Registered Nurse Case Manager - Home Health

apartment Pathways Home Health and Hospice location_onSan Mateo, CA, US

$56.95 - $78.30 / HOUR

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect.

TITLE: Registered Nurse Case Manager - Home Health
OFFICE LOCATION: Sunnyvale
PATIENT TERRITORY: San Mateo County
SCHEDULE: Full Time
SHIFT: M-F 8:30am - 5pm days, with rotating weekends

Sign On Bonus: $9,000.00 (Conditions Apply)

The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law.

POSITION SUMMARY: In coordination and collaboration with the assigned Clinical Team Manager, is responsible for providing skilled nursing care to patients and their families. Coordinates care with other members of the home care team; supervises Home Health Aides. The majority of patient visit time is devoted to patient evaluations, admissions, and informational visits.

AREAS OF RESPONSIBILITY:

Performs an initial, comprehensive assessment.
Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans
In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises the plan of care.
Assesses the need for the services of other team members (PT, OT, ST, MSW, and HHA).
Provides and documents skilled care on all visits (includes skilled observation of the patient's condition, skilled care, and procedures and teaching of the patient and/or family).
Obtains and documents physician orders.
Performs Home Health Aide supervisory visits per regulatory requirements.
Coordinates care with the assigned Clinical Team Manager, physician and other members of the home care team, informing them of significant changes in the patient’s condition and needs. Documents these communications.
Follows established standards for point of service technology, documentation, and synchronization.
Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager to address scheduling needs.
Performs re-certifications, resumption of care, transfers, and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation.
Attends and actively participates in the clinical team multidisciplinary patient conference.
Demonstrates established clinical competencies.
Participates in agency sponsored in-service education.
Participates in quality improvement activities.
Assists in development of agency protocols, procedures and policies as requested.
Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate.

QUALIFICATIONS:

Current California RN license.
Current CPR Certificate.
Minimum of one year of nursing experience required.
Home Health Experience
Current California driver's license and automobile insurance.

Share this job

Related Jobs

Full-time

Staff Nurse II - Emergency Department - Santa Clara Various Shifts and Schedules

apartment Kaiser Permanente location_onSanta Clara, CA

An All-Inclusive Opportunity! To optimize your experience applying to a job at Kaiser Permanente we have created a unique and easy all-inclusive process to apply for all open career opportunities in this specific nursing specialty for this Medical Center relevant to your work experience and interests. This position has been created to source and attract external candidates for current and future positions that remain unfilled within the organization. If you are a current employee, please visit the careers website for a complete listing of available positions. So, what is next? An on-demand interview process has been designed with you in mind; quick, easy, and lends flexibility to meet your busy schedule. We have a team of managers dedicated to review on the spot submissions for an expedited hiring experience. See what it’s all about, submit your interest today! Job Summary: The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members. Participates in patient/ family teaching and provides leadership in working cooperatively with members of the health care team to maintain standards of professional nursing practice in the clinical setting. Essential Responsibilities: Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy. Formulates a goal-directed plan of care when and where appropriate to do so. Implements care in a thorough, skillful, consistent, and continuous manner. Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies. Identifies patient/family learning needs and acts to meet them. Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs. Provides/coordinates care for patients/patient populations. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties of health care team members. Evaluates effectiveness of care given by health care team members. Utilizes effective communication methods and skills, following lines of authority, as appropriate. Demonstrates knowledge of and applies safety principles as identified within the institution. Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and Department Performance Improvement activities as directed. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests. Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application. Perform other related duties as necessary. Formulates a goal-directed plan of care in collaboration with the health care team. Identifies patient/family learning needs and implements appropriate measures. Provision of competent Emergency nursing care, for all ages, acuities and conditions in the population the facility serves. Documents patient care and unit activities in a timely, accurate, and concise manner. MSE reflecting sound clinical knowledge and judgment, and consistent with Standardized Procedure and State/ Federal regulations. Requires dependable attendance to scheduled shifts and required staff development Works within scope of practice, including standardized procedures, and communicates clearly with all members of healthcare team. Completes duties with regard to safety practices and policies, including infection control, workplace safety, and management of aggressive behaviors. Provision of care is consistent with EMTALA, Nurse Practice Act, Title 22 and other applicable regulations, including patient confidentiality and risk management. Proficiencies in emergency responses such as resuscitation/ codes, hazmat response, and emergency childbirth. Proficient in the use of computers in documentation, tracking, conveying information Teamwork with all internal and external departments and agencies involved in the provision of care. Medication administration and management including titrating infusions and pediatric medications Maintains all required licenses, certifications and professional development/ continuing education requirements per department and facility standards.

