Field RN Case Manager/Sun-Wed Cornerstone Hospice

Chapters Health SystemOrlando, FL
23h$60,058 - $90,088

About The Position

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role: The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.

Requirements

  • Current license as RN in the state where the employee will be working
  • Minimum of one (1) year nursing experience; hospice or hospital experience preferred - Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs
  • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
  • Mobile Driver - Valid driver’s license and automobile insurance per Company policy
  • Reliable transportation to meet visit schedule
  • Ability to use equipment with visual and auditory mechanisms
  • Ability to effectively communicate in English (verbal and written)
  • Ability to visit Participant in their homes to assessments
  • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation
  • Active BLS for healthcare professionals from the American Heart Association or Red Cross

Responsibilities

  • Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
  • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.
  • Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices. - Participant visit frequency dependent on risk score/needs to be determined - Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance- ability to live safely in the community.
  • Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals.
  • Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness. - Attends daily IDT collaboration meetings
  • Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines.
  • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
  • Supervises patient care provided by Community Health Workers and Home Health Aides as requested.
  • During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.
  • Performs other duties as assigned.
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