This role involves performing all scheduled visits and collaborating with the interdisciplinary team to provide comprehensive patient care. The Home Health Registered Nurse (RN) Case Manager will conduct thorough physical, psychosocial, and environmental assessments, update care plans based on findings, and communicate with physicians to confirm and update treatment plans. The position requires ongoing assessment of patient response to treatments, medications, and teaching, applying interventions as appropriate, and updating care plans. Partners with the RN Case Manager to provide discharge planning according to agency standards and utilizes interagency/system and community resources to assure continuity of care after discharge. Accurately documents and updates patient records according to agency, state, and federal guidelines. Communicates problems to physicians and RN Case Manager, and clearly states plans, actions, and goals so that changes are reflected as they occur. Follows published policies and procedures and regularly monitors changes or additions to them. Performs various patient positioning and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree