RN, Case Manager

Chapters Health SystemFalls Church, VA
71d

About The Position

The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.

Requirements

  • Current license as RN in the state where the employee will be working.
  • Minimum of one (1) year nursing experience; hospice or hospital experience preferred.
  • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system.
  • Mobile Driver - Valid driver’s license and automobile insurance per Company policy.
  • Reliable transportation to meet visit schedule.
  • Ability to use equipment with visual and auditory mechanisms.
  • Ability to effectively communicate in English (verbal and written).
  • Ability to visit Participant in their homes to assessments.
  • Ability to perform the essential functions and physical requirements of the job with or without reasonable accommodation.
  • Active BLS for healthcare professionals from the American Heart Association or Red Cross.

Responsibilities

  • Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
  • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.
  • Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices.
  • Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals.
  • Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness.
  • Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines.
  • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
  • Supervises patient care provided by Community Health Workers and Home Health Aides as requested.
  • During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services.
  • Performs other duties as assigned.
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