About The Position

RN Case Managers evaluate, re-evaluate, and treat patients as well as coordinate and communicate treatment activities with our interdisciplinary team members and the patient.

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.
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