Home Health RN Case Manager

AdventHealth Palm Coast

Location Address: Location will be Palm Coast territories

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.

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