Whittier Rehabilitation Hospital Westborough 150 Flanders Road Westborough, MA 01510
Case Manager - Per Diem Pay: $40.00
Essential:
Meet with every patient/family within 1 working day of admission to introduce case management and begin an assessment of potential discharge planning needs. Take into account patient’s age and developmental level, cultural and religious practices, language and emotional barriers, healthcare needs, financial situation and family/community support.
Provide the patient and family information, in a form that they can understand, about the rehabilitation process, levels of care, homecare services, community resources and patient rights including Advance Directives.
Attend all interdisciplinary team meetings (RTC, FTC, TTC) to collaborate with the healthcare team, patient and family to establish a treatment plan with realistic goals and a target date to achieve the goals. Identify variables that may influence the accomplishment of the goals. Continually evaluate the effectiveness of the plan and modify as needed.
Collaborate with the healthcare team, patient and family for a timely discharge to the next level of care, when appropriate. Assist the team in identifying agencies or facilities that can meet the patient’s healthcare needs
Make referrals to the next level of care and coordinate the transfer to maintain a continuation of services. Counsel with the patient/family and the payor to coordinate funding for the services. Obtain approval numbers from payor, if needed.
Organize all referral paperwork needed to make discharge referral, review for completeness and fax (or have faxed) to the agency or facility that will continue to provide service.
Maintain patient privacy and confidentiality at all times. Release only information authorized by the patient/responsible party, and only the specific information required.
Case managers will act as utilization review coordinators.
At each Rehab Team Conference (RTC) the patient’s level of care will be monitored, per UR plan.
Refer any cases requiring medical judgment to a physician advisor.
Maintain timely contact with external case managers and third party payors as required under “continued stay review” programs. Obtain approvals for continuation of the treatment plan. Advocate for services at an appropriate intensity to best meet the patient's needs.
Notify members of the team and business office of any exclusions or level of care changes.
Attend Utilization Review Committee meetings, as assigned.
Keep patient and family informed of Utilization Review decisions and provide discharge planning options to meet patient care needs.
Document all case management activities in the patient’s medical record, including notes related to conversations with patient/family, insurers and others in accordance with laws, regulations and hospital policy.
Participate in hospital-wide or department specific performance improvement initiatives as assigned.
PREREQUISITES:
Registered Nurse; with a minimum of 5 years varied nursing experience, preferably orthopedic, med-surg, geriatric or rehabilitation. Case management experience, preferred.
Excellent communication (written and verbal), interpersonal and organization skills.
Ability to assess, analyze, plan, implement and evaluate.
Basic knowledge of insurance, including an understanding of eligibility, benefits and limitations.
Knowledge of growth and development across the life span.
We are hiring a baylor weekend Nursing Supervisor to join our dynamic care team at Southbridge Rehabilitation & Health Care Center! 7a-7p Saturday and Sunday. Can be an RN or LPN. $45 to $47 an hour, depending on licensure. Here at Athena Health Care Systems, our employees are the heart of our organization, and we take immense pride in their dedication. We are not only committed to delivering high-quality care and customer service to our patients and their families, but we also aspire to be the employer of choice. We strive to create a workplace where your skills and talents are nurtured to allow you to grow within the company. As the nursing supervisor, you direct the total nursing care activities in the facility during each of shift of duty under the direction of the Director of Nursing Services to ensure that the highest degree of quality resident care can be maintained at all times. Experience & Education: Must possess a current, unencumbered license to practice as an LPN or RN in this state. Must be CPR certified. Must have as a minimum, one (1) year experience in a hospital, long-term care facility or other related health care facility is preferable. Duties & Responsibilities: Meet the nursing and rehabilitation needs of each resident. Participates in developing, updating, and communicating residents' care plans. Assures staff is implementing care plans, performing care activities appropriately, and recognizes changes in resident status. Maintain current resident care plans on all residents under his/her care. Follow physician’s orders. Renders and/or assists with complete nursing care, treatments, dressings, and other physician orders. Transcribe physician’s orders promptly and accurately. Review patient records daily to assure accuracy and completeness. Document comprehensive and complete nursing notes. Maintain accurate awareness of residents on alert list/conduct and document RN assessments as needed. Document and report any unusual or significant findings; contact the physician when necessary. Administer medication according to procedure if applicable. Initiate any and all emergency procedures as necessary. Conduct oversight of Charge Nurse and CNA performances. Contributes to and promotes positive resident and family relations. Other duties may be assigned by manager. Specific Requirements: Must be able to read, write, speak, and understand the English language. Must possess accurate and comprehensive assessment skills. Must have knowledge of restorative nursing and rehabilitation policies and utilizes appropriately. