Visiting Nurse
We are seeking a Registered Nurse to service patients throughout the Athens area. The Visiting Nurse (Nurse Case Manager) plays a critical role on the patient’s care team, visiting patients in homes, long-term care facilities, and other settings to evaluate patients and initiate telemedicine visits.
Responsibilities
- Facilitate receiving all medical records from the patient’s primary provider and specialists.
- Review medical records.
- Complete consents with patients.
- Enroll patients in Care Management, if they meet eligibility criteria.
- Initiate a Care Management Plan of Care for eligible patients.
- Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
- Complete Annual Wellness Visits (AWV’s) to be reviewed by the provider.
- Complete cognitive impairment screenings.
- Complete Social Determinants of Health (SDoH) assessments and/or screenings.
- Complete Advance Care Planning (ACP’s) to be reviewed with the patient by the provider.
- Evaluate for home health, hospice, palliative care, or consults with the Specialty Division.
- Evaluate for RPM devices, resources, or tools that may improve the patient’s quality of life.
- Communicate and coordinate care.
- Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
- Provide post-discharge education.
- Evaluate for adaptive equipment and Durable Medical Equipment (DME).
- Evaluate for a safe environment.
- Evaluate acute conditions or follow-up from previous visits.
- Appropriately and accurately document and log Care Management activities.
- Work in conjunction with the care team to keep patients' Care Management care plans up to date.
- On-call may be required.
Requirements
- Must be a licensed nurse (Registered Nurse preferred). License must be in good standing with the appropriate board/issuer.
- A minimum of three (3) years of clinical experience preferred.
- Experience in community settings preferred.
- Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
- Strong written and verbal skills.
- Basic computer knowledge.
- Ability to manage and demonstrate effective leadership skills.
- Good interpersonal and communication skills under all conditions and circumstances.
- Ability to foster a cooperative work environment.
- Team player with the ability to manage multiple responsibilities and demonstrate sound judgment.
- Must be able to work flexible hours and travel between offices, facilities, etc.
- Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.
- Reliable transportation is required as travel is required daily.
Benefits
- Competitive compensation package with bonus opportunities.
- Employer-matched 401K.
- Free visit and prescriptive services with HDHP Insurance Plan.
- Employer-matched HSA.
- Generous PTO package.
- Career development and growth opportunities.
- Vehicle allowance.
Schedule
Full-time, salary-based position working 8-hour shifts Monday through Friday (8:00 AM – 5:00 PM).
About
We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and through virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.