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Acts as the coordinator of the health care team in order to maintain the proper linkages within the continuum of care. Responsibilities include the coordination and provision of direct and indirect patient care using the nursing process to meet the physical, psychosocial, environmental, and spiritual needs of Carle Home Services specific patient populations and families throughout the geographical area.
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Performs complex wound care including wound vacs, packing, removal of staples or sutures. The Home Care Field RN is a professional caregiver who is a member of the interdisciplinary team.
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Demonstrates understanding of Medicare Home Care benefits including covered services, recertifications, transfers, and non-recertifications. Provides care according to plan of care and orders.
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Collaboratively communicates and initiates case conferencing as necessary and documents interacts (other disciplines, MD, care coordinator, insurers, etc. Directs the activities of the licensed practical nurse.
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Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Ensures Physician Orders are written timely, corrections to care plans are entered and transmitted according to time line.
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Demonstrates adequate knowledge of State and Federal regulatory and accreditation guidelines which is evidenced by daily performance. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.
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Communicates pertinent information for patient care conferences on all admits done by him/her. Practices in a manner sensitive to the needs of patients and families. Monitors central lines including PICC and Hickman catheters and performs dressing changes per agency protocol.
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Makes home health aide assignments, prepare written instructions for the aide and supervises the aide in the patient home. Completes Home Health Aide supervisory visits. Accesses mediports for IV infusion and/or blood draws and flushes per agency protocol.
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Perform OASIS assessments for admissions, recertifications, resumptions and discharges. Completes visits notes and telephone conversations records and transmitted timely according to policy (includes physician orders, admission, routine, supervisory, telephone and discharge notes.
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Reviews verbal orders with MD office, written and evidenced as read-back, completed immediately and transmitted within time frame established by policy. Performs case management for patients assigned to her/his case load.
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Returns admission documents to office complete and in a timely manner (according to policy). Communicates with MD per phone or electronically regarding patient updates and condition changes. Consistently completes all admission documentation within policy guidelines.
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Sign on Bonus $7,500 (3yr Commitment) External Applicants only RNs >1yr. Follows regulatory requirements regarding documentation standards. Ensures proper acronym is evident on all physician orders. Comprehends department specific indicators.
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30% more per hour The Home Care Field RN is a professional caregiver who is a member of the interdisciplinary team. EXPERIENCE REQUIREMENTS One (1) Healthcare/Medical - Nursing General ADDITIONAL REQUIREMENTSAttend and satisfactorily complete all required continuing education regarding the care of acute stroke patients.
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Services are delivered throughout the continuum of care, including program development, enhancement, and resource allocation. Ensures the coordination of services for a smooth continuum of care process throughout the organization.
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The Hospice Field RN is a professional caregiver who is a member of the interdisciplinary team. Completes required admission/recertification corrections within 24 hours of receiving them.
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care continuum of jobs Company: Carle
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