RN Case Manager
Company: Amedisys
Location: Smyrna
Posted on: January 16, 2021
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Job Description:
Job Description*Caregiving is our Calling* At Amedisys whether
we're caring for patients directly or supporting those who do, each
of us is a caregiver at heart. Every team member contributes to our
mission of providing exceptional, clinically distinct care in the
home to thousands of patients and families every day. In home
health, you'll be a true advocate engaging patients throughout
their coordinated health care journey all while maintaining
autonomy and independence to support their needs. If you're looking
for a home with a Nationwide Company where you can put your skills
and experience to work, make a difference every day and pursue your
goals for the future, join our team. *What You Will Do* Provides,
coordinates and directs the provision of home health nursing
services and case management processes according to the assigned
patient's individualized plan of care based on agency policies and
procedures, through the competent application of nursing process. *
Demonstrates knowledge of home care and competency in discipline
specific patient care skills, required by the care center for the
provision of patient care. * Performs patient comprehensive
assessments and collaborates with patient multi-disciplinary care
team (PT, OT, ST, MSW, and paraprofessionals) and other health care
professionals to develop/modify and implement an individualized
patient plan of care as per physician orders that ensures quality,
proper discharge planning and achieves desired outcomes and goals.
* Implements appropriate nursing clinical programs and initiatives
to achieve desired outcomes. * Provides clinical episode management
according to Amedisys' processes including oversight of patient's
individualized plan of care and care plan changes as deemed
necessary by patient's status or physician's ordered care. *
Utilizes a combination of agency resources and nationally
recognized standards of practice to deliver high quality care and
achieve excellent patient specific outcomes. * Makes referrals to
other disciplines as indicated by the patient's identified needs or
documents rationale for not doing so. * Promotes and maintains
patient health and independence through teaching and appropriate
rehabilitative measures, assisting patients in learning appropriate
self-care techniques. Advocates and ensures patient participation
in care planning and goals of care. * Supervises caseload including
LPN's and Home Health Aides. Facilitates care coordination with PRN
staff when care is provided for caseload. * Completes documentation
timely, accurately, and at the point of care, according to industry
standards, conventions and guidelines, including OASIS assessments,
SOC/Admissions, Recertifications, ABNs, subsequent visits,
physician orders, care coordination etc. * Helps to achieve and
maintain continuity of patient care by communicating information
(for example, changes in plan of care, new orders, lab results,
etc.) timely, effectively and systematically with all team members
providing care for the patient including PT, OT, ST, MSW,
paraprofessionals, physicians, family members and community
resources. Facilitates interdisciplinary communication and follow
up through care coordination on assigned caseload for duration that
patients are on service. * Participates in Team/Case Conferences.
Leads discussion on multidisciplinary cases as appropriate. 12.
Maintains ongoing communication with clinical manager regarding
progress of patients for assigned caseload. * Remains knowledgeable
of organization's quality improvement programs, participates in
agency performance improvement initiatives and incorporates into
patient care planning as appropriate. * Demonstrates competency in
skills for required patient care. Initiates, plans and provides
staff education, and performs competency and skills validation for
care team staff, such as LPN's, HHA's and RN visit staff. *
Utilizes a combination of care center resources and recognizes
standards of practice to achieve positive clinical and training
outcomes. * Utilizes accepted Amedisys teaching materials for
clinician and patient/family education. * Performs on-call
responsibilities and on-call services to patients/families as
assigned. * Monitors assigned cases to ensure compliance with
requirements of third-party payers. * Protects, honors, and
respects patient and co-worker confidentiality and right to
privacy. * Stays informed of industry knowledge and nursing best
practice standards. * Participates in clinical development and
continuing education programs. * Performs other duties, as
assigned. #amedisys *Qualifications* *Required* * Current and
unencumbered license to practice as a Registered Nurse specific to
that state the employee is assigned to work for the company. a.
Nurse Licensure Compact (NLC) documents the following: The mutual
recognition model of nurse licensure allows a nurse to have one
license (in his or her state of residency) and to practice in other
states (both physical and electronic), s
Keywords: Amedisys, Smyrna , RN Case Manager, Healthcare , Smyrna, Tennessee
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