About The Position

Signature Healthcare at Home is hiring a full-time Registered Nurse Case Manager to provide home health services in the Pierce County–Bonney Lake/Puyallup coverage area. The role is based at the Federal Way location and follows a Monday–Friday, 8:00 AM–5:00 PM day schedule. The nurse assesses patients and their living situations, develops and updates individualized plans of care with the certifying medical provider, delivers and coordinates nursing care, educates patients and caregivers, and documents services and outcomes. The position includes case management for assigned patients, collaboration with the interdisciplinary team, and participation in on-call duties. The role may require travel beyond the designated area based on census and staffing needs, and work in challenging home environments and driving conditions.

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, good-working-order automobile that meets state and/or organizational requirements.
  • Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills as defined by the competency checklist.
  • Self-directed and able to work with minimal supervision.
  • Able to walk or stand for prolonged or considerable periods, lift and transfer patients, lift supplies and equipment, and perform considerable reaching, stooping, bending, kneeling, 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, comprehensive, and ongoing assessments of patients and their family or caregivers, including physical assessments and illness histories.
  • Provide professional nursing care in accordance with the nursing process and the state Nurse Practice Act.
  • Develop and update individualized plans of care and care plans with the certifying medical provider, patient, and family or caregiver.
  • Re-evaluate patient and caregiver needs and participate in revising plans of care as patient status changes.
  • Initiate preventive and rehabilitative nursing procedures and administer prescribed medications and treatments.
  • Provide health instructions and teach patients and caregivers self-care, medication, diet, and other care techniques.
  • Promote patient self-sufficiency and help patients obtain 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.
  • Communicate patient needs and condition changes to medical providers and obtain or receive orders as required.
  • Work with the interdisciplinary team to support continuity of care and attend required staff meetings, team meetings, and care coordination activities.
  • Participate in on-call duties as defined by policy.
  • Arrange for necessary equipment, supplies, and services.
  • Supervise ancillary personnel and delegate responsibilities when required.
  • Coordinate patient care with LPN/LVN staff as assigned by the Clinical Manager.
  • Maintain and develop professional knowledge and skills through continuing education and in-service classes; complete mandatory annual education.
  • Fulfill requested or accepted case assignments and meet productivity expectations.
  • Participate in quality assessment and performance improvement activities or committees as assigned.
  • Participate in orientation of new employees and preceptorship of students when assigned.
  • Maintain knowledge of and comply with applicable laws, rules, and standards.

Benefits

  • Medical, dental, and vision benefits.
  • 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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