Full-time

Admissions Registered Nurse

apartment Anchor Health location_onDublin, CA

***ELIGIBLE FOR SIGN-ON BONUS*** Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. The registered nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. PRIMARY FUNCTION The Admissions Registered Nurse is an Interdisciplinary Team member whose primary responsibility is to present ANCHOR HEALTH services and philosophy to patients and families in a manner that results in the admission of appropriate patients. JOB RESPONSIBILITIES FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse participates in the information gathering, analysis, education, and form completion aspects of the admissions process 2. Admissions Registered Nurse evaluates patients for hospice appropriateness, e.g. medical records review as requested. 3. Admissions Registered Nurse Obtains agreement for admission of referred patients and families who meet admission criteria. 4. Admissions Registered Nurse analyzes data collected by the admission staff or ANCHOR HEALTH clinicians to facilitate/obtain admission orders 5. Admissions Registered Nurse builds effective referral source relationships to support the high quality and responsiveness expectations associated with ANCHOR HEALTH. 6. Admissions Registered Nurse maintains clinical and professional competence. 7. Admissions Registered Nurse takes the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons. 8. Admissions Registered Nurse utilizes interpersonal skills to help appropriately educate and address any questions the patient and/or patients’ family has concerning hospice and palliative care. 9. Other duties and responsibilities as assigned JOB REQUIREMENTS FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse has knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas. 2. Admissions Registered Nurse has the ability to communicate effectively with patients and families, physicians, referral sources and colleagues. 3. Admissions Registered Nurse has the knowledge of clinical manifestations of diseases and ability to develop ANCHOR HEALTH specific clinical knowledge. 4. Admissions Registered Nurse has the ability to use the ANCHOR HEALTH information system and mobile technology platforms. 5. Admissions Registered Nurse has reliable means of transportation. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands of the Admissions Registered Nurse are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Admissions Registered Nurse, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day The Admissions Registered Nurse will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED The Admissions Registered Nurse reports to the Admissions Manager designated in the location. In the event the location does not have an Admissions Manager, the Admissions Registered Nurse will receive direction from the Patient Care Administrator or program designee QUALIFICATIONS FOR THE ADMISSIONS REGISTERED NURSE 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Admissions Registered Nurse is expected to have strong presentation skills. 5. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 6. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Benefits Include: Competitive compensation Health, dental, vision, life and disability insurance Life insurance 401(k) plan with numerous investment options and generous company match Paid Time Off Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends. Hourly Rates from $58/hour and up dependent on experience as Hospice RN

