Field RN Case Manager /Fri-Sun (8 am - 8 pm)

Chapters Health System•Tavares, FL

12d•$67,977 - $106,213•Onsite

About The Position

The RN, Care Coordinator assesses and identifies patient and family needs, uses the nursing process, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care to the patient and family unit. This role makes after-hours visits to patients in homes, assisted living facilities, nursing homes, or hospitals within assigned affiliate territories, and provides compassionate service to patients and families. The nurse provides and manages direct care as part of the IDG, performs assessments and nursing interventions, coordinates care with other professionals, educates patients, families, caregivers, and health professionals, and reports changes in patient condition. The role also completes documentation and, when applicable, attends patient deaths, prepares bodies for transport, oversees medication disposal, and provides bereavement support. Some locations may assign clinical admissions and referral-related duties, including assessments, consents, coordination with facilities and referral sources, and care for general inpatient (GIP) patients. The position is scheduled Friday through Sunday, 8 a.m. to 8 p.m. During emergencies, such as hurricanes, the RN may need to report to a company-designated location ahead of the scheduled time and may need to stay overnight to maintain continuity of services. The role requires consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy. Florida affiliate employees are subject to background screening and ongoing eligibility verification through the Florida Care Provider Background Screening Clearinghouse.

Requirements

Current registered nurse (RN) license in the state where the employee will work.
At least one year of nursing experience.
Previous experience working with an EMR/EHR system.
Ability to communicate effectively in English, verbally and in writing.
Valid driver's license and automobile insurance in accordance with company policy.
Reliable transportation to meet patient needs.
Strong critical decision-making, problem-solving, clinical, and assessment skills.
Ability to use equipment with visual and auditory mechanisms.
Strong time management and prioritization skills to meet patient service standards and deadlines.
Ability to handle stressful situations professionally and calmly while providing customer service.
Strong patient service, information-seeking, listening, understanding, response, and accurate knowledge-transfer skills.
Ability to work in a fast-paced environment and use interpersonal skills during patient visits.
Ability to work cooperatively as part of a team and demonstrate urgency in daily work.
Computer skills, including MS Office, online research, data entry, and navigation.
Availability to work scheduled shifts that accommodate extended operating hours; the stated schedule is Friday through Sunday, 8 a.m. to 8 p.m.
Ability to perform sedentary work with frequent interruptions.
Ability to manage the emotional stress of caring for terminally ill patients and their families.
Ability to perform essential job functions and physical requirements, including lifting patients and/or equipment, bending, pushing/pulling, and kneeling, with or without reasonable accommodation.
Active Basic Life Support (BLS) certification for healthcare professionals from the American Heart Association or American Red Cross.
Satisfactory completion of competency requirements for the position.
Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
For employees serving Florida affiliates, eligibility for background screening through the Florida Care Provider Background Screening Clearinghouse and ongoing eligibility verification.

Nice To Haves

Hospice or hospital nursing experience.
Bilingual ability in Spanish.

Responsibilities

Assess patients and families, identify immediate needs, and determine appropriate nursing interventions by phone and/or during visits.
Coordinate the Plan of Care with the Interdisciplinary Group (IDG) and provide palliative and supportive care.
Make after-hours visits to patients in homes, assisted living facilities, nursing homes, or hospitals within assigned affiliate territories.
Provide and manage direct patient and family care, incorporating psychosocial, spiritual, cultural, physical, and biological components.
Apply clinical skills in case management, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.
Prioritize, consult, refer, and collaborate with other professionals to promote quality and continuity of care.
Educate patients, families, caregivers, and health professionals about disease process and decline, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patient condition to appropriate IDG members or other health professionals.
Attend patient deaths, prepare bodies for transport, oversee disposal of medications, and provide bereavement support.
Complete documentation according to policy and procedure.
During emergencies, report to a company-designated location as directed, potentially ahead of scheduled work and with overnight stays.
Perform other duties as assigned.
Where applicable, complete clinical admissions, explain services and admission requirements, address concerns and barriers, obtain informed consents, and complete initial assessments.
Where applicable, initiate Plans of Care and skilled nursing interventions, obtain physician orders, and complete required documentation.
Where applicable, coordinate referrals and admissions with Admissions, facilities, physicians, patients, families, and other service lines; provide timely clinical communication using SBAR.
Where applicable, obtain referral medical records, arrange safe discharges, develop relationships with facility case managers and physicians, and coordinate with Professional Relations Representatives.
Where applicable, provide care for GIP patients in hospitals, including daily visits, professional management, documentation, and efficient discharge.
Represent the company professionally; comply with regulations and company policies; maintain confidentiality; use resources responsibly; and observe health, safety, and security practices.
Participate in community and professional organizations, performance improvement, quality assessment activities, research and education activities, and ongoing development of professional and electronic media skills.