Req #444 Job Description Summary The Registered Nurse Case Manager plans, organizes and directs care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Essential Job Functions/Responsibilities Patient Care: Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Assesses and evaluates patient’s status by writing and initiating plan of care. Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self- sufficiency and optional comfort care. Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations. The RN Case Manager, when assigned by the Clinical Manager/DPCS, assumes responsibility to coordinate patient care for an assigned case load. The Admission RN may act as Case Manager when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate patient care for assigned caseload. The RN Case Manager may act as an Admission Nurse when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate with intake, program staff and management to complete a patient initial admission/assessment with plan of care. Communication: Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Additional Duties: Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description Job Qualifications: A graduate of a National League of Nursing accredited school of nursing. Current licensure in state of practice and current CPR certification. Must possess a valid California Driver’s License and can show proof of valid auto insurance. California only: May have an RN license and practiced as an RN for a minimum of one year with prior LVN experience in public health, home care, Hospice, Hospital or Skilled nursing facility. All States: Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing is preferred. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Management experience not required. Responsible for supervising hospice aides. Self-directed and able to work with minimal supervision. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stop bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours The ability to walk intermittently on level and or unlevel surface for less than 1 hour The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours The ability to lift 50 pounds frequently for 3-6 hours The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.

Home Health

Hospice

Travel

Full-time

Traveling Registered Nurse - Home Health - Full Time - Santa Cruz/Monterey

apartment Bridge Home Health & Hospice location_onSalinas, CA

Job Description Summary The TravelingRegistered Nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Traveling Registered Nurse Assignment Detail s: Assignment Duration: Standard travel assignments are 13 weeks in duration unless otherwise agreed upon in advance. Weekly Hours: Full-time schedule of 40 hours per week. Starting Location: [To be determined – specify region, city, or service area if known.] Work Schedule: Schedule will vary based on assignment location. Weekend availability may be required depending on patient needs. Employment Status: This position is directof Bridge Home Health & Wellness. Upon completion of an assignment, the nurse may be reassigned to a new contract within the State of California as determined by organizational needs. Supervision Responsibilities: Instructs, supervises, and evaluates home health aide care every two (2) weeks to ensure compliance with the plan of care and quality standards and LVN every sixty (60) days. Attendance & Reliability: Must adhere to company attendance and reliability policies, which are essential for delivering high-quality and consistent patient care. Training & Team Support : Demonstrates a willingness to assist in onboarding and training new employees as requested and serves as a thought leader by sharing knowledge and best practices with the team. Essential Functions/ Responsibilities: Patient Care: Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessmentand history of current and previous illness(es) Regularly re-evaluates patient nursing needs. Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan, which establishes goals based on nursingdiagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family inthe planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. Provides direct patient care as defined in the State Nurse Practice Act. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan of care. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication : Prepares clinical notes and updates the primary physician when necessary and at least every 60 days. Communicates with the physician regarding the patient’s needsand reports any changes in the patient’s condition; obtains/receives physician’s orders as required. Communicates with community health related persons to coordinate the care plan The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job . The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Job Qualifications: Current Licensure as a Registered Nurse in the State of California and CPR certification. Minimum of 2 years licensed nursing experience in California. Bachelor’s degree is preferred, with one (1) year of home health care experience desirable. You must be willing and able to travel extensively throughout assigned regions in California, including working independently in unfamiliar environments. Must possess a valid California Driver’s License and have a reliable, insured vehicle in good working condition, as required by organizational policy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist . Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, or crouching. Visual acuity and hearing to perform required nursing skills. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours.

Full-time

REGISTERED NURSE

apartment Skyline Healthcare Center-San Jose location_onSan Jose, CA

SUMMARY-Registered Nurse-RN Assesses and evaluates the health status of resident / patient and provides care and treatment in accordance with physician orders and standards of practice. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Assesses patients by physical examination including pertinent diagnostic testing to determine health status. Administers medications and treatments. Participates in the care planning process and oversees implementation of the plan. Supervises LPNs and nursing assistants. Communicates with physicians regarding changes in conditions, diagnostic test results, etc. Documents assessments and care in compliance with standards of care and company policy. Educates patients and their families on health-related issues. ENTRY QUALIFICATIONS Graduate of an accredited school of Nursing. Valid State licensure as an RN. Current CPR certification. SUPERVISORY RESPONSIBILITIES Supervises LPNs, LVNs, student nurses, nurse assistants Benefits Paid Time Off -Vacation, Sick pay, Holiday, Jury Duty, Bereavement Leave. Health Benefits- Medical, Dental, Vision, Flexible Spending Accounts, Life Insurance. Retirement- 401(k) Plan

Part-time

RN Case Manager

apartment Anchor Health location_onCupertino, CA

***SIGN ON BONUS*** 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. Anchor Health is a unique organization that offers enhanced hospice services throughout San Mateo County. We are currently seeking an experienced hospice RN Case Manager to join our team. Duties of Hospice Registered Nurse Include: Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness. Conducts home visits and assesses/evaluates patient's status. Initiates the plan of care and makes necessary revisions as patient status and needs change. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Administers medications and treatments as prescribed by the physician. Attends and participates in Interdisciplinary Group Meetings. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Supervises ancillary personnel and delegates responsibilities when required. Qualifications: Graduate of accredited school of nursing Current RN license in California Current CPR Certificate Registered nurses shall have a minimum of (a) one year of experience as a professional nurse within the last three years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and current RN license. Minimum of two years experience, at least one of which is in the area of public, home care, or hospice nursing. Must have a valid CA driver license and an automobile that is insured in accordance with the requirements of state of California and is in good working order. Excellent observation, verbal and written communication skills and nursing skills per competency checklist. Job Types: Part-time

MDS

Full-time

Medicare MDS Coordinator RN (Registered Nurse)

apartment Cupertino Healthcare & Wellness Center location_onCupertino, CA

Under the direction and supervision of the Director of Nursing Services, the Medicare/MDS Coordinator is responsible for notifying and coordinating the Interdisciplinary Team (IDT) for MDS assessment completion in accordance with State and Federal regulations. Medicare MDS Coordinator QUALIFICATIONS • Current licensure in nursing. RN required. • Written and verbal communications skills in English as business necessity. • Administrative and organizational ability and skills. • Current certification in CPR preferred. • Two years nursing experience in long term care preferred. • Supervisory experience preferred. Medicare MDS Coordinator GENERAL DUTIES AND RESPONSIBILITIES: CLINICAL • Coordinates the Medicare/MDS resident assessment process. • Ensures the Interdisciplinary Team completes the MDS Assessment in a timely manner. • Coordinates development, implementation and evaluation of plan of care. • Coordinates and performs, administers or implements as needed treatments, medications or other nursing interventions as indicated by the resident plan of care or as ordered by the physician. • Coordinates and provides as needed nursing care in accordance with infection control standards. • Follows safety policies in performing nursing care. • Coordinates and initiates as needed emergency measures according to center policy and within standards of nursing practice. Medicare MDS Coordinator ADMINISTRATIVE • Ensures the exchange and use of essential information necessary for quality resident care. • Ensures all documentation is maintained as required by Federal and State regulations and Company policy. • Coordinates and/or participates in all assigned meetings and inservices. CONSUMER SERVICE • Presents professional image to consumers through attire, behavior and speech. • Adheres to Company standards for resolving consumer concerns. • Ensures that all residents/residents’ rights are protected.