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care. Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the willingness to handle difficult residents. Must be able to relate information concerning a resident’s condition. Must be able to communicate effectively with appropriate personnel regarding emergency situations. About Athena Health Care Systems: Since its establishment in 1984, Athena Health Care Systems has pioneered the delivery of exceptional healthcare services. Operating nursing homes and hospice agencies across Connecticut, Massachusetts, and Rhode Island, Athena stands out as a healthcare leader in Southern New England. Athena’s Benefits: Competitive and Weekly Pay Holiday Pay for Hourly and Salaried Employees Overtime Pay for Hourly Employees Career Advancement Opportunities Exclusive Employer Discount Program Available for Eligible Team Members: Employer-Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff, regardless of position or work location, to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law.
Job Description: Position Summary The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality-nursing care and to maximize the quality of life for the patients. The RN is an integral member of the clinical support team, and collaborates with other multidisciplinary members to meet the clinical needs of the patients. The RN is an active supporter of the culture change initiatives, and serves as a role model and mentor to others. In addition, the RN will demonstrate a strong commitment to the philosophy and mission of Hebrew SeniorLife and recognize patient’s dignity and choice in all aspects of daily life. They are an active participant in the activities, work, and social environment of the units, and strive to make every patient encounter into a positive and meaningful experience and opportunity, while ensuring the provision of safe and efficient quality care. Position Responsibilities Ensures all care delivered is within the scope and established standards of safe professional nursing practice and HSL core competencies Collaborates with other members of the clinical support team (MD, NP, nurses, social worker, therapists, dietician) to meet the clinical needs of the patient and monitor outcomes of care Adheres to best practice recommendations and implements evidence based interventions to ensure optimum outcomes for patients Practices in a primary nursing model and maintains accountability for a set of assigned patients Collaborates and participates in care planning activities and supports autonomy and individual choice wherever possible Ensures adherence to the plan of care, revises as necessary, and ensures the plan accurately reflects an individualized approach to patient’s needs Documents appropriately in the electronic medical record Identifies and seeks out necessary resources as needed to ensure the provision of safe and effective care Delegates and supervises clinical care delivered by the licensed practical nurse and the nursing assistant Assumes accountability for his/her own learning needs and professional development Demonstrates critical thinking abilities in problem resolution Role models professional behavior Actively participates in shared governance, committees, etc Collaborates in the development of new work processes and systems Serves as a resource and support to the elder assistants in the units Identifies and responds to safety concerns on the unit and neighborhood Maintains compliance with policies, procedures, practice and regulatory matters Participates in the collection and monitoring of quality data to ensure high standards of care Participates in performance improvement projects Participate and assists with activities (i.e. assist with serving meals) Serves as a coach and mentor to all staff, i.e. PCAs and LPNs May be assigned charge nurse responsibilities. Responsibilities may include: Giving shift report to on coming staff. Provide clinical/supervisory oversight to assigned unit during shift. Delegate assignments to team assigned to shift. Initiate necessary reports including DPH, incident reports, concern resolutions. Assure completion of admission or discharges during shift. Attend rounds (wound, physician etc). Provides oversight of LPN assessments (as assigned) and co-signs nursing assessments and initial care plans. If acting in the capacity of charge nurse, may develop patient care assignments (appointing other staff, RN, LPN or PCA to implement an established care plan for a designated period of work time), create schedules, and contribute to performance evaluations and educating other staff on HSL policy and procedure. The above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would be in conformity with the level of the position. Completes special projects as assigned. Qualifications Graduate of approved school of nursing required; BSN preferred. Current Massachusetts license as an R.N. in good standing. Previous experience preferred. Understand the philosophy and support the model of care at HRC required. Must be professional, proactive, collaborative, conscientious and results-oriented individual. Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgment with a sense of humor. Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situations. Must be motivated to learn and flexible to change. Computer literacy required. Excellent English language skills, written and verbal. Remote Type On-site Hebrew SeniorLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description: Position Summary The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality-nursing care and to maximize the quality of life for the patients. The RN is an integral member of the clinical support team, and collaborates with other multidisciplinary members to meet the clinical needs of the patients. The RN is an active supporter of the culture change initiatives, and serves as a role model and mentor to others. In addition, the RN will demonstrate a strong commitment to the philosophy and mission of Hebrew SeniorLife and recognize patient’s dignity and choice in all aspects of daily life. They are an active participant in the activities, work, and social environment of the units, and strive to make every patient encounter into a positive and meaningful experience and opportunity, while ensuring the provision of safe and efficient quality care. Position Responsibilities Ensures all care delivered is within the scope and established standards of safe professional nursing practice and HSL core competencies Collaborates with other members of the clinical support team (MD, NP, nurses, social worker, therapists, dietician) to meet the clinical needs of the patient and monitor outcomes of care Adheres to best practice recommendations and implements evidence based interventions to ensure optimum outcomes for patients Practices in a primary nursing model and maintains accountability for a set of assigned patients Collaborates and participates in care planning activities and supports autonomy and individual choice wherever possible Ensures adherence to the plan of care, revises as necessary, and ensures the plan accurately reflects an individualized approach to patient’s needs Documents appropriately in the electronic medical record Identifies and seeks out necessary resources as needed to ensure the provision of safe and effective care Delegates and supervises clinical care delivered by the licensed practical nurse and the nursing assistant Assumes accountability for his/her own learning needs and professional development Demonstrates critical thinking abilities in problem resolution Role models professional behavior Actively participates in shared governance, committees, etc Collaborates in the development of new work processes and systems Serves as a resource and support to the elder assistants in the units Identifies and responds to safety concerns on the unit and neighborhood Maintains compliance with policies, procedures, practice and regulatory matters Participates in the collection and monitoring of quality data to ensure high standards of care Participates in performance improvement projects Participate and assists with activities (i.e. assist with serving meals) Serves as a coach and mentor to all staff, i.e. PCAs and LPNs May be assigned charge nurse responsibilities. Responsibilities may include: Giving shift report to on coming staff Provide clinical/supervisory oversight to assigned unit during shift Delegate assignments to team assigned to shift Initiate necessary reports including DPH, incident reports, concern resolutions Assure completion of admission or discharges during shift Attend rounds (wound, physician etc.) Provides oversight of LPN assessments (as assigned) and co-signs nursing assessments and initial care plans. If acting in the capacity of charge nurse, may develop patient care assignments (appointing other staff, RN, LPN or PCA to implement an established care plan for a designated period of work time), create schedules, and contribute to performance evaluations and educating other staff on HSL policy and procedure. The above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would be in conformity with the level of the position. Completes special projects as assigned. Qualifications Graduate of approved school of nursing required; BSN preferred Current Massachusetts license as an R.N. in good standing Previous experience preferred Understand the philosophy and support the model of care at HRC required Must be professional, proactive, collaborative, conscientious and results-oriented individual. Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgment with a sense of humor. Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situations. Must be motivated to learn and flexible to change Computer literacy required Excellent English language skills, written and verbal Remote Type On-site Hebrew SeniorLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description: I. Position Summary: The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality nursing care and to maximize the quality of life for the patients. The RN is an integral member of the clinical support team and collaborates with other multidisciplinary members to meet the clinical needs of the patients. The RN is an active supporter of the culture change initiatives and serves as a role model and mentor to others. In addition, the RN will demonstrate a strong commitment to the philosophy and mission of Hebrew SeniorLife and recognize patients’ dignity and choice in all aspects of daily life. They are active participants in the activities, work, and social environment of the units, striving to make every patient encounter a positive and meaningful experience and opportunity while ensuring the provision of safe, efficient, and high-quality care. II. Core Competencies: Demonstrates empathy and compassion in all interactions with patients and with families Articulates the importance of supporting independence and patient choice when caring for patients Demonstrates strong communication skills and the ability to foster teamwork Articulates commitment to excellence and high-quality care Articulates the importance of accountability and personal ownership related to teamwork and patient care Demonstrates strong critical thinking skills Demonstrates ability to coach and mentor others to achieve high-quality care III. Position Responsibilities: Ensures all care delivered is within the scope and established standards of safe professional nursing practice and HSL core competencies Collaborates with other members of the clinical support team (MD, NP, nurses, social worker, therapists, dietician) to meet the clinical needs of the patient and monitor outcomes of care Adheres to best practice recommendations and implements evidence based interventions to ensure optimum outcomes for patients Practices in a primary nursing model and maintains accountability for a set of assigned patients Collaborates and participates in care planning activities and supports autonomy and individual choice wherever possible Ensures adherence to the plan of care, revises as necessary, and ensures the plan accurately reflects an individualized approach to patient’s needs Documents appropriately in the electronic medical record Identifies and seeks out necessary resources as needed to ensure the provision of safe and effective care Delegates and supervises clinical care delivered by the licensed practical nurse and the nursing assistant Assumes accountability for his/her own learning needs and professional development Demonstrates critical thinking abilities in problem resolution Role models professional behavior Actively participates in shared governance, committees, etc Collaborates in the development of new work processes and systems Serves as a resource and support to the elder assistants in the units Identifies and responds to safety concerns on the unit and neighborhood Maintains compliance with policies, procedures, practice and regulatory matters Participates in the collection and monitoring of quality data to ensure high standards of care Participates in performance improvement projects Participate and assists with activities (i.e. assist with serving meals) Serves as a coach and mentor to all staff, i.e. PCAs and LPNs May be assigned charge nurse responsibilities. Responsibilities may include: Giving the shift report to the incoming staff Provide clinical/supervisory oversight to the assigned unit during the shift Delegate assignments to the team assigned to the shift Initiate necessary reports, including DPH, incident reports, and concern resolutions Assure completion of admission or discharge during the shift Attend rounds (wound, physician, etc) Provides oversight of LPN assessments (as assigned) and co-signs nursing assessments and initial care plans. If acting in the capacity of charge nurse, may develop patient care assignments (appointing other staff, RN, LPN, or PCA to implement an established care plan for a designated period of work time), create schedules, and contribute to performance evaluations and educating other staff on HSL policy and procedure. The above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would conform to the level of the position. Completes special projects as assigned. IV. Qualifications : Graduate of an approved school of nursing required; BSN preferred Current Massachusetts license as an R.N. in good standing Previous experience preferred Understand the philosophy and support the model of care at HRC required Must be a professional, proactive, collaborative, conscientious, and results-oriented individual. Must have an optimistic demeanor, excellent oral and written communication skills, good intuition, and be able to adapt to changing priorities and display good, sound judgment with a sense of humor. Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminant, and able to streamline work volume to maintain bottom-line efforts in the midst of multi-tasking and daily re-prioritizing. Must have the ability to innovate, think strategically and conceptually, manage multiple projects simultaneously, and handle even difficult situations. Must be motivated to learn and flexible to change Computer literacy required Excellent English language skills, written and verbal V. Physical Requirements: Please refer to the Physical Requirements sheets in Occupational Health Remote Type On-site Hebrew SeniorLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Description: I. Position Summary: The Registered Nurse (RN) will utilize the nursing process of assessment, planning, implementation, and evaluation to ensure quality nursing care and to maximize the quality of life for the patients. The RN is an integral member of the clinical support team and collaborates with other multidisciplinary