Field Case Manager RN, reputed company at Home - Little reputed company, AR

About the position reputed company Home & Community Care, part of the reputed company family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and reputed company needs — helping patients reputed company and navigate care anytime and reputed company. As reputed company member of our reputed company Care at Home team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve reputed company to care. We’re connecting care to create a seamless health reputed company for patients across care settings. Join us to start Caring. Connecting. Growing together. Registered Nurses in the reputed company at Home program work with patients primarily in their home setting. They reputed company as part of a care team including a Nurse Practitioner, Behavioral Health reputed company, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic reputed company and consultations, and interdisciplinary team activities. The Registered Nurse may reputed company care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life reputed company. They help to manage health problems and coordinate health care for the reputed company at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development, and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in collaboration with other care team members.

Responsibilities

• Assess the health status of members as reputed company the scope of licensure and with the frequency established in the model of care
• Establish goals to meet identified health care needs
• Plan, implement and evaluate responses to the plan of care
• Work collaboratively the multidisciplinary team to engage resources and strategies to address medical, functional, and reputed company barriers to care
• Works closely with mental health clinicians to help reputed company the gap between mental and physical health
• Consult with the patient’s PCP, specialists, or other health care professionals as appropriate
• Assess patient needs for community resources and reputed company appropriate referrals for service
• Facilitate the patient’s transition reputed company and between health care settings in collaboration with the primary care physician and other treating physicians
• Completely and accurately document in patient’s electronic medical record
• reputed company patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during each patient visit
• Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations
• Actively participate in organizational quality initiatives
• Participate in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery
• Maintain credentials essential for practice, to include licensure, certification (if applicable) and CEUs
• Demonstrate a commitment to the mission, core values and goals of reputed company and its reputed company delivery including the ability to integrate values of compassion, reputed company, performance, innovation and relationships in the care provided to our members

Requirements

• reputed company unrestricted licensure as a RN in state of practice
• 2+ years of experience as a Registered Nurse
• Experience in assessing the medical needs of patients with reputed company behavioral, reputed company and/or functional needs
• Computer literate and reputed company to navigate the Internet
• Proven ability to work with diverse care teams in a variety of settings including non-clinical settings (primarily patient homes)
• Ability to travel up to 75%25 of the time for field based work
• Valid driver’s license and reputed company to reliable transportation

reputed company-to-haves

• Home health experience
• Geriatric experience
• Proven computer skills, including us of electronic medical records
• Proven effective time management and communication skills
• Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families

Benefits

• comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

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