RN Case Manager Home Health- Fulltime Days- ( In Field)

locations1800 Parkway Place time typeFull time posted onPosted Today job requisition idJR-75353 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift Day (United States of America) Job Summary: Fulltime 40 hrs week Home Health clinial RN/Case Manager for post acute care patients after Wellstar care in hospitals/health parks etc. Mainly 8:30-5 5 days a week. One year minimum in a med surg setting ( ICU a plus) with knowledge of post acute care in the home/patient setting . Strong committment to care/compassion/empathy and patient /family communications.

Territory can extend to Wellstar locations surrounding Kennestone/Cobb The RN Case Manager is responsible for providing and supervising primary care to approximately 25-35 patients in their home setting. This includes age appropriate interventions that meet physical, emotional, developmental, psychosocial and educational needs. The RN Case Manager is responsible for the coordination of all disciplines throughout the episode of care.

The RN Case Manager communicates with all team members including RNs, LPNs, Therapists, Social Workers, Home Health Aides, the Physician, patient, family, and other internal or external individuals to ensure that the patient's plan of care is appropriately developed, implemented and that goals are met. The RN Case Manager supervises the LPNs and Home Health Aides throughout the patient plan of care.

The RN Case Manager participates with leadership to develop and implement processes to continue improvement with patient and agency outcomes. Core Responsibilities and Essential Functions: DIRECT PATIENT CARE * Assesses, coordinates with other disciplines and manages patients total needs, following physicians orders, using the nursing process * Develops patients plan of care coordinating with other disciplines * Manages patient from admission through recerts to discharge and appropriately scheduling visits per physicians order: adjust frequency as needed, based on patient clinical status and MD order * Performs routine and complex nursing procedures to meet the need of the patient COORDINATION OF SERVICES FOR EPISODE OF CARE * Revises the plan of care based on patient need within physician orders, coordinating with other disciplines to ensure goals are met to achieve positive outcomes prior to discharge * Supervises LPNs and Home Health Aides throughout the continuum of care.

* Develops and supervises the care plan provided to the Home Health Aides * Reviews Plan of Care for patients with the Manager Home Health and other team members and support services * Maintains communication with physician reporting any changes that may affect the patients recovery PATIENT / CAREGIVER EDUCATION Provides patient/caregiver education to develop and encourage self care to achieve positive outcomes Utilizes both verbal and written tools to facilitate learning and promotion of independence during recovery Be aware and report concerns to authorities or agency leadership on any issues that affect patient or staff safety COMMUNICATION * Communicates patient status changes and lab results to the physician as appropriate .

* Participates in care team conferences * Responsible for checking voice mail box and staff messaging a minimum of once daily REGULATORY GUIDELINES * Demonstrates knowledge and appropriate application of CMS/State, and Joint Commission regulatory guidelines. * Responsible for accurate completion of required OASIS and visit documentation in the patients EMR * Completes all documentation within established timeframes STAFF EDUCATION A