members to meet the clinical needs of the patients. The RN is an active supporter of the culture change initiatives and serves as a role model and mentor to others. In addition, the RN will demonstrate a strong commitment to the philosophy and mission of Hebrew SeniorLife and recognize patients’ dignity and choice in all aspects of daily life. They are active participants in the activities, work, and social environment of the units, striving to make every patient encounter a positive and meaningful experience and opportunity while ensuring the provision of safe, efficient, and high-quality care. II. Core Competencies: Demonstrates empathy and compassion in all interactions with patients and with families Articulates the importance of supporting independence and patient choice when caring for patients Demonstrates strong communication skills and the ability to foster teamwork Articulates commitment to excellence and high-quality care Articulates the importance of accountability and personal ownership related to teamwork and patient care Demonstrates strong critical thinking skills Demonstrates ability to coach and mentor others to achieve high-quality care III. Position Responsibilities: Ensures all care delivered is within the scope and established standards of safe professional nursing practice and HSL core competencies Collaborates with other members of the clinical support team (MD, NP, nurses, social worker, therapists, dietician) to meet the clinical needs of the patient and monitor outcomes of care Adheres to best practice recommendations and implements evidence based interventions to ensure optimum outcomes for patients Practices in a primary nursing model and maintains accountability for a set of assigned patients Collaborates and participates in care planning activities and supports autonomy and individual choice wherever possible Ensures adherence to the plan of care, revises as necessary, and ensures the plan accurately reflects an individualized approach to patient’s needs Documents appropriately in the electronic medical record Identifies and seeks out necessary resources as needed to ensure the provision of safe and effective care Delegates and supervises clinical care delivered by the licensed practical nurse and the nursing assistant Assumes accountability for his/her own learning needs and professional development Demonstrates critical thinking abilities in problem resolution Role models professional behavior Actively participates in shared governance, committees, etc Collaborates in the development of new work processes and systems Serves as a resource and support to the elder assistants in the units Identifies and responds to safety concerns on the unit and neighborhood Maintains compliance with policies, procedures, practice and regulatory matters Participates in the collection and monitoring of quality data to ensure high standards of care Participates in performance improvement projects Participate and assists with activities (i.e. assist with serving meals) Serves as a coach and mentor to all staff, i.e. PCAs and LPNs May be assigned charge nurse responsibilities. Responsibilities may include: Giving the shift report to the incoming staff Provide clinical/supervisory oversight to the assigned unit during the shift Delegate assignments to the team assigned to the shift Initiate necessary reports, including DPH, incident reports, and concern resolutions Assure completion of admission or discharge during the shift Attend rounds (wound, physician, etc) Provides oversight of LPN assessments (as assigned) and co-signs nursing assessments and initial care plans. If acting in the capacity of charge nurse, may develop patient care assignments (appointing other staff, RN, LPN, or PCA to implement an established care plan for a designated period of work time), create schedules, and contribute to performance evaluations and educating other staff on HSL policy and procedure. The above covers the most significant responsibilities of the position. It does not, however, exclude other duties, which would conform to the level of the position. Completes special projects as assigned. IV. Qualifications : Graduate of an approved school of nursing required; BSN preferred Current Massachusetts license as an R.N. in good standing Previous experience preferred Understand the philosophy and support the model of care at HRC required Must be a professional, proactive, collaborative, conscientious, and results-oriented individual. Must have an optimistic demeanor, excellent oral and written communication skills, good intuition, and be able to adapt to changing priorities and display good, sound judgment with a sense of humor. Superb organizational skills. Must have solid analytical skills. Must be creative and proactive yet disciplined, discriminant, and able to streamline work volume to maintain bottom-line efforts in the midst of multi-tasking and daily re-prioritizing. Must have the ability to innovate, think strategically and conceptually, manage multiple projects simultaneously, and handle even difficult situations. Must be motivated to learn and flexible to change Computer literacy required Excellent English language skills, written and verbal V. Physical Requirements: Please refer to the Physical Requirements sheets in Occupational Health Remote Type On-site Hebrew SeniorLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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