Overview Full Time Days Hybrid / remote position (mostly remote, but some required in person visits in RI Salary : 80k - 85k Annually Responsible for case management and clinical responsibilities and working as part of a clinical team to provide high quality, evidence-based complex, chronic care management and palliative care in wherever the patients call home.
Responsibilities Works as a member of an interdisciplinary care team assessing and addressing the complex care needs of patients and families facing serious illness.
Performs visits for an assigned caseload of patients and families in their place of residence, face to face, telephonically or via video to complete guided assessments, support medication management, address complex symptoms, and coordinate care.
Engages patients and caregivers in discussions about their goals of care, reviews advance directives, and collaboratively develops treatment plans based on goals.
Monitors care plans in conjunction with the rest of the clinical care team. Evaluates medical needs for an assigned caseload of patients and provides them with complex skilled care.
Advocates for the patient and caregivers with other care providers to ensure care is both coordinated and consistent with patient's goals.
Participates in the measurement and assessment of care-related processes and outcomes to improve the quality of patient care.
Communicates plan of care to primary physicians and other consulting clinicians. Educates patient / family on trajectory of illness, use of medications (including reviewing side effects, how to administer, and purpose), and assesses disease understanding.
Participates in the scheduled IDT meetings together with the rest of the care team. Makes initial phone calls to review palliative care philosophy and consultative services, patient's insurance coverage, and schedule initial visit.
Works and assists providers with administrative tasks. Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.
Performs other duties as assigned. Qualifications Required 1. Associate's degree or diploma in Nursing. 2. Licensed to practice as a Registered Nurse in the state the program is located.
3. Two (2+) years of experience managing patients with medically complex and chronic illness. 4. Home care, hospice, or palliative experience.
5. Advanced Care Planning skills. Preferred 1. Bachelor's degree in Nursing. 2. Hospice & Palliative Nurse (CHPN), BCLS, and / or ACLS certification.
3. Chronic illness management experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.
Required 1. Associate's degree or diploma in Nursing. 2. Licensed to practice as a Registered Nurse in the state the program is located.
3. Two (2+) years of experience managing patients with medically complex and chronic illness. 4. Home care, hospice, or palliative experience.
5. Advanced Care Planning skills. Preferred 1. Bachelor's degree in Nursing. 2. Hospice & Palliative Nurse (CHPN), BCLS, and / or ACLS certification.
3. Chronic illness management experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.
Works as a member of an interdisciplinary care team assessing and addressing the complex care needs of patients and families facing serious illness.
Performs visits for an assigned caseload of patients and families in their place of residence, face to face, telephonically or via video to complete guided assessments, support medication management, address complex symptoms, and coordinate care.
Engages patients and caregivers in discussions about their goals of care, reviews advance directives, and collaboratively develops treatment plans based on goals.
Monitors care plans in conjunction with the rest of the clinical care team. Evaluates medical needs for an assigned caseload of patients and provides them with complex skilled care.
Advocates for the patient and caregivers with other care providers to ensure care is both coordinated and consistent with patient's goals.
Participates in the measurement and assessment of care-related processes and outcomes to improve the quality of patient care.
Communicates plan of care to primary physicians and other consulting clinicians. Educates patient / family on trajectory of illness, use of medications (including reviewing side effects, how to administer, and purpose), and assesses disease understanding.
Participates in the scheduled IDT meetings together with the rest of the care team. Makes initial phone calls to review palliative care philosophy and consultative services, patient's insurance coverage, and schedule initial visit.
Works and assists providers with administrative tasks. Complies with policies, procedures and regulatory mandates including but not limited to abiding to the terms of the Amedisys Compliance Program.
Performs other duties as assigned.