Home Health RN Case Manager (10k Sign-on Bonus)

JOL HEALTHCARE•Kyle, TX

2d•$90,000 - $0•Onsite

About The Position

The Home Health RN Case Manager provides nursing care to clients of all ages in their residences, coordinates care with the interdisciplinary team, patient and family, and referring agency, and assumes responsibility for coordinating care. The role involves assessing the effects of terminal disease on patients’ physical, functional, psychosocial, and environmental needs, including activities of daily living, grief risk, cultural and spiritual needs, and verbal and non-verbal communication. The case manager implements individualized plans of care and recommends revisions as needed; educates patients and families about disease processes, self-care, end-of-life care, nutrition, and dietary needs; and provides training to other staff as needed. The role also includes initiating preventive and rehabilitative nursing procedures, documenting clinical progress, coordinating services and prioritizing needs with the interdisciplinary team, and communicating changes and outcomes to physicians and other personnel. The nurse determines the scope and frequency of services based on acuity and patient/family needs, assesses caregiver capacity, and identifies and uses support systems to address their own support needs.

Requirements

Associate or baccalaureate degree in nursing.
Current, unencumbered license to practice as a Registered Nurse in Texas.
Current CPR certification.
Reliable transportation.
Ability to work in patients’ homes in various conditions.
Ability to work a flexible schedule and travel locally.

Responsibilities

Conduct initial and ongoing comprehensive assessments of the impact of terminal disease on patients’ physical, functional, psychosocial, and environmental needs and activities of daily living.
Implement individualized plans of care and recommend revisions as necessary.
Consult with and educate patients and families about disease processes, self-care techniques, end-of-life care, nutrition, and dietary needs.
Provide training to other staff as needed.
Initiate appropriate preventive and rehabilitative nursing procedures.
Prepare clinical and progress notes that demonstrate progress toward established goals.
Coordinate patient and family services and prioritize needs with members of the interdisciplinary team.
Inform physicians and other personnel of changes in patient needs and intervention outcomes, and evaluate patient and family responses to care.
Determine the scope and frequency of services needed based on acuity and patient and family needs.
Assess whether caregivers can meet patients’ immediate needs upon admission and throughout care.
Evaluate personal support needs and use identified systems to meet them.