RN Case Manager / Home Health

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. QUALIFICATIONS: Must hold a current and valid nursing licensure to in the state employed. Bachelor's degree with one (1) year of home health care experience preferred. One (1) to two (2) years of recent acute care experience in an institutional setting. Complies with acceptable professional standards and practice. Demonstrates good communication and management skills. Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities. Must hold a current and valid CPR certification. Must be a licensed driver with an automobile that is insured in accordance with state/or Company requirements and is in good working order. Must be capable of performing the job functions of this position with or without accommodations. ESSENTIAL JOB FUNCTIONS: Patient Care Completes initial and ongoing OASIS assessments of patient and family to determine home care needs. Provides a complete physical assessment and 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 plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventative and rehabilitative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventative and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. 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 responsib