Registered Nurse (RN) Case Manager | Homecare

Registered Nurse (RN) Case Manager | Homecare at Avera Health summary :

The Registered Nurse (RN) Case Manager provides comprehensive nursing care in a home setting, focusing on patient-centered care and effective communication with interdisciplinary teams. Responsibilities include developing care plans, performing assessments, and educating patients on self-care and disease management. The role requires collaboration with physicians and a commitment to delivering positive health outcomes for patients and their families.

Location :

Avera McKennan Hospital

Worker Type : Regular

Work Shift :

Primarily days with rotating weekends and holidays (United States of America)

Pay Range :

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$30.50 - $45.75

Position Highlights

1-3 years in home health, hospice, med surg or ER experience preferred.

8am-8 : 30pm

weekend and call time involved

Hospital at Home RN Case Manager : Delivers Nursing Care in the patients home by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to patients, families, and friends. Understand patient conditions, medications, and self-care skills; identifying changing conditions and needs; re-evaluating care objectives. Provide all cares to include lab draws, nebulizer treatments, wound care, case management, discharge planning and as needed cares. Responsible for the care planning, utilization of services, coordination of care, and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care plans in collaboration with the physician and interdisciplinary team, providing patient centered care efficiently, effectively, with the best possible outcomes.

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Responsible for the care planning, utilization of services, coordination of care, and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care plans in collaboration with the physician and interdisciplinary team, providing patient centered care efficiently, effectively, with the best possible outcomes.

What you will do

• Functions as interventionalists in the home utilizing clinical expertise and problem solving to make recommendations to the physicians based on comprehensive physical, psychosocial, emotional, spiritual and bereavement patient assessments.
• Implements the nursing process utilizing highly proficient assessment skills in the performance of Start of Care visits, post-hospital evaluations, patient re-certifications, discharges and supervisory visits.
• Partners with the physician and the interdisciplinary team to develop the plan of care in collaboration with the patient.
• Makes recommendations for efficient and effective utilization of resources to achieve positive outcomes by implementing clinical protocols during the admission visit as dictated by patient’s diagnosis.
• Initiates and responds to requests for changes in plans of care, determines appropriateness of change and whether or not the change would be considered a Significant Change in Condition, for which an OASIS is required.
• Demonstrates ability to affect the behavior of others to follow the recommended alternatives to care which includes providing thorough instruction and disease management education to patients and / or caregivers as ordered by the physician.
• Educates patients, families, and caregivers about disease process, community resource and recommended self care.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License / Certification, or Work Experience :

Preferred Education, License / Certification, or Work Experience :

Expectations and Standards

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Keywords :

Registered Nurse, Case Manager, Homecare, Patient Care, Nursing, Healthcare, Patient Education, Interdisciplinary Team, Care Planning, Home Health