Registered Nurse (RN) Home Care Case Manager

Lehigh Valley Health Network•Allentown, PA

1d•Onsite

About The Position

Lehigh Valley Health Network (LVHN) is a nationally recognized, forward-thinking health network offering opportunities for career growth. LVHN has been recognized for its commitment to teamwork, compassion, and technology, consistently ranking among the "Best Hospitals" by U.S. News & World Report and achieving Magnet(tm) status for nursing excellence. Several of its hospitals have also received 'A' grades for patient safety from The Leapfrog Group. This role is within the LV HOME CARE AND HOSPICE division, specifically for a HOME CARE CASE MANAGER (RN) working FULL TIME DAYS.

Requirements

Specialized Diploma from an NLN approved/accredited nursing program
1 year recent experience providing direct care in a healthcare setting
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
Excellent time management and organizational skills
Ability to manage a caseload of patients as per agency standards
Ability to travel to patient care assignments
Knowledge of Conditions of Participation
Knowledge of and skill in completing regulatory data set collection with a high level of accuracy
Highly skilled in verbal and nonverbal communication
Ability to facilitate difficult and complex communication related to goals of care
BLS - Basic Life Support AHA - American Heart Association (Within 30 Days)
RN - Licensed Registered Nurse in Pennsylvania (Upon Hire)
DL - Driver's License in Pennsylvania or New Jersey (Upon Hire)

Nice To Haves

Associate’s Degree in Nursing or Bachelor’s Degree in Nursing
1 year experience as a home health or hospice Registered Nurse
Knowledge and ability to navigate multiple computer applications and EMR platforms
AMB-BC- Ambulatory Care Nursing-Board Certified - American Nurses Credentialing Center (within 3 Years)
CHPN - Certified Hospice and Palliative Nurse - Hospice and Palliative Nurses Association (within 3 Years)

Responsibilities

Coordinating and directing the delivery of care for an assigned caseload of patients receiving services in the home setting in collaboration with the interdisciplinary care team.
Determining the appropriate level of care for the patient and the skilled need for services ordered based on Conditions of Participation.
Initiating, reviewing, evaluating, and revising the established plan of care in collaboration with the physician and the interdisciplinary team for appropriate care plan progression aimed at achieving patient goals, quality metrics, and level of care transition.
Performing initial and ongoing assessments and skilled treatments and interventions as ordered by the physician.
Providing patient/caregiver education aimed at achieving patient goals/outcomes.
Working in collaboration with other network entities to ensure appropriate delivery of patient care and care progression.
Completing data collection as per CMS regulation with a high level of accuracy that reflects quality outcomes measures and appropriate financial reimbursement for services.
Formulating an individualized plan of care according to physician orders that incorporates the analysis of assessment data and current scientific findings.
Relaying significant changes in patient status to the physician and other members of the interdisciplinary care team in a time period consistent with patient needs.
Delivering patient care based on the medical plan of treatment established by the physician and protocols using a patient family centered approach.
Providing 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.
Promoting patient/caregiver autonomy.
Evaluating effectiveness of teaching and modifying education based on patient needs and goals.