Visiting Nurse- Facilities

Your Health Organization•Spartanburg, SC

3d•Onsite

About The Position

Your Health is seeking a Registered Nurse to serve patients in the Spartanburg area, with the Clinton service area currently available. The Visiting Nurse, also referred to as a Nurse Case Manager, is a key member of the patient care team. The nurse travels to patients’ homes and long-term care facilities, including assisted living and independent living facilities, to evaluate patients and initiate telemedicine visits. The position provides quality healthcare in accordance with applicable laws, regulations, policies, and the nurse’s scope of practice. This is a full-time, salary-based position with 8-hour shifts Monday through Friday, 8 a.m. to 5 p.m. Daily travel is required, and reliable transportation is necessary. On-call work may be required. Your Health is a physician group serving South Carolina and Georgia. It provides primary care, specialty services, and pharmacy support to patients in care facilities, homes, clinics, and virtual settings, working with facilities and families to provide accessible, coordinated care.

Requirements

Must be a licensed nurse with a license in good standing with the appropriate board or issuer; Registered Nurse preferred.
A minimum of three years of clinical experience preferred.
Experience in community settings preferred.
Ability to communicate and collaborate effectively with interdisciplinary care teams, patients, and caregivers.
Strong written and verbal communication skills.
Basic computer knowledge.
Ability to manage responsibilities and demonstrate effective leadership skills and sound judgment.
Good interpersonal and communication skills under all conditions and circumstances.
Ability to foster a cooperative work environment and work as part of a team.
Ability to work flexible hours and travel between offices and facilities.
Must have a valid driver’s license and an insured, reliable automobile in good working order that meets state and/or organizational requirements.

Nice To Haves

Registered Nurse licensure.
At least three years of clinical experience.
Experience in community settings.

Responsibilities

Facilitate receipt of medical records from patients’ primary providers and specialists, and review those records.
Complete patient consents and enroll eligible patients in Care Management.
Initiate a Care Management Plan of Care for eligible patients and work with the care team to keep care plans current.
Capture diagnoses at the highest specificity by creating gaps and ensuring they are accepted.
Complete Annual Wellness Visits for provider review and complete cognitive impairment screenings.
Complete Social Determinants of Health assessments and/or screenings.
Complete advance care plans for review with patients by the provider.
Evaluate patients for home health, hospice, palliative care, specialty consultations, and other appropriate services.
Evaluate patients for remote patient monitoring devices, resources, or tools that may improve quality of life.
Communicate and coordinate care with patients, caregivers, providers, and the interdisciplinary care team.
Reconcile prescribed and over-the-counter medications, vitamins, supplements, herbal remedies, and other treatments.
Provide post-discharge education.
Evaluate patients for adaptive equipment, durable medical equipment, and a safe environment.
Evaluate acute conditions and conduct follow-up visits as appropriate.
Accurately document and log Care Management activities.
Travel to patients’ homes and facilities to conduct evaluations and initiate telemedicine visits.
Provide care in adherence to applicable laws, regulations, policies, and scope of practice.