RN Case Manager - Home Care, Part-time

Dartmouth Health•White River Junction, VT

7d•Onsite

About The Position

Dartmouth Health Home Care is hiring a part-time RN Case Manager for its Upper Valley service area, 20 hours per week. The role provides home health care in the community, with broad independence and support from an interdisciplinary team. Dartmouth Health Home Care serves more than 70 towns and provides nursing, rehabilitation, hospice, and personal care services. At the direction of the Clinical Manager, the RN Case Manager screens, evaluates, reevaluates, and treats patients referred by a licensed provider. The role coordinates care with patients, caregivers, physicians, and other health care team members; develops and reviews patient care plans; assesses patient progress and needs; documents care; provides education and instructions; and provides clinical oversight of LPNs and LNAs in the home. Other related duties may be assigned to meet organizational needs.

Requirements

Must hold at least one active, unencumbered RN license in Vermont or New Hampshire at the time of hire.
Must have active, unencumbered RN licenses in both Vermont and New Hampshire within 30 days of hire, or hold a compact license as applicable.
Graduate of an accredited school of nursing.
Valid driver's license with a clean driving record.
Current car insurance meeting minimum standards.
BLS certification within 90 days of hire.

Nice To Haves

One year of experience as an RN in a home health care setting is preferred.

Responsibilities

Screen, evaluate, reevaluate, and treat patients referred by a licensed provider, at the direction of the Clinical Manager.
Coordinate and communicate treatment activities with health care team members and the patient.
Work with the interdisciplinary team to ensure high-quality patient care.
Develop a care plan upon admission in collaboration with the patient's physician, the patient, and the patient's family or primary caregivers.
Periodically review and recertify 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.
Assess patients' clinical, functional, and emotional status on an ongoing basis to identify problems and progress toward goals.
Communicate significant changes to the patient's physician and Dartmouth Health Home Care colleagues.
Document evaluations, treatment goals, and objectives.
Teach patients and caregivers self-care techniques as appropriate.
Provide medication, diet, and other instructions as ordered by the provider, and use opportunities for health counseling with patients and caregivers.
Provide clinical oversight of LPNs and LNAs in the home.
Perform other related duties as assigned to meet organizational needs.