Registered Nurse Case Manager, Level 2
On-siteSanta Rosa, California, United States
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 teaching to patients and families regarding wound care, blood draws, tube feedings, tracheostomy care, foley catheters, CHF management, and medication education. Collaborate with physicians and interdisciplinary teams to manage care episodes and prepare clinical notes, orders, and compliant charting. Visit patients in the field in the Santa Rosa territory to perform initial assessments and develop advanced plans of care including rehabilitation. Requires current CA RN license, BLS/CPR certification, and valid driver's license.
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 field visits visiting patients in their homes
- Must be available for Anticipated Territory: Santa Rosa and surrounding areas
- Must be able to oversee 2 Nurses
- Must be able to conduct comprehensive patient assessments such as Start of Cares (SOCs), Evaluations, Resumption of Care and discharge planning
- Must be able to perform a full assessment of the patient & family upon initial visit
- Must be able to use assessment data to develop an advanced plan of care including rehabilitation
- Must be able to work with patients and family one on one to achieve improvement and/or stability
- Must be able to case manage patients care episode with interdisciplinary clinical team
- Must be able to prepare clinical notes, orders and charting in a compliant time frame
- Must be able to collaborate with physicians and agency staff to deliver the best care possible
- Must be able to assist and teach patients' and their family/caregivers with wound care, blood draws, tube feedings, Tracheostomy care, foley catheters, Congestive Heart Failure (CHF) management and medication education
Desired Qualifications
- One Year of Home Health Case Management experience is preferred
- Two+ years of Nursing Experience preferred
- Experience supervising, mentoring Nurses is highly preferred
- Experience with high acuity patients is a plus
- Bachelor's degree in Nursing (implied by RN license requirement and standard practice, though not explicitly stated as 'required' in text, the text says 'Minimum of one year of Nursing Experience required' and 'Current and unrestricted CA RN license' - strictly following text, only the explicit experience and license are required. The prompt asks to extract from text. The text does not explicitly list a degree as required, only the license and experience. I will exclude the degree as it is no...
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