Bilingual (Spanish/English) Registered Nurse Case Manager - Per Diem

Job Description

Job Description

Position Summary:

Provides services to clients in accordance with the State Nurse Practice Act, Agency policy, and accepted professional standards of practice.

The Primary Care Nurse provides nursing services utilizing a comprehensive base of nursing theory and nursing process, and communicates/documents observations and assessments. The Primary Care Nurse is responsible for the coordination of care, case management and communications between all members of the care team. Nursing services may include but are not limited to supervision of other team members.

Qualifications:

• Graduate of an accredited school of professional nursing. BSN preferred.
• Current license as a Registered Nurse in the state of Connecticut.
• Minimum of one (1) year experience in an acute care setting or equivalent experience preferred.
• Licensed driver with automobile insured in accordance with state and/or Agency requirements and in good repair. Good driving record.
• Strong communication and interpersonal skills.
• Bilingual (Spanish/English) highly preferred.

Essential Functions:

• Assumes responsibility and accountability for the practice of professional nursing in accordance with the State Nurse Practice Act and standards for home health nursing.
• Performs comprehensive assessments of client status, including physical, psychosocial, and environmental parameters.
• Completes comprehensive assessments including OASIS data set within forty-eight (48) hours of referral and/or physician ordered start of care.
• Develops and/or follows an individualized Plan of Care that incorporates analysis of data and current scientific findings.
• Submits documentation in a timely manner: Initial Plan of Care orders within 48 hours of admission, all supplemental orders within 48 hours of receipt, recertification plans of care within 48 hours.
• Provides skilled interventions with a focus for achieving realistic client outcomes within a specified time period.
• Reports changes and information necessary to modify and update the care plan to reflect progress towards goals (outcomes). Consistently demonstrates competency with technical nursing skills according to personal and legal scope of practice:
• Assessment skills as applied to the client, family/support system, and environment.
• Teaching skills according to the client's needs and within the context of the client's environment, value system, and physical/emotional status.
• Medication administrations.
• Practices nursing with respect for individual, cultural, and spiritual differences.
• Communicates effectively and in accordance with Agency requirements.
• Reports significant changes in client status to physician and other members of the team in a timely manner consistent with client needs.
• Maintains client records showing systematic assessment, planning intervention, and evaluation.
• Participates in team meetings and clarifies individualized reporting responsibilities with all new assignments.
• Documents legibly and according to Agency documentation guidelines and standards.
• Follows Agency guidelines for completion of forms, reflecting the orders and care plan. Submits forms within 48 hours including all communication and coordination.
• Initiates actions to improve the quality of patient care. Takes appropriate actions independently and responsively in-home care situations. Initiates referrals as needed to other health team members when delegated by the Case Manager.
• Maintains confidentiality in all aspects of the job.
• Promotes personal safety and a safe environment for clients and coworkers.
• Demonstrates knowledge of safety/infection control practices by complying with established policies and procedures.
• Recognizes and responds appropriately to potentially unsafe situations.
• Demonstrates safe practice in the use of equipment.
• Assesses environmental safety and takes initiative to prevent accidents and promote safety.
• Notifies supervisor of need for review and/or training related to equipment, procedures, or safety/infection control practices.
• Participates in ongoing, professional self-development.
• Participates in all mandatory education per Agency guidelines.
• Identifies needs for personal professional growth.
• Demonstrates competency in areas of assignment or identifies the need for additional training.
• Supervises applicable home care team members as per company policy.
• Assists with secondary reviews of patient charts as required and requested by Supervisor of Clinical Services and Quality Manager.
• Position includes on call coverage.
• Performs other duties as assigned.

Physical/Environmental Demands:

• Requires the ability to sit, stand, pivot, twist and change position frequently
• Requires the ability to lift, push, pull, and carry 20-50 lbs frequently.
• Requires the ability to climb stairs, navigate all types of residences and access means.
• Requires the ability to utilize telephone, laptop computer and clinical equipment.
• Requires the ability to travel to/from Agency, client homes and other professional appointments on a frequent daily basis.