RN, Case Manager - Arlington, VA

divh2RN, Case Manager/h2pIts inspiring to work with a company where people truly BELIEVE in what theyre doing!/ppWhen you become part of the Chapters Health Team, youll realize its more than a job. Its a mission. Were committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!/pp$10,000 Sign on Bonus Benefits Begin Day 1/ppRole: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible./ppJob Description/ppQualifications:/pulliCurrent license as RN in the state where the employee will be working/liliMinimum of one (1) year nursing experience; hospice or hospital experience preferred/liliEmployees working at PACE, certification of completion of Alzheimers Disease and Related Dementias Training through the Florida Department of Elder Affairs/liliPrevious experience working with an EMR/EHR (Electronic Medical/Health Record) system/liliMobile Driver - Valid drivers license and automobile insurance per Company policy/liliReliable transportation to meet visit schedule/liliAbility to use equipment with visual and auditory mechanisms/liliAbility to effectively communicate in English (verbal and written)/liliAbility to visit Participant in their homes to assessments/liliAbility to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation/liliActive BLS for healthcare professionals from the American Heart Association or Red Cross./li/ulpSome locations may require:/pulliProvides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested./liliUtilizes appropriate support/expert resources or personnel to resolve complex or difficult situations./liliDocuments patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT)./liliCompletes initial and semi-annual assessment for all Company services including, but not limited to:/liulliExplains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner/liliProvides information to Physicians and other IDT members and initiates Plan of Care to address patients immediate needs/liliInitiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort/liliObtains Physician orders/liliCompletes documentation per Company policy/li/ul/ululliActs as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public./liliCommunicates frequently with other members of the IDT./liliProvides all necessary clinical communication timely using SBAR./liliDiscusses any potential needs with after-hours staff./liliDevelops strong relationships with case managers, physicians, etc. at facilities./li/ulpCompetencies:/pulliSatisfactorily complete competency requirements for this position./li/ulpResponsibilities of all employees:/pulliRepresent the Company professionally at all times through care delivered and/or services provided to all clients./liliComply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse./liliComply with Company policies, procedures and standard practices./liliObserve the Companys health, safety and security practices./liliMaintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company./liliUse resources in a fiscally responsible manner./liliPromote the Company through participation in community and professional organizations./liliParticipate proactively in improving performance at the organizational, departmental and individual levels./liliImprove own professional knowledge and skill level./liliAdvance electronic media skills./liliSupport Company research and educational activities./liliShare expertise with co-workers both formally and informally./liliParticipate in Quality Assessment and Performance Improvement activities as appropriate for the position./li/ulpJob Responsibilities:/pulliProvides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up./liliCoordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patients evolving needs./liliEducates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices./li/ulpParticipant visit frequency dependent on risk score/needs to be determined/ppHome visits to assess home safety, medication compliance, nutritional compliance, DME compliance- ability to live safely in the community./ppReports changes in the patients condition to appropriate members of the IDT or other health professionals./ppParticipates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness./ppAttends daily IDT collaboration meetings/ppPresents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines./ppCommunicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others./ppSupervises patient care provided by Community Health Workers and Home Health Aides as requested./ppDuring times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency./ppPerforms other duties as assigned./ppPhysical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs./ppCompensation Pay Range:/pp$66,064.10 - $99,096.71/ppThis position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy./ppAll Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit