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21st Century Home Health ServicesPosted 1 month ago

Registered Nurse Case Manager, Level 2

On-siteSonoma, California, United States

Full TimeSenior LevelLicense Or CertificationMedium

Job Summary

Create, implement, and execute the overall plan of care to promote wellness and prevent re-hospitalization for patients in their homes. Conduct comprehensive patient assessments including Start of Cares, evaluations, resumption of care, and discharge planning. Supervise two nurses responsible for executing the care plan while providing one-on-one assistance and teaching to patients and families regarding wound care, blood draws, tube feedings, tracheostomy care, foley catheters, CHF management, and medication education. Perform full assessments upon initial visits, develop advanced plans of care including rehabilitation, and collaborate with physicians and interdisciplinary teams to deliver care. Prepare clinical notes, orders, and charting in a compliant timeframe. This Level 2 role is based in Santa Rosa and surrounding areas, offering flexible schedules, autonomy, and advancement opportunities within a top-ranked home health agency.

Required Qualifications

  • One Year of Home Health Case Management experience
  • Minimum of one year of Nursing Experience
  • Current and unrestricted CA RN license
  • Current BLS/CPR Certification
  • Valid CA Driver's License
  • High level of clinical knowledge in home health care
  • Experience working with an interdisciplinary team
  • Case Management fundamentals
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Leadership skills
  • Organized
  • Must be available for weekend shifts
  • Must be able to lift 50 lbs
  • Must be able to effectively lead and coach others
  • Strong attention to detail
  • Must be available for weekend shifts
  • You believe that food is central to our lives
  • Passionate about excellence
  • If you have a smile to share, we'd love to have you
  • We want amazing humans

Desired Qualifications

  • Two+ years of Nursing Experience
  • Experience supervising, mentoring Nurses
  • Experience with high acuity patients
  • One Year of Home Health Case Management experience is perferred
  • Minimum of one year of Nursing Experience required; two+ years preferred
  • Experience supervising, mentoring Nurses is highly preferred
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is required
  • Case Management fundamentals is required
  • Self-Directed
  • Empathetic
  • Critical thinker
  • Outstanding interpersonal skills
  • Leadership skills
  • Organized

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