RN Case Coordinator - Home Health

Advent Health Waterman

Location Address: 100% Travel 

Top Reasons To Work At Advent Health Waterman

• Work for a healthcare system that believes in âœExtending the Healing Ministry of Christâ
• Career growth and advancement potential
• No State income tax
  
• Competitive Pay and benefits

Work Hours/Shift:

Full Time, Days 

GENERAL SUMMARY:

Registered Nurse that manages the Home Care patient from admission to discharge. Communicates with physician in developing plan of care, coordinates all services received.

You will be responsible for:

• Initiates, schedules/supervises, and coordinates care of assigned patients.
• Is responsible for continuous review of all aspects of every patient on their caseload including: appropriate utilization of services, ensuring continued skilled need, monitoring of homebound status, review of documentation in the medical record, maintenance of interdisciplinary communication, and discharge planning.
• Initial assessment of patient in their home according to agency policies and procedures including OASIS and follows State and Federal requirements.
• Manages episodes of assigned patients as evidenced by favorable patient outcomes.  Addresses all nursing diagnoses identified in the Plan of Care.
• Ongoing evaluation and education of client in holistic manner.         Reassess the patient within 24 hours following a change in patient condition or discharge from a 24 hour or longer hospital stay.
• Establishes and updates Plan of Care every 60 days or more frequently if needed. Develops Plan of Care to reflect current needs at time of recertification to include all disciplines
• Is responsible for participating and completion of monthly and admission case conferences. Maintains communication with physician and interdisciplinary team when additional patient needs are identified.
• Assures physician orders for care meet regulatory requirements.
• Supervision of LPNâ™s and Home Health Aides team members with a home visit every two weeks.
• Provides accurate, current documentation according to agency /regulatory policy and procedures within 24 hrs.
• Maintains proficiency in clinical assessment skills.
• Participates in on-call/evening rotation.

 What will you need?

• Must be proficient in the English language
• Valid Florida driver's license, safe driving record and reliable transportation
• Background check meets organization guidelines
• Graduate of School of Nursing
• One (1) year experience in Medical Surgical setting
• Current nursing license in the State of Florida
• Certified in Basic Life support / Adult & Infant/Peds