High Risk Clinical RN

Summary: This nursing role focuses on improving quality of care /continuity of care and reducing utilization costs. HRN provides direct clinical care in the home for select GMG MC Patients. The focus is on high risk patients who have complex wounds, are high risk, and need complex treatment protocols. This nurse provides clear feedback in a timely basis to the Wound Care Specialist, PCP, and/or other pertinent providers on the case.

Duties:

1. Provides clinical care to High Risk or high cost patients in their home, including: wound care, wound vacs, IV antibiotics, body systems check, safety checks, medication reconciliation, pt teaching, etc.
2. Reports findings in a timely manner to the Wound Care Specialist, PCP, and/or other pertinent providers on the case.
3. Documents findings same day in EMR. Documentation is clear, succinct and pertinent. Utilizes EMR functionality to enhance documentation, including ability to take pictures and incorporate in the note.
4. Communicates clearly and effectively with other High Risk Nurses, Case Management, and other members of the Care Team. Works effectively with team to provide same day care to High Risk patients when the need arises.
5. Organizes time, talents and supplies on hand wisely to see patients in the most efficient and effective manner. Triages to Home Health Agency when necessary and appropriate
6. Informs patients when to expect visits. Confirm agreement.
7. Follow daily Hospital Census Report searching for patients in need of High Risk Visiting Nurse visits.
8. Ensures that patients have prompt Hospital Follow up appointments to help prevent readmission. Assess discharge status, level of understanding and compliance;
9. Attends Patient Care Committee and High Risk Team meetings to identify special care needs defined during PCC and HR Mtgs.
10. Exercise tact and courtesy when dealing with patients, visitors, physicians and co-workers.
11. Maintains strictest member and company confidentiality.
12. Ensures member health information is secured each day.
13. Able to work efficiently under pressure.
14. Other duties as assigned.

Education and Experience : Graduation from an approved practical nursing program; Must be state-licensed practical nurse with a minimum three year of LVN experience, clinic experience preferred. Prior managed care experience preferred. The Nurse must have knowledge medical terminology, understanding of ICD-9 coding; must have excellent customer service skills.

Computer Skills: Strong Basic Computer skills. Knowledge of Word Processing software, database software, spreadsheet and Internet software

Supervisory Responsibilities: This job has no supervisory responsibilities.

Work Environment: Depending upon the area assigned, may be 100% clinical setting or office setting in a clinical environment. There may be exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment.

Physical Demands: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 40 lbs. Close vision and ability to adjust focus.

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Reasonable accommodations may be made to enable otherwise qualified individuals with disabilities to perform the essential functions of the job.

Education and Experience : Graduation from an approved practical nursing program; Must be state-licensed practical nurse with a minimum three year of LVN experience, clinic experience preferred. Prior managed care experience preferred. The Nurse must have knowledge medical terminology, understanding of ICD-9 coding; must have excellent customer service skills.

Computer Skills: Strong Basic Computer skills. Knowledge of Word Processing software, database software, spreadsheet and Internet software

Supervisory Responsibilities: This job has no supervisory responsibilities.

Work Environment: Depending upon the area assigned, may be 100% clinical setting or office setting in a clinical environment. There may be exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment.

Physical Demands: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 40 lbs. Close vision and ability to adjust focus.

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Reasonable accommodations may be made to enable otherwise qualified individuals with disabilities to perform the essential functions of the job.