Visiting Nurse

Your Health Organization•Spartanburg, SC

About The Position

Your Health is seeking a Registered Nurse to serve patients throughout the Spartanburg area. The Visiting Nurse, also called 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 role provides quality healthcare in compliance with applicable laws, regulations, and scope-of-practice requirements. Daily travel is required, and reliable transportation is necessary. The position is full-time, salary-based, and works eight-hour shifts Monday through Friday, 8 a.m. to 5 p.m. Service areas currently available include Pacolet, Jonesville, Pauline, and Laurens. On-call work may be required. Your Health is a physician group serving South Carolina and Georgia, providing primary care, specialty services, and pharmacy support through care in facilities, homes, clinics, and virtual visits. The organization emphasizes coordinated, accessible, and compassionate care in collaboration with facilities and families. The Nurse Case Manager coordinates and documents care-management activities in collaboration with providers and the care team. The position includes reviewing records, assessing patient needs, supporting care planning and follow-up, and identifying services, equipment, and resources that may improve patient care and quality of life.

Requirements

Must hold a nursing license in good standing with the appropriate board or issuer; a registered nurse is preferred.
Proven 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 in varied conditions and circumstances.
Ability to foster a cooperative work environment and work as part of a team while managing multiple responsibilities.
Ability to work flexible hours and travel between offices and facilities.
Must be a licensed driver with an automobile that is insured according to state and/or organizational requirements and in good working order.
Reliable transportation for required daily travel.

Nice To Haves

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

Responsibilities

Travel to patients’ homes and care facilities to evaluate patients and initiate telemedicine visits.
Facilitate receipt of medical records from patients’ primary providers and specialists, and review the records.
Complete patient consents and enroll eligible patients in Care Management.
Initiate a Care Management Plan of Care for eligible patients.
Capture diagnoses at the highest specificity, create gaps, and ensure they are accepted.
Complete annual wellness visits for provider review and cognitive impairment screenings.
Complete Social Determinants of Health assessments and/or screenings.
Complete advance care planning activities for the provider to review with the patient.
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 care team.
Reconcile prescribed and over-the-counter medications, vitamins, supplements, herbal remedies, and other treatments.
Provide post-discharge education.
Evaluate the need for adaptive equipment and durable medical equipment.
Evaluate whether the patient’s environment is safe.
Evaluate acute conditions and conduct follow-up from previous visits.
Accurately document and log Care Management activities.
Work with the care team to keep patients’ Care Management plans up to date.
Provide on-call coverage if required.