RN, Care Manager (Home Health) Full Time

Adventist Health•Tillamook, OR

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. The Care Manager also serves as a resource to patients, family members, and other care team members. The position is with Adventist Health, whose home health and hospice agencies serve communities across California, Hawaii, Oregon, and Washington. On-call duties may be assigned depending on location and agency operational needs; if agency leadership assigns them, the incumbent is required to perform them. Other job-related duties may also be assigned.

Requirements

Required: Registered Nurse (RN) licensure in the state of practice.
Required: Cardiopulmonary Resuscitation (CPR) certification 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

Complete initial and ongoing comprehensive assessments of patients’ needs at appropriate assigned time points.
Complete nursing assessments for assigned patients.
Discuss and teach pertinent aspects of nursing care and patient rights and responsibilities.
Identify and report problems, abnormal findings, or nursing diagnoses requiring follow-up.
Implement plans of care in accordance with identified needs.
Work with patients to clarify mutually agreed-upon goals and incorporate them into the plan of care.
Provide direct and/or indirect skilled, safe, quality care.
Coordinate patient care with other disciplines and integrate their input.
Conduct ongoing nursing assessments and update plans of care as needed.
Accurately and legibly document patient care delivery, status, response to treatment, and therapeutic interventions in accordance with policies and procedures.
Complete and submit documentation in a timely manner.
Update nursing plans and medication profiles when changes occur.
Counsel and educate patients and families on healthcare, nursing, and related needs.
Provide learning opportunities for patients and caregivers, including 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 assigned on-call duties when required by agency leadership.
Perform other job-related duties as assigned.