Full-time

RN Admission Nurse

apartment Anchor Health location_onSan Ramon, CA

Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. The registered nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. PRIMARY FUNCTION The Admissions Registered Nurse is an Interdisciplinary Team member whose primary responsibility is to present ANCHOR HEALTH services and philosophy to patients and families in a manner that results in the admission of appropriate patients. JOB RESPONSIBILITIES FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse participates in the information gathering, analysis, education, and form completion aspects of the admissions process 2. Admissions Registered Nurse evaluates patients for hospice appropriateness, e.g. medical records review as requested. 3. Admissions Registered Nurse Obtains agreement for admission of referred patients and families who meet admission criteria. 4. Admissions Registered Nurse analyzes data collected by the admission staff or ANCHOR HEALTH clinicians to facilitate/obtain admission orders 5. Admissions Registered Nurse builds effective referral source relationships to support the high quality and responsiveness expectations associated with ANCHOR HEALTH. 6. Admissions Registered Nurse maintains clinical and professional competence. 7. Admissions Registered Nurse takes the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons. 8. Admissions Registered Nurse utilizes interpersonal skills to help appropriately educate and address any questions the patient and/or patients’ family has concerning hospice and palliative care. 9. Other duties and responsibilities as assigned JOB REQUIREMENTS FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse has knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas. 2. Admissions Registered Nurse has the ability to communicate effectively with patients and families, physicians, referral sources and colleagues. 3. Admissions Registered Nurse has the knowledge of clinical manifestations of diseases and ability to develop ANCHOR HEALTH specific clinical knowledge. 4. Admissions Registered Nurse has the ability to use the ANCHOR HEALTH information system and mobile technology platforms. 5. Admissions Registered Nurse has reliable means of transportation. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands of the Admissions Registered Nurse are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Admissions Registered Nurse, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day The Admissions Registered Nurse will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED The Admissions Registered Nurse reports to the Admissions Manager designated in the location. In the event the location does not have an Admissions Manager, the Admissions Registered Nurse will receive direction from the Patient Care Administrator or program designee QUALIFICATIONS FOR THE ADMISSIONS REGISTERED NURSE 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Admissions Registered Nurse is expected to have strong presentation skills. 5. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 6. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Benefits Include: Competitive compensation Health, dental, vision, life and disability insurance Life insurance 401(k) plan with numerous investment options and generous company match Paid Time Off Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends. Hourly Rates from $58/hour and up dependent on experience as Hospice RN

Wound Care

Oncology

Full-time

Patient Care Coordinator (RN/WOCN)

apartment CVHCare location_onSan Ramon, CA

$100,000 / YEAR

POSITION SUMMARY : The Patient Care Coordinator (Nursing) is accountable for the administrative and clinical coordination and management of multidisciplinary care teams. The coordinator ensures that patient care's administrative and clinical aspects are consistently maintained at the highest home health standards, continuity of care, and service delivery are most efficient. ESSENTIAL DUTIES & RESPONSIBILITIES: Care Coordination and Scheduling Acting as the administrative liaison between the agency, patients, caregivers, payers, and providers. Assist in managing patient care and ensuring quality service and satisfaction. Works in partnership with administrative and clinical personnel throughout the agency. Monitor the work of schedulers, field clinicians, and other administrative office personnel and assist in working more effectively. Manage intake and referral processes, including insurance verification and authorization. Coordinates schedules for in-home visits by nurses, therapists, and other care providers. Maintain accurate and up-to-date records in the EHR. Patient and Family Communication Act as the primary point of contact for patients and families regarding care plans and service updates. Communicate with empathy and clarity, keeping family members informed about care plans, schedule changes, or new physician orders. Address the concerns/complaints of the patient, caregiver, client, provider, and other stakeholders, resolving the issues and escalating as needed. Interdisciplinary Team Collaboration Facilitate and participate in multidisciplinary case conference meetings with administrative and clinical personnel to coordinate the delivery of patient care. Care Plan Management Administratively partner with admitting clinician and other administrative personnel to facilitate the completion of the plan of care (485) and other administrative paperwork for compliance. Maintain and update individualized care plans for each patient. Monitors patients’ progress and ensures timely reassessment and care plan updates. Coordinate with the clinical team to adjust care plans or visit frequency as necessary. Ensure services are delivered in accordance with the physician's orders and agency policy. Patient Follow-Up Conduct regular follow-ups with field clinicians through supervisory home visits to check patients' well-being and confirm that the care instructions are being followed. Conduct regular follow-up through phone calls to identify any new needs and service satisfaction. Documentation and Records Performs data entry, record keeping, correspondence, computer composition, technical drafting, and office work. Answers the phone, answers routine (non-clinical) administrative and clinical questions from patients, physicians, and providers reading information from an electronic health record (EHR). Maintains confidentiality and safety of patient clinical records. Maintains administrative compliance with the submission of all clinical orders, authorizations, visits, and other documents required by federal and state regulations. Regulatory Compliance Assist the management team in administering, planning, and facilitating in-services. Assist the management in compliance with the required documents required by the state and federal regulations. Assist the management team in compliance with the Medicare/Medicaid requirements and HIPAA privacy rules. Comply with accepted professional standards and principles. Verify that the care delivery matches the physician's orders and authorized frequencies. Assist in managing compliance with the OASIS assessment transmittal to the federal government. Maintain compliance with Medicare, Medicaid, and other payor requirements. Quality Assurance Participate in quality improvements and compliance activities. Conduct audits and review patient charts for completeness. Work with the management team to develop better processes for care coordination. Assist in identifying problems with performance and developing solutions to those problems. Provide input on improving patient satisfaction and outcomes based on feedback and observation. Initiate informal measures to correct performance issues for formal disciplinary actions to the management team. Recommend training needs to improve performance of the administrative and clinical team. Perform other administrative & clinical duties and activities as delegated. Position Overview statements are only meant to summarize the major duties and responsibilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. EDUCATION/ LICENSURE REQUIREMENTS: Currently licensed as an Registered Nurse (RN in California) Must be a WOC Nurse, accredited by the WOCN Society Wound Care Certification (WOCN) Graduate of a school of professional nursing approved by the Board of Registered Nursing (BRN) or accredited by the National League for Nursing Accrediting Commission (NLNAC) Maintains a current BLS (basic life support) for Healthcare Providers CPR / AED (cardio-pulmonary resuscitation / automated external defibrillator) certification. QUALIFICATIONS & SKILLS: Preferred: Administrative experience in a pre-acute, acute, or post-acute setting leading and executing administrative functions. Preferred: clinical experience in a pre-acute, acute, or post-acute setting leading and executing administrative functions. Required: Data entry, answering telephones, filing administrative & clinical records. Preferred: Two (2) years’ of professional nursing experience within the last five (5) years, in either a home health agency, primary care clinic or healthcare facility strongly desired. Preferred: One (1) year of recent Home Health experience. Preferred: Management experience. Preferred: Sufficient background knowledge and expertise in administrative leadership, planning, and execution in support of clinical decision-making for the patient population assigned to him or her in the home health agency to meet the needs of his or her patients and to contribute to quality management review and evaluation. Sufficient computer skills to operate an Electronic Medical Record system. Sufficient knowledge of Medicare regulations is necessary to be knowledgeable and able to perform an OASIS assessment. Salary Starting at $70k

Full-time

Registered Nurse

apartment Wellpath location_onDublin, CA

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference As a Registered Nurse (RN), your primary responsibility is to provide patient care using the nursing process of assessment, planning, implementation, and evaluation. You will work under the supervision of Charge Nurse(s) to provide patient education and activities in accordance with your competencies and education. This role requires excellent communication and critical thinking skills to ensure optimal patient outcomes. Key Responsibilities Assist in assessing and planning individual treatment programs, consulting with Charge Nurse(s) and other staff as necessary. Implement medical plans by administering medications, obtaining diagnostic tests, and assisting with medical or minor surgical procedures as needed. Count controlled substances and implement clinical and technical aspects of care in accordance with established policies, procedures, and protocols. Document nursing encounters using the SOAP form of charting as required by policy and attend mandatory staff meetings and training. Communicate information to nursing staff, physician, health care unit supervisory personnel or other staff as necessary. Additional Details Great Team & Benefits Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Registered Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.