Registered Nurse-Case Manager-HORC

Assumes the responsibility for development, implementation, and management of the patient's plan of care. Collaborates with physician and other ordered disciplines as indicated to maximize patient outcomes.

Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

ESSENTIAL FUNCTIONS :

• Formulates a collaborative individualized plan of care based upon medical and nursing diagnosis and desired patient outcomes for hospice and homecare patients newborn thru geriatric.
• Assumes responsibility for the provision of skilled services in accordance with the plan of care.
• Completes accurate OASIS assessment as indicated.
• Collaborates with physician, patient / family and other assigned disciplines regarding care needs and revisions to plan of care.
• Completes supervision of HHA services provided as per policy.
• Participates in on-call responsibilities as needed to ensure 24 hour nursing availability for agency hospice, homecare and private duty patients. Participation includes call, scheduled visits and admissions.
• Completes timely and accurate documentation as per agency policy.
• Establishes and maintains positive working relationships with patients, family members, co-workers, physicians and referral sources.
• Promotes patient's independence by establishing patient care goals and including the patient and family in discussions regarding medical issues, testing, medications, and self-care skills.
• Observes the patients' physical, mental, emotional, and spiritual conditions and collaborates with team members as appropriate.
• Abides by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).

MINIMUM KNOWLEDGE AND SKILLS REQUIRED :

PREFERRED KNOWLEDGE AND SKILLS REQUIRED :

REQUIRED BEHAVIORAL SKILLS :

A personal presence which is characterized by a sense of honesty and the willingness to do the right thing.

A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact.

Demonstrated track record of ownership of situations, projects and issues.

Demonstrated ability to collaborate with a diverse population.

Strong communication and presentation skills with a proven ability to influence and lead teams to conclusion / decision making.

MINIMUM EDUCATION AND EXPERIENCE REQUIRED :

PREFERRED EDUCATION AND EXPERIENCE :

REQUIRED LICENSE / REGISTRATION / CERTIFICATION :

PREFERRED LICENSE / REGISTRATION / CERTIFICATION :

We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.