Home Care Nurse job description

Adobe Care & Wellness is an organization whose culture is based on inclusivity, and ensuring that our team members can thrive and work in an environment that brings them joy and allows them to do the best work of their careers. We provide top-tier and meaningful medical services while taking into consideration the nuisances of cultural and regional dynamics. Our woman-owned business is recognized as one of the fastest growing companies in Arizona and is proof that necessity is the mother of innovation. We believe that our values are crucial not only to our growth, but the future we want to build for the medical industry as a whole .

Summary: During an in-home visit that can last up to one hour, Adobe Care and Wellness providers review member s current health status, medical history, medications, social determinates, and other risks. By completing the comprehensive visit in their own home, we are able to get more insight into a member s overall health that can be difficult to capture during routine office visits.
Ability to Make Your Own Schedule!!! $125 per visit

DUTIES AND RESPONSIBILITIES:


Travel up to 90%; regions are identified and updated based on business needs.
Conduct in-home assessments on identified patients, following established guidelines.
Formulate a list of current and past medical conditions using clinical knowledge, judgment, and current findings.
Identify urgent and emergent situations for proper intervention.
Educate members on topics related to health conditions and the continuation of care.
Identify diagnoses to be used in care management and active medical management.
Develop positive relationships with members, caregivers, providers, and other care team members as needed.
Communicate gaps in care to the member s primary care physician if needed.
Identify internal and external referral needs when available.
Interact with peers in a collegial manner, supporting efforts to improve outcomes.
Compliant with all HIPPA regulations and maintain the security of protected health information (PHI).

The OHCW Community Based Case Manager - RN collaborates with members of an inter-disciplinary care team (ICT) to meet the needs of the individual and the population and identifies problems or opportunities that would benefit from care coordination. The Case Manager is responsible for assessment and care management of long-term care clients of any age enrolled on waiver programs.
Essential Functions:
Engage the member and complete a health and psychosocial assessment, taking into account the cultural and linguistic needs of each member Make Level of Care determinations to determine member program eligibility as part of initial, annual and event-based assessments Assess for service needs, authorize services and arrange for service delivery Adhere to the reporting requirements for incidents and prevention from harm planning Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, member's home, telephonic or electronic communication Develop an Person Centered Service Plan (PCSP) in collaboration with the ICT, based on member's needs and preferences Identify and manage barriers to achievement of care plan goals Identify and implement effective interventions based on clinical standards and best practices Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes Educate the member/caregivers about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made Employ ongoing assessment and documentation to evaluate the member's response to and progress on the PCSPEvaluate member satisfaction through open communication and monitoring of concerns or issues Collaborate with facility based case managers and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner Coordinate with community-based case managers and other service providers to ensure coordination and avoid duplication of services Provide clinical oversight and direction to unlicensed team members as appropriate Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process Regular travel to conduct member, provider and community-based visits as needed to ensure effective administration of the program Regularly verify Medicaid eligibility Participate in Team meetings On-call responsibilities as assigned Perform any other job duties as requested

Education and Experience:
Associates degree required or equivalent work experience Minimum of 1 year paid clinical experience in home and community-based services is requiredA minimum of three (3) years of experience in nursing (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is -preferred Three (3) years or more Medicaid and/or Medicare managed care experience is preferred

Competencies, Knowledge and Skills:
Intermediate proficiency level with Microsoft Office, including Outlook, Word and ExcelAbility to communicate effectively with a diverse group of individuals Ability to multi-task and work independently within a team environment Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices Adhere to code of ethics that aligns with professional practice Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice Strong advocate for members at all levels of care Strong understanding and respect of all cultures and demographic diversity Ability to interpret and implement current research findings Awareness of community & state support resources Critical listening and thinking skills Decision making and problem solving skills Strong organizational and time management skills Ability to maintain confidentiality Ability to use and transport a laptop computer and case, therefore must be able to lift/carry a minimum of 20 pounds.Must have a car available during working hours, as well as