Job Title: RN
Profession: Nursing
Specialty: Home Health
Duration: 260
Shift: 5x3 days
Hours per Shift: Not specified
Experience: Two (2) years of experience in a home setting within the last fifteen (15) years.
License: Current RN Licensure in Client
Certifications: BLS required before the start date
Must-Have:
Bilingual Spanish-English proficiency strongly preferred
Recent experience conducting comprehensive assessments of patients
Description:
Ability to review health status questions and make evaluations and determinations based on UAS criteria for enrollment.
Ability to work with technology in the workplace.
Knowledge of the theory, principles, and practices of general professional nursing.
Knowledge of state and agency laws and regulations governing general professional nursing practices.
Excellent organizational, interpersonal, written, and verbal communication skills.
Ability to communicate and work effectively with multi-generational consumers.
Ability to demonstrate sensitivity to the concerns of others.
Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
Ability to successfully execute many complex tasks simultaneously.
Strong ability to work independently.
Job Responsibilities:
Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences.
Guide the development of individualized long-term care service plans.
Review consumer medical documentation and or health referral forms, as relevant to the case.
Enter evaluation data into electronic evaluation form and transmit, as required.
Document any concerns, conflicting information, or other issues that surface during the evaluation process.
Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plans.
Discuss health care options, supports needed, service vendor options, and waiver options with consumers.
Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan.
Enhance communication and collaborative relationships with interdisciplinary care team members.
Collect quality review data and any required documentation to support outcome measurements.
Record case notes into CRM.
Identify opportunities for health promotion and illness prevention.
Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for the target population.
Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus template.
Perform other duties as assigned by the Regional Nurse Manager or other project management.
General Comments:
All candidates must be under the impression they will be conducting in-field assessments.
Candidates must provide all required information regarding aliases used, current and previous addresses, and current phone numbers/emails.