RN, Care Manager (Home Health)

Adventist Health

About The Position

Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home Care Elite awards. So whether you're looking for the buzz of a large city, the tranquility of nearby mountain bike trails or something in between, we encourage you to explore our organization. Job Summary: Plans, organizes and directs home care services to meet the needs of patients in their homes. Manages a patient caseload in an effective and efficient manner. Provides patient care independently, but also collaborates with other core disciplines in accordance with the patient’s plan or care to meet care goals. Functions as a resource to patients, family members, and other care team members.

Requirements

Registered Nurse (RN) licensure in the state of practice: Required
Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required
Valid Driver's License (DL) and must be at least 21 years of age or older: Required
Current automobile insurance and a reliable automobile: Required
Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required

Nice To Haves

Bachelor's Degree in Nursing (BSN): Preferred
Acute care facility or home care experience: Preferred

Responsibilities

Completes initial and ongoing comprehensive assessments of the patient’s needs at appropriate time points as assigned.
Completes the nursing assessment of assigned patients.
Demonstrates ability to discuss and/or teach pertinent aspects of nursing care and patient rights and responsibilities.
Identifies and reports problems, abnormal findings, or nursing diagnoses that need follow up.
Implements plan of care in accordance with identified needs.
Participates with the patient in clarifying mutually agreed upon goals and incorporates these goals into the plan of care.
Provides direct and/or indirect skilled, safe, quality care.
Coordinates patient care with other disciplines and integrates input from disciplines.
Performs ongoing nursing assessments and changes plans of care as needed.
Accurately completes and legibly documents all pertinent information in accordance with established policies and procedures by documenting patient care delivery, patient status, patient’s response to treatment, and therapeutic interventions.
Ensures that all documentation is completed and submitted in a timely manner.
Updates nursing plans and medication profiles when changes occur.
Counsels and educates the patient and family in meeting healthcare/nursing and related needs.
Provides learning opportunities for patient and caregiver, including written material as appropriate.
Initiates appropriate preventative and rehabilitative nursing procedures.
Complies with all applicable legal requirements, standards, policies and procedures including, but not limited to the code of conduct, HIPAA, and documentation standards.
Demonstrates professional conduct, service excellence and commitment to the mission and values of Adventist Health.
On call duties will be assigned based on location and agency operational needs. If assigned by agency leadership, incumbent is required to perform on call duties.
Performs other job-related duties as assigned.