About The Position

Signature Healthcare at Home is hiring a full-time Registered Nurse Case Manager to provide home health care in the Pierce County–Tacoma coverage area. The position is based at the Federal Way office and follows a Monday–Friday, 8:00 a.m.–5:00 p.m. day schedule. The RN provides professional nursing care in patients’ homes, assesses patient and caregiver needs, develops and updates individualized plans of care with the certifying medical provider, and coordinates services for an assigned caseload when designated as case manager. The role also includes patient and caregiver education, medication and treatment administration, clinical documentation, communication with medical providers and the interdisciplinary team, and participation in on-call duties. Home Health Acute Care Patient RN training is provided. The role may require travel outside the designated area and visits to homes with challenging conditions.

Requirements

  • Graduate of an accredited school of nursing.
  • Currently licensed as a Registered Nurse in the state or states of planned practice.
  • Possess and maintain CPR certification.
  • Licensed driver with an automobile in good working order and insurance meeting state and/or organizational requirements.
  • Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills as specified by the competency checklist.
  • Self-directed and able to work with minimal supervision.
  • Able to perform prolonged or considerable walking or standing; lift, position, and/or transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, and/or crouching.
  • Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

  • One to two years of recent acute care experience in an institutional setting.
  • One to two years of recent home health experience.

Responsibilities

  • Complete initial and ongoing comprehensive assessments of patients, families, caregivers, and living situations.
  • Perform physical assessments and obtain histories of current and previous illnesses.
  • Provide professional nursing care in accordance with the nursing process and the state Nurse Practice Act.
  • Establish individualized plans of care with the certifying medical provider based on assessments and patient goals; regularly reassess needs and participate in revising plans as conditions change.
  • Develop care plans with interventions and goals, involving patients and families or caregivers in the planning process.
  • Initiate appropriate preventive and rehabilitative nursing procedures autonomously.
  • Administer medications and treatments prescribed by the medical provider and provide related health care instructions.
  • Involve patients and caregivers in addressing care needs and achieving goals, and support patient self-sufficiency or appropriate caregiving.
  • Serve as case manager when assigned by the Clinical Manager and coordinate care for the assigned caseload.
  • Document patient services, status, and pain or symptom management changes and outcomes accurately and on time in accordance with professional practice and reimbursement requirements.
  • Communicate patient needs and changes in condition to medical providers and obtain or receive orders as required.
  • Teach patients and caregivers self-care techniques and provide ordered medication, diet, and other instructions; use opportunities for health counseling.
  • Work with the interdisciplinary team to support continuity of care and attend required staff, interdisciplinary, and care coordination meetings.
  • Participate in on-call duties as defined by policy.
  • Ensure arrangements for required equipment, supplies, and services.
  • Supervise ancillary personnel and delegate responsibilities when required; coordinate patient care with LPN/LVN staff when assigned by the Clinical Manager.
  • Maintain professional knowledge and skills through continuing education and in-service classes; complete annual mandatory education.
  • Fulfill requested or accepted case assignments and meet productivity expectations.
  • Participate in quality assessment and performance improvement activities or other committees as assigned.
  • Participate in new employee orientation and student preceptorship as assigned.
  • Maintain knowledge of and comply with applicable laws, rules, and standards.
  • Travel to patients’ homes, potentially outside the designated geographical area based on census and staffing needs, and manage difficult driving conditions related to weather or traffic.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) plan
  • Life and disability insurance
  • Voluntary benefits
  • Up to four weeks of paid time off
  • Six paid holidays
  • Mileage reimbursement
  • Cell phone
  • Employee referral bonus
  • Continuing education
  • Higher education reimbursement program
  • Home Health Acute Care Patient RN training
  • MedBridge account and learning opportunities
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