, physicians, etc. at facilities.
• Supervises patient care provided by Community Health Workers and Home Health Aides as requested.
• Attends daily IDT collaboration meetings and presents concise and pertinent oral and written reports to IDT.
• Communicates accurately and completely to physicians, staff members, patients, families, and supervisors.
• Participates in Quality Assessment and Performance Improvement activities as appropriate for the position.
• Performs other duties as assigned.

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.

Physical Demands

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

Pay

Pay Range: $61,860.66 - $96,657.28