Field RN Case Manager /Fri-Sun (8 am - 8 pm)

Chapters Health•Tavares, FL

11d•Onsite

About The Position

The Field RN Case Manager assesses patient and family needs, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care. The role includes after-hours visits to patients in homes, assisted living facilities, nursing homes, or hospitals within assigned affiliate territories, and may include clinical admissions, depending on location. The RN provides direct care, manages symptoms, communicates with patients, families, caregivers, physicians, and other professionals, and documents care in accordance with company policy and applicable regulations. The position is scheduled Friday through Sunday, 8 a.m. to 8 p.m. During emergencies, the RN may be required to report to a company-designated location ahead of schedule and remain overnight to ensure continuity of services. The role requires the ability to manage the emotional demands of caring for terminally ill patients and their families, and to perform the essential physical functions of the job with or without reasonable accommodations.

Requirements

Current registered nurse (RN) license in the state where the employee will work.
At least one year of nursing experience.
Experience working with an EMR/EHR system.
Ability to communicate effectively in English, verbally and in writing.
Valid driver’s license and automobile insurance in accordance with company policy.
Reliable transportation to meet patient needs.
Strong critical decision-making, problem-solving, clinical, and assessment skills.
Ability to use equipment with visual and auditory mechanisms.
Strong time-management skills and ability to prioritize demands to meet patient-service standards and deadlines.
Ability to handle stressful situations professionally and calmly while providing customer service.
Patient-service, information-seeking, probing, knowledge-transfer, listening, understanding, and response skills.
Ability to navigate a fast-paced environment and use interpersonal skills during patient visits.
Ability to work cooperatively in a team and exhibit a sense of urgency in daily work.
Computer-operation skills, including proficiency with MS Office applications, online research, data entry, and navigation.
Availability to work scheduled shifts accommodating extended operating hours.
Ability to perform sedentary work with frequent interruptions.
Ability to manage the emotional stress of working with and caring for terminally ill patients and their families.
Ability to perform essential job functions and physical requirements, including lifting patients and/or equipment, bending, pushing/pulling, and kneeling, with or without reasonable accommodations.
Active Basic Life Support (BLS) certification for healthcare professionals from the American Heart Association or Red Cross.
Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
For Florida affiliate services, eligibility verification through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and ongoing eligibility.

Nice To Haves

Hospice or hospital nursing experience.
Bilingual Spanish language skills.

Responsibilities

Assess patients and families, identify immediate needs, and determine appropriate nursing interventions by phone and/or during visits.
Coordinate the Plan of Care with the Interdisciplinary Group (IDG).
Make after-hours visits to patients at home, in assisted living facilities, nursing homes, or hospitals within assigned affiliate territories.
Provide compassionate customer service and direct care to patients and families, incorporating psychosocial, spiritual, cultural, physical, and biological needs.
Apply case-management skills, company policies and procedures, physical assessment, intravenous therapies, pain medication titration, and symptom-management practices.
Prioritize care, consult, refer, and collaborate with other professionals to promote quality and continuity of care.
Educate patients, families, caregivers, and health professionals about disease progression, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patient condition to appropriate IDG members or other health professionals.
Attend patient deaths, prepare bodies for transport, oversee medication disposal, and provide bereavement support.
Complete documentation in accordance with policy and procedure.
During emergencies, report to a company-designated location as directed, which may include reporting early or staying overnight.
When assigned, complete clinical admissions, explain services, address concerns and barriers, educate patients and families about admission requirements, complete informed consents and initial assessments, initiate Plans of Care and nursing interventions, obtain physician orders, and arrange safe discharge.
Represent the company at assigned facilities, facilitate referrals, communicate with Admissions, provide clinical communication using SBAR, and discuss potential needs with after-hours staff.
Obtain medical-record information for referrals and develop relationships with case managers, physicians, and other facility contacts.
Work with Professional Relations Representatives to provide education about available services.
Provide care for general inpatient (GIP) hospital patients, including daily visits, professional management, documentation, and efficient discharge.
Perform other duties as assigned.
Represent the company professionally and comply with applicable regulations, company policies, and health, safety, security, and confidentiality practices.
Use resources responsibly, participate in performance improvement and quality activities, develop professional and electronic-media skills, support research and education, and share expertise with coworkers.