RN - Registered Nurse - Case Manager Continuing Care - Rochester, New York United States - 22464

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JOB DESCRIPTION

Job #: 22464
Title: RN - Registered Nurse - Case Manager Continuing Care
Job Location: Rochester, New York - United States
Employment Type:
Salary: $55,000.00 - $70,000.00 - US Dollars - Yearly
Other Compensation: Benefits
Employer Will Recruit From: Nationwide
any
Relocation Paid?: Negotiable

WHY IS THIS A GREAT OPPORTUNITY?


We are looking for a Registered Nurse Case manager for Continuing Care

Full Time

Direct Hire

Rochester, New York - Monroe County - may be broad due to specialty

These patients have chronic long term needs and acute needs mixed.


The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time.  This involves the assessment of patient and family needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and supervises Private Duty Nurses (PDN) as applicable.

  • Identifies and prioritizes health problems based on assessment
  • Develops or implements an interdisciplinary Plan of Care based on the needs identified during the assessment, with input from the patient (and their caregivers as applicable), in collaboration with the attending physician and other care team members
  • Manages and coordinates patient care, including clinically complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports
  • Exhibits proficiency and accuracy in the completion of comprehensive assessment/documentation, which may include assessments required by payer sources (e.g., Outcome and Assessment Information Set (OASIS), Hospice Item Set (HIS)).
  • Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care
  • Communicates all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner
  • Facilitates the development and implementation of patient discharge plans as indicated
  • Documents all patient care and coordinating activities per agency standards
  • Assesses the need for additional services (aide, therapies, social work or a community service) and obtains orders and arranges care as indicated
  • Supervises and evaluates care provided by Licensed Practical Nurses and/or home health aides in the performance of his/her patient care duties
  • Works collaboratively with other care team members by communicating all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner.
  • Correctly identifies patient/family risk factors and establishes goals and interventions to reduce/remove risk from the plan of care to enable patients to remain in the least restrictive care setting.
  • Coordinate/participate in interdisciplinary team meetings/patient care conferences.
  • Patient needs are prioritized; visits outside primary team assignment or geographical area may be required in order to meet patient need.

Level II - similar responsibilities for level I, in addition to the following: 

  • Offers process improvement suggestions and participates in the solutions of more complex issues/activities.
  • Mentors new staff and assists with coaching whenever necessary.
  • Serves as an informal leader, role model and resource to other staff in a positive clinical leadership role.
  • Provides consistent positive results of audits.
  • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health.
  • Manages more complex assignments and larger caseloads with appropriate utilization of services.


About the Area:
Rochester is a city on the southern shore of Lake Ontario in western New York with a population of 208,046 residents. Rochester is the seat of Monroe County and the third most populous city in New York state, after New York City and Buffalo.
It is home to numerous cultural institutions and hosts a number of festivals every year. Popular is the Lilac Festival held for ten days every May, when more than 400 varieties of lilacs bloom, and hosts 100,000 visitors.
Lake Ontario, the Erie Canal and numerous parks provide numerous summer and winter sports such as boating, fishing kayaking, camping, tubing, skiing, skating, etc.

Niagara Falls, a national treasure, is located only 1.5 away. Southeast is the Finger Lakes and wine country.
3 hours to Adirondack Mountains
3 hours to Toronto, Canada

 

JOB DESCRIPTION

We are looking for a Registered Nurse Case manager for Continuing Care

Full Time

Direct Hire

Rochester, New York - Monroe County - may be broad due to specialty

These patients have chronic long term needs and acute needs mixed.


The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time.  This involves the assessment of patient and family needs and the development, implementation and evaluation of an appropriate Plan of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and supervises Private Duty Nurses (PDN) as applicable.

  • Identifies and prioritizes health problems based on assessment
  • Develops or implements an interdisciplinary Plan of Care based on the needs identified during the assessment, with input from the patient (and their caregivers as applicable), in collaboration with the attending physician and other care team members
  • Manages and coordinates patient care, including clinically complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports
  • Exhibits proficiency and accuracy in the completion of comprehensive assessment/documentation, which may include assessments required by payer sources (e.g., Outcome and Assessment Information Set (OASIS), Hospice Item Set (HIS)).
  • Plans, organizes and prioritizes care needs for an assigned caseload of patients to ensure their care needs are met and services are delivered according to plan of care
  • Communicates all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner
  • Facilitates the development and implementation of patient discharge plans as indicated
  • Documents all patient care and coordinating activities per agency standards
  • Assesses the need for additional services (aide, therapies, social work or a community service) and obtains orders and arranges care as indicated
  • Supervises and evaluates care provided by Licensed Practical Nurses and/or home health aides in the performance of his/her patient care duties
  • Works collaboratively with other care team members by communicating all changes in patient status and/or service needs to the appropriate care team member and ensures appropriate action is taken in a timely manner.
  • Correctly identifies patient/family risk factors and establishes goals and interventions to reduce/remove risk from the plan of care to enable patients to remain in the least restrictive care setting.
  • Coordinate/participate in interdisciplinary team meetings/patient care conferences.
  • Patient needs are prioritized; visits outside primary team assignment or geographical area may be required in order to meet patient need.

Level II - similar responsibilities for level I, in addition to the following: 

  • Offers process improvement suggestions and participates in the solutions of more complex issues/activities.
  • Mentors new staff and assists with coaching whenever necessary.
  • Serves as an informal leader, role model and resource to other staff in a positive clinical leadership role.
  • Provides consistent positive results of audits.
  • Works independently in coordinating and collaborating with members and providers, resulting in improving member and community health.
  • Manages more complex assignments and larger caseloads with appropriate utilization of services.


About the Area:
Rochester is a city on the southern shore of Lake Ontario in western New York with a population of 208,046 residents. Rochester is the seat of Monroe County and the third most populous city in New York state, after New York City and Buffalo.
It is home to numerous cultural institutions and hosts a number of festivals every year. Popular is the Lilac Festival held for ten days every May, when more than 400 varieties of lilacs bloom, and hosts 100,000 visitors.
Lake Ontario, the Erie Canal and numerous parks provide numerous summer and winter sports such as boating, fishing kayaking, camping, tubing, skiing, skating, etc.

Niagara Falls, a national treasure, is located only 1.5 away. Southeast is the Finger Lakes and wine country.
3 hours to Adirondack Mountains
3 hours to Toronto, Canada

 

QUALIFICATIONS

Qualifications
Education Required

  • Associates or better in Assoc Nursing.

Preferred

  • Bachelors or better in Bach Nursing.
  • Nurse, RN or better in Nursing.

Licenses and Certifications Required

  • Registered Nurse

Education:
University - Associate's Degree/Graduate Diploma/2 Years