Job Title: Registered Nurse (RN)
Profession: Nursing
Specialty: Home Health
Duration: 260 days
Shift: 2x3 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:
Recent experience conducting comprehensive assessments of patients
Ability to review health status questions and make evaluations and determinations based on criteria for enrollment
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
Sensitivity to the concerns of others
Ability to perform comfortably in a fast-paced, deadline-oriented work environment
Ability to execute many complex tasks simultaneously
Strong ability to work independently
Description:
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 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 with consumers health care options, supports needed, service vendor options, and waiver options.
Initiate communication between the Call Center and eligible consumers for enrollment into managed care health plans.
Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery.
Collect quality review data and any required documentation to support outcome measurements and record case notes into the CRM.
Identify opportunities for health promotion and illness prevention.
Maintain a comprehensive working knowledge of community resources and network services for the target population.
Meet all standards established for this position as outlined in corresponding annual performance criteria.
Perform other duties as assigned by management.