Savannah, Georgia
Posted: 28-Nov-24
Location: Tavares, Florida
Internal Number: 24032448
All the benefits and perks you need for you and your family:
· Sign on bonus of up to $10,000
· Benefits from Day One
· Paid Time Off from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full-time
Shift: Monday - Friday, 8am - 5pm and flexible
Location: Lake County area
The role you’ll contribute:
The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs the home care patient’s care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health patient population requiring the use of advanced assessment, teaching and decision-making skills. The nurse is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes place regularly, and appropriate documentation is completed. Relevant knowledge and experience is consistently applied to new patient populations. The Care Manager cares for a caseload of home health patients by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician. S/he educates patients, families, caregivers and community providers to safely perform care. S/he provides follow up by evaluating effectiveness of the home care plan, and monitoring patient/family’s response to the plan to achieve patient/family goals and top decile outcomes. The Care Manager also identifies performance improvement and home health standard of care initiatives and assists to design or implement programs to address needed changes.
The value you’ll bring to the team:
o Coordinates and directs the care of a caseload of home patients when the primary skill needed is nursing. Provides comprehensive assessment, planning, implementation and evaluation for that caseload as the primary nurse.
o Sets priorities of home care caseload adapting to the changing needs of the home care patients and families. Optimizes schedule daily to support productivity, efficiency and maintain best practice visit utilization.
o Utilizing assessment data, formulates a patient specific plan of care along with the patient, family and physician which is feasible within the physical, financial and emotional resources of the family. Establishes individualized, realistic, measurable patient centered goals in consultation with the patient, family and other health care providers including goals to improve or stabilize patient’s medical condition, functional abilities and promote independence. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient when developing the plan of care.
o Informs the physician, clinical manager, and other appropriate members of the health care team of changes in the patient’s condition and needs. Facilitates and coordinates interdisciplinary care conferences with groups of complex patients.
o Maintains an updated clinical record on each patient, meeting required deadlines for documentation of certification, re-certification, aide supervision reports, aide care plan updates, routine recording of case coordination, care plan updates, addressing progress toward goals, and verbal orders.
The expertise and experiences you’ll need to succeed:
· Minimum qualifications:
o Current Registered Nursing License in State of Practice
o Valid Driver’s License and current car insurance
o CPR certified
o Minimum of 1 year relevant clinical RN experience
· Education and Experience Preferred:
o Bachelors degree in nursing
o Recent, relevant experience in a Medicare-certified home health agency as a visit nurse
o Home Health Case Manager Certification
o COS-C
