Job Description

Description

Home Health RN Case Manager

AdventHealth Palm Coast

Location Address: Location will be Palm Coast/Ormand Beach area

Top Reasons To Work At AdventHealth Palm Coast

• Work for a healthcare system that believes in “Extending the Healing Ministry of Christ”
• Career growth and advancement potential
• No State income tax
  
• Competitive Pay and benefits

Work Hours/Shift:

Full Time, Days, fixed hours/points per day. 

GENERAL SUMMARY:

Registered Nurse that manages the home care patient from admission to discharge.  Communicates with physician in developing plan of care, coordinates all services received.

Qualifications

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

• Initiates, schedules/supervises, and coordinates care of assigned patients. Is responsible for continuous review of all aspects of every patient on their caseload including: appropriate utilization of services, ensuring continued skilled need, monitoring of homebound status, review of documentation in the medical record, maintenance of interdisciplinary communication, and discharge planning. 

• Initial assessment of patient in their home according to agency policies and procedures including OASIS and follows State and Federal requirements.

• Manages episodes of assigned patients as evidenced by favorable patient outcomes.  Addresses all nursing diagnoses identified in the Plan of Care. 

• Ongoing evaluation and education of client in holistic manner. Reassess the patient within 48 hours following a change in patient condition or discharge from a 24 hour or longer hospital stay. 

• Establishes and updates Plan of Care every 60 days or more frequently if needed. Develops Plan of Care to reflect current needs at time of recertification to include all disciplines

• Is responsible for participating and completion of monthly and admission case conferences. Maintains communication with physician and interdisciplinary team when additional patient needs are identified.

• Assures physician orders for care meet regulatory requirements.

• Supervision of LPN's and Home Health Aides team members with a home visit every two weeks.

• Provides accurate, current documentation according to agency /regulatory policy and procedures within 24 hrs.

• Maintains proficiency in clinical assessment skills.

• Meets productivity target consistently.

• Participates in Performance Improvement studies as required.

• Participates in student nurse and new employee development.

• Able to function as RN Clinical Supervisor as needed.

• Participates in on-call/evening rotation.

• Demonstrates good time management skills.

KNOWLEDGE AND SKILLS REQUIRED:

• Must be fluent in the English language

• Background check meets organizational guidelines

KNOWLEDGE AND SKILLS PREFERRED:

• Demonstrates moderate computer skills

• Two years of experience in Medicare Certified Home Health Agency

EDUCATION AND EXPERIENCE REQUIRED:

• Professional Registered Nurse currently licensed in the state of Florida

• Minimum 1 year home health nursing experience 

EDUCATION AND EXPERIENCE PREFERRED:

• Bachelors degree preferred

• Broad clinical background in areas such as medical/surgical, intensive care

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• Registered Nurse licensed in the state of Florida

• Basic Life Support certification

• Valid Florida drivers license, safe driving record and reliable transportation

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

• OASIS certification

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.