Registered Nurse (RN) Case Manager - Prince George's County - Capital Caring Health

Capital Caring

  • Lanham, Maryland
  • 7 days ago
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    Skills

    • Auditoryunmatched
    • Auto Insuranceunmatched
    • Basic Life Support (BLS)unmatched
    • Case Managementunmatched
    • Communication Skillsunmatched
    • Community Healthunmatched
    • Corporate Policiesunmatched
    • Customer Support/Serviceunmatched
    • Digital Mediaunmatched
    • Diseaseunmatched
    • Documentationunmatched
    • Driver's Licenseunmatched
    • Durable Medical Equipmentunmatched
    • Electronic Medical Recordsunmatched
    • English Languageunmatched
    • Federal Governmentunmatched
    • Government Regulationsunmatched
    • Healthcareunmatched
    • Home Careunmatched
    • Hospice Careunmatched
    • Hospitalunmatched
    • Lifting Equipmentunmatched
    • Local Governmentunmatched
    • Medical Record Systemunmatched
    • Medicationsunmatched
    • Nursingunmatched
    • Palliative Careunmatched
    • Patient Assessmentunmatched
    • Patient Careunmatched
    • Patient Confidentialityunmatched
    • Patient Educationunmatched
    • Performance Managementunmatched
    • Physical Demandsunmatched
    • Problem Solving Skillsunmatched
    • Quality of Careunmatched
    • Registered Nurse (RN)unmatched
    • Reporting Skillsunmatched
    • Riskunmatched
    • Safety Complianceunmatched
    • Safety Processunmatched
    • Safety/Work Safetyunmatched
    • Service Deliveryunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Treatment Planunmatched

    Description

    It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

    When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

    Job Profile Summary
    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.

    Job Description

    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 Participant in their homes to 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.

    Some locations may require:

    • Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested.
    • Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.
    • Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT).
    • Completes initial and semi-annual assessment for all Company services including, but not limited to:
      • Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner 
      • Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs
      • Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort
      • Obtains Physician orders
      • Completes documentation per Company policy
    • Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
    • Communicates frequently with other members of the IDT.
    • Provides all necessary clinical communication timely using SBAR.
    • Discusses any potential needs with after-hours staff.
    • Develops strong relationships with case managers, physicians, etc. at facilities.


    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 for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.):

    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 on-going 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/.

    Numbers & Facts

    LocationLanham, Maryland

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