Role

The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative, and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.

Qualifications

• Current license as RN in the state where the employee will be working

• Minimum of one (1) year nursing experience; hospice or hospital experience preferred

• Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs

• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system

• Mobile Driver – Valid driver’s license and automobile insurance per Company policy

• Reliable transportation to meet visit schedule

• Ability to use equipment with visual and auditory mechanisms

• Ability to effectively communicate in English (verbal and written)

• Ability to visit Participants in their homes for assessments

• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation

• Active BLS for healthcare professionals from the American Heart Association or Red Cross

Competencies

• Satisfactorily complete competency requirements for this position

Responsibilities Of All Employees

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.

• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.

• Comply with Company policies, procedures and standard practices.

• Observe the Company's health, safety and security practices.

• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.

• Use resources in a fiscally responsible manner.

• Promote the Company through participation in community and professional organizations.

• Participate proactively in improving performance at the organizational, departmental and individual levels.

• Improve own professional knowledge and skill level.

• Advance electronic media skills.

• Support Company research and educational activities.

• Share expertise with co-workers both formally and informally.

• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities

• Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.

• Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.

• Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices.

• Participant visit frequency dependent on risk score/needs to be determined.

• Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance – ability to live safely in the community.

• Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals.

• Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness.

• Attends daily IDT collaboration meetings.

• Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines.

• Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.

• Supervises patient care provided by Community Health Workers and Home Health Aides as requested.

• During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.

• Performs other duties as assigned.

Physical Demands

While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel.

Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance.

Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.

Compensation Pay Range

$69,720.00 - $103,771.25

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as ongoing compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/