RN Case Manager - Home Health

Centstone HC • White River, VT

18h • Onsite

About The Position

RN Case Managers at VNH screen, evaluate, re-evaluate, and treat patients as well as coordinate and communicate treatment activities with our interdisciplinary team members and the patient. The RN Case Manager: Develops a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission. Periodically reviews the patient care plan and recertifies the patient care plan as appropriate. Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate. Advise other disciplines of discharges in a timely manner. Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and/or progress toward desired goals. Communicate significant changes to the patient's physician and VNA colleagues. Document evaluations, treatment goals, and objectives. Teach the patient and caregiver self-care techniques as appropriate. Provide medication, diet, and other instructions as ordered by the physician and utilizes opportunities for health counseling with patients and caregivers.

Requirements

• Must be a licensed Registered Nurse in Vermont and New Hampshire or hold an unencumbered compact license.
• Graduate of an accredited school of nursing.
• 2 years of experience in Home Health

Responsibilities

• Develops a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission.
• Periodically reviews the patient care plan and recertifies the patient care plan as appropriate.
• Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate.
• Advise other disciplines of discharges in a timely manner.
• Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and/or progress toward desired goals.
• Communicate significant changes to the patient's physician and VNA colleagues.
• Document evaluations, treatment goals, and objectives.
• Teach the patient and caregiver self-care techniques as appropriate.
• Provide medication, diet, and other instructions as ordered by the physician and utilizes opportunities for health counseling with patients and caregivers.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree