Registered Nurse (RN) Job Description
JEWISH ASSOCIATION ON AGING JOB DESCRIPTION Job Title: Registered Nurse Case Manager Division: Home Health Department: ***** Effective/ Revision Date: 6/13/2018 JOB SUMMARY: The Registered Nurse Case Manager is responsible as a member of the interdisciplinary group who works under the general direction of the Medical Director and/or the attending physician in the provision of skilled nursing assessment, planning and coordination of services in order to maximize the comfort and health of patients and families. JOB DUTIES / RESPONSIBILITIES: 1. Assumes responsibility for a patient/family caseload that includes the assessing, planning, implementation and evaluation phases of the nursing process. 2. Initiates communication with attending physicians, other Home Health team members, and agencies as needed to coordinate the delivery of Home Health services 3. Performs initial assessment and obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and communicate that data in team meetings to formulate a care plan. 4. Collects OASIS data and maintains up to date patient records in electronic medical record so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur. 5. Coordinates physical care of the patient and instruct primary caregivers, home health aides and Licensed Practical Nurses in providing direct care as appropriate. 6. Attends interdisciplinary group meetings to facilitate discussion of patient/family status in order to evaluate and revise the care plan as indicated 7. Supervises and documents the home health aide plan of care at least every two weeks. 8. Shares in providing 24-hour on-call support 7 days a week. 9. Provides appropriate support at time of death and period of bereavement. 10. Participates in orientation and inservice training programs for hospice staff. 11. Participates in Quality Improvement Program activities. 12. Assists with the education of customers and community members as well as meeting with physicians and groups to market hospice services. 13. Represents Home Health in professional and community activities as requested. 14. Demonstrate familiarity with policies of the agency and rules and regulations of 15. State and Federal bodies which aid in determining policies. 16. Performs other related functions as requested. REQUIRED EDUCATION, TRAINING AND EXPERIENCE: 1. Graduate of a school of nursing accredited by the National League of Nursing, Baccalaureate degree in nursing preferred. 2. Registered nurse in the State of Pennsylvania. 3. Pennsylvania driver’s license, current auto insurance and access to a car during working hours. 4. Home Health experience is preferred. REQUIRED SKILLS AND ABILITIES: 1. Demonstrate flexibility, excellent assessment skills, ability to supervise others and the confidence to work independently. 2. Communicate effectively within a team. 3. Manage time efficiently. 4. Show concern for the provision of quality services. 5. Demonstrate skill in nursing practice, ability to cope with patient/family emotional stress and tolerance of individual lifestyles. 6. Ability to do public speaking, educational programs and community outreach. 7. Ability to maintain confidentiality of information 8. Basic Computer Skills 9. Ability to lift a minimum of 50 pounds. 10. Ability to push/pull a minimum of 50 pounds. SUPERVISED BY: Home Health Patient Care Coordinator POSITIONS SUPERVISED: License Practical Nurse, Home Health Aide All job requirements listed indicate the minimum level of knowledge, skills, and/or ability deemed necessary to perform the job effectively. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any job