RN Home Health Full-time
Bridge Home Health & Hospice

RN Case Manager - Home Health - Full Time - Fresno/Tulare/Kings Counties and Surrounding - $5K SOB

apartment Bridge Home Health & Hospice location_onFresno, CA, US
$50 - $60 / HOUR
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Req #486

 

$5K SOB

 

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. 

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Specific Standards for the Care of Adult Patients Ages 19 through 64 Gather information from the patient, family and interdisciplinary team and use judgments based on knowledge of adult behaviors in treatment planning and interventions. Recognize behaviors and set appropriate limits in clear, concise, behaviors and non-judgement terms. Utilize seclusion/restraint procedures applicable to adult body size and past history of violent or emotional behaviors and/or history of physical and/or sexual abuse issues. Utilize theoretical concepts to guide the effective practice of adult care within Specific Standards of Care for this age group. Maintain knowledge of the Adult program rules, protocols and handbook guidelines. Specific Standards for the Care of Geriatric Patients Ages 65 and older Maintain a knowledge of the developmental tasks and sociological theories of aging. Utilize theoretical concepts to guide the effective practice of gerontological health care and behavioral care. Gather the appropriate information from the patient, family and interdisciplinary team and use therapeutic judgments based on knowledge of gerontological health/behavioral care practices to develop a comprehensive plan of care. Specific Standards for the Care of Chemically Dependent Patients : Knowledgeable of special patient needs as related to chemical dependency. Effectively collaborate with other chemical dependency staff professionals in facilitating the plan of care. Maintain an awareness of how personal issues relating the co-dependency can impact work performance/relationships. KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of personal hygiene training techniques. Knowledge of all code procedures. Knowledge of psychiatric care techniques. Knowledge of assaultive behavior management techniques. Knowledge of admitting procedures. Knowledge of P.I.E. (problem, intervention, evaluation) charting. Skill in organizing and prioritizing workloads to meet deadlines. Skill in telephone etiquette and paging procedures. Effective oral and written communication skills. Ability to communicate effectively with patients and co-workers. Ability to adhere to safety policies and procedures. Ability to maintain confidentiality of information. Ability to work as a team player. Ability to demonstrate tact, resourcefulness, patience and dedication. Ability to accept direction and adhere to policies and procedures. Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric). Ability to participate in all aspects of patient care. Ability to work in a fast-paced environment. Ability to react calmly and effectively in emergency situations. Ability to operate a stethoscope competently. PHYSICAL, MENTAL, AND SPECIAL DEMANDS THIS SECTION DESCRIBES HOW AN EMPLOYEE IN THIS POSITION CURRENTLY PERFORMS THE FUNCTIONS OF THIS POSITION. MODIFICATIONS TO THE MANNER IN WHICH THIS JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE BY CASE BASIS. Must be able to hear sufficiently, with or without correction, to competently perform all essential job functions. Ability to stand, sit or walk up to six hours, sit for up to two hours. Ability to move frequently as necessary in the delivery of patient care. Ability to move frequently as necessary in the delivery of patient care. Visual acuity is needed for accurate reading of patient charts and for demonstrating activities or assisting patients in activities. Ability to spend 20% of the work day outdoors in temperatures varying form 30 ° -110 ° F and 80% of the work day indoors in temperatures varying from 60 ° -85 ° Ability to occasionally push or pull wheeled carts from 200 lbs. (i.e., crash cart, EKG machine, patient on stretchers or in wheelchairs). Ability to frequently lift and carry up to 10 lbs. (i.e. juices, charts, patient's belongings) and occasionally lift and carry up to 25 lbs. with assistance. Ability to frequently reach above, at or below shoulder height (to obtain supplies, reach in cabinets, use refrigerator), kneel, bend, stoop, turn, twist. Ability to frequently handle, through gross and fine manipulations, simple grasping, twisting and fingering of small objects (telephone buttons, thermometers with both hands). Ability to see well enough to read written material and discern a variety of odors. Ability to occasionally handle hazardous/infectious waste. Ability to work in an environment where the noise level is frequently high; where chemicals are frequently used for cleaning; where mechanical and electrical hazards may be occasionally present; and where dust, mist and steam are frequently generated in housekeeping tasks. The ability to competently and fully perform Handle with Care techniques is an essential position function. Must work every other weekend, both Saturday and Sunday, as required. Additional Requirements : A strong knowledge of The Joint Commission, HCFA, OSHA regulations, and patient rights standards and all other applicable federal and state laws and regulations governing mental health care facilities. One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice: At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
RN Home Health Hospice Full-time
Anchor Health

Hospice Visit Nurse (Registered Nurse)

apartment Anchor Health location_onCA
Description ***ELIGIBLE FOR 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. The registered nurse/ license vocational 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. Requirements Patient Care 1. The Hospice Team Nurse provides professional nursing care to patients by utilizing all elements of nursing process. 2. . Assesses and evaluates patient’s status 3. Initiates the plan of care and makes necessary revisions as patient status and needs change. 4. 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. 5. This position will be TUESDAY-SATURDAY 12PM-8PM. 6. This position will be PRN. 7. This position will be working in different service areas such as the following - Alameda, Contra Costa, Napa, Santa Rosa, Solano and Sonoma. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. The Hospice Team Nurse completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. POSITION QUALIFICATIONS 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 / Licensed Vocational nurse 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 / LVN 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. Management experience not required. Responsible for supervising hospice aides. 5. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 6. 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. 7. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.