About The Position

Signature Healthcare at Home is hiring a full-time Registered Nurse Case Manager for home health coverage in Pierce County-Tacoma. The role is based at the Federal Way location and works a Monday through Friday, 8:00 AM to 5:00 PM day schedule. The Case Manager provides professional nursing care in patients’ homes, assesses patient and caregiver needs, establishes and updates individualized plans of care with the certifying medical provider, and coordinates care for an assigned caseload when designated by the Clinical Manager. The nurse also provides treatments and education, supports continuity of care with patients, families and the interdisciplinary team, documents services and outcomes, and participates in quality improvement and required meetings. On-call duties may be required. The position involves home visits and driving, and may include homes with challenging conditions or difficult weather and traffic.

Requirements

  • Graduate of an accredited school of nursing.
  • Currently licensed as a Registered Nurse in the state or states of planned practice.
  • Maintain CPR certification.
  • Licensed driver with an insured automobile that meets state and/or organizational requirements and is in good working order.
  • Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills per competency checklist.
  • Self-directed and able to work with minimal supervision.
  • Able to meet the physical demands of prolonged or considerable walking or standing; lifting, positioning, or transferring patients; lifting supplies and equipment; and 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 and their family or caregiver situations, including physical assessments and illness histories.
  • Provide professional nursing care using the nursing process and in accordance with the state Nurse Practice Act.
  • Establish individualized plans of care with the certifying medical provider, re-evaluate needs, and participate in revising plans as patient status changes.
  • Develop care plans with interventions and goals, involving patients and families or caregivers in planning.
  • Initiate preventive and rehabilitative nursing procedures and administer prescribed medications and treatments.
  • Provide health care instructions and teach self-care techniques, medication and diet instructions, and other provider-ordered guidance.
  • Promote patient self-sufficiency or help obtain appropriate caregiving.
  • Act as Case Manager when assigned by the Clinical Manager and coordinate care for an assigned caseload.
  • Document patient services, status, and pain or symptom management changes and outcomes accurately and promptly.
  • Communicate patient needs and condition changes to medical providers and obtain or receive orders as required.
  • Work with the interdisciplinary team and assist patients, caregivers, and team members in maintaining continuity of care.
  • Attend required staff and interdisciplinary team meetings and care coordination activities.
  • Participate in on-call duties as defined by policy.
  • Ensure arrangements for equipment and other necessary items and services.
  • Supervise ancillary personnel and delegate responsibilities when required.
  • Coordinate care with an LPN/LVN when assigned by the Clinical Manager.
  • Maintain and develop 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 teams, activities, or committees as assigned.
  • Work outside the designated geographic area when required by census fluctuations and staffing.
  • Adhere to applicable laws, rules, and standards.
  • Participate in orientation of new employees and preceptorship of students as assigned.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 401(k) plan
  • Life and disability insurance
  • Voluntary benefits
  • Up to four weeks of PTO
  • 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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