RN, Care Manager (Home Health) Full Time

Adventist Health•Tillamook, OR
•$41 - $62

About The Position

The RN, Care Manager plans, organizes, and directs home care services to meet patients’ needs in their homes. The role manages a patient caseload effectively and efficiently, provides independent patient care, and collaborates with other core disciplines according to each patient’s plan of care and goals. The Care Manager also serves as a resource to patients, family members, and care team members. The role completes comprehensive nursing assessments, implements and adjusts plans of care, coordinates care across disciplines, and provides skilled, safe, quality care. It includes documenting care and patient status accurately and promptly; counseling and educating patients and families; and following applicable laws, standards, policies, and procedures. On-call duties may be assigned according to location and agency operational needs; when assigned by agency leadership, they are required. Other job-related duties may also be assigned. Adventist Health requires associates to receive required vaccinations as a condition of employment and annually thereafter where applicable. Medical and religious exemptions may apply. The organization participates in E-Verify.

Requirements

  • Required: Registered Nurse (RN) licensure in the state of practice.
  • Required: Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification from an approved vendor per AH policy.
  • Required: Valid driver’s license and age 21 or older.
  • Required: Current automobile insurance and a reliable automobile.
  • Associates must receive all required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

  • Bachelor’s Degree in Nursing (BSN) preferred.
  • Acute care facility or home care experience preferred.

Responsibilities

  • Plan, organize, and direct home care services to meet patients’ needs in their homes.
  • Manage an assigned patient caseload effectively and efficiently.
  • Provide patient care independently and collaborate with other core disciplines in accordance with the patient’s plan of care and goals.
  • Complete initial and ongoing comprehensive assessments at appropriate assigned time points, including nursing assessments of assigned patients.
  • Discuss and teach relevant aspects of nursing care and patient rights and responsibilities; identify and report problems, abnormal findings, and nursing diagnoses needing follow-up.
  • Implement the plan of care, clarify mutually agreed-upon goals with the patient, and incorporate those goals into the plan.
  • Provide direct and/or indirect skilled, safe, quality care; coordinate care with other disciplines and integrate their input.
  • Perform ongoing nursing assessments and update plans of care as needed.
  • Document care delivery, patient status, response to treatment, and therapeutic interventions accurately, legibly, and in a timely manner; update nursing plans and medication profiles when changes occur.
  • Counsel and educate patients and families about healthcare, nursing, and related needs; provide learning opportunities and written materials as appropriate.
  • Initiate appropriate preventative and rehabilitative nursing procedures.
  • Comply with applicable legal requirements, standards, policies, and procedures, including the code of conduct, HIPAA, and documentation standards.
  • Demonstrate professional conduct, service excellence, and commitment to Adventist Health’s mission and values.
  • Perform on-call duties if assigned by agency leadership, based on location and operational needs.
  • Perform other job-related duties as assigned.
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