Jobs Companies Halifax Health Field RN Case Manager - Care at Home

Über diese Field RN Case Manager - Care at Home Stelle bei Halifax Health

Halifax Health · Vor Ort · US-FL-Port Orange
Day (United States of America)

Field RN Case Manager - Care at Home

The Registered Nurse plans, organizes, and directs home care services and is experienced in nursing with emphasis on community health education/experience. The professional nurse builds from the sources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

  • Current Florida Nursing License required 
  • Must have at least one (1) years experience in home health care or the acute care setting
  • Nursing staff education experience preferred.
  • Demonstrated effective organization and time management skills.
  • Demonstrated ability/possession of interpersonal skills.
  • Demonstrated excellent knowledge of current nursing and patient care practices and the ability to learn and teach new concepts.
  • Demonstrated ability to apply nursing theories and trends appropriately in the clinical setting.

Admits patient to service per established procedure:

  • Completes an initial assessment of patient and family to determine home care needs. 
  • Evaluates home environment to assure services can be safely provided in the home
  • Obtains a complete physical assessment and history of current and previous illness.
  • Advises patient of rights on initial visit.
  • Includes the patient and the family in the planning process.
  • Uses health assessment data to determine nursing diagnosis
  • Develops a plan of care, which establishes goals based on nursing diagnosis  and incorporates therapeutic, preventive, and rehabilitative nursing actions. 
  • Initiates the plan of care and makes necessary revisions as patient status and  needs change.
  • Furnishes services requiring substantial and specialized nursing skill through  the initiation of appropriate preventive and rehabilitative nursing procedures.
  • Administers medications and treatments as prescribed by the physician.
  • Completes start-of-care and comprehensive assessments, and updates, within  established time frames.
  • Maintains the electronic clinical record for each patient receiving nursing care.
  • Regularly re-evaluates patient's nursing needs. 
  • Revises plan of care based on changes in physician orders.
  • Provides health care instructions to the patient as appropriate per assessment  and plan of care.
  • Counsels the patient and family in meeting nursing and related needs.
  • Completes start-of-care and comprehensive assessments, and updates,  (including a drug regimen review) within established time frames.
  • Identifies discharge planning needs as part of the care plan development and  implements prior to discharge of the patient.
  • Acts as Case Manager in all cases involving nursing or both nursing and  therapy care when assigned by Clinical Supervisor and assumes responsibility  to coordinate patient care for assigned caseload.
  • Documents case conferences to demonstrate that effective interchange,  reporting and coordination of patient care took place.
  • Instructs, supervises and evaluates home health aide care provided every two  (2) weeks.
  • Maintains accepted standards of productivity.

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Über Halifax Health

Recognized as one of the 50 Top Cardiovascular Hospitals™ in the United States by IBM Watson Health™, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women’s health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Ha

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