Registered Nurse (RN) Home Care Case Manager $25,000 Sign on Bonus - E. Stroudsburg Territory

Schuylkill•East Stroudsburg, PA

11d•Onsite

About The Position

Lehigh Valley Health Network (LVHN) is seeking a full-time Registered Nurse (RN) Home Care Case Manager for day shifts in the East Stroudsburg territory. This role is responsible for coordinating and directing patient care in the home setting, collaborating with an interdisciplinary team and the Home Health Care Navigator. The RN will determine the appropriate level of home health care, initiate and revise care plans in collaboration with physicians and the team, and perform assessments and skilled interventions. The position involves patient and caregiver education, promoting autonomy, and evaluating teaching effectiveness. The role also includes accurate OASIS data collection for quality metrics and reimbursement, and collaboration with other network entities to ensure seamless patient care progression.

Requirements

Specialized Diploma Nursing or Associate’s Degree Nursing
1 year recent experience providing care in a Home Health care setting and demonstrate skills in OASIS data set collection.
1 year Demonstrated ability to coordinate and manage a patient caseload.
Knowledge of patient education techniques and principles
Ability to take initiative and function independently without direct supervision
Ability to actively participate as a member of a care team
Exhibit excellent time management and organizational skills
Ability to manage a caseload of 25+ patients
Ability to travel to patient care assignments
Knowledge of home health Conditions of Participation
Knowledge of and skill in completing OASIS data set collection with a high level of accuracy
American Heart Association Basic Life Support - State of Pennsylvania Upon Hire
RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire
DL - Driver's License_PA - State of Pennsylvania Upon Hire

Nice To Haves

Bachelor’s Degree Nursing
1 year Experience as Home Health Care Admission Nurse or Case manager
AMB-BC- Ambulatory Care Nursing ANCC - State of Pennsylvania within 3 Years

Responsibilities

Coordinates and directs the delivery of care for an assigned caseload of patients receiving services in the home setting in collaboration with the interdisciplinary care team and Home Health Care Navigator.
Initiates, reviews, evaluates, and revises the established plan of care in collaboration with the physician, interdisciplinary team, and Home Health Care Navigator for appropriate care plan progression aimed at achieving patient goals, quality metrics, and level of care transition through discharge planning.
Works in collaboration with other network entities to ensure appropriate delivery of patient care and care progression.
Responsible for completing the OASIS data collection as per CMS regulation with a high level of accuracy that reflects quality outcomes measures and appropriate financial reimbursement for services.
Formulates an individualized plan of care according to physician orders that incorporates the analysis of assessment data and current scientific findings.
Determines home health as the appropriate level of care for the patient as well as skilled need for services ordered based on home health Conditions of Participation.
Relays significant changes in patient status to the physician and other members of the interdisciplinary care team in a time period consistent with patient needs.
Delivers patient care based on the medical plan of treatment established by the physician and protocols using a patient family centered approach.
Provides educational opportunities for patients, families, and clinical staff focusing on end-of-life issues, palliative care, advance directives, chronic disease management, pain management, symptom control, home care, hospice, and discharge planning.
Promotes patient/caregiver autonomy.
Evaluates effectiveness of teaching and modifies education based on patient needs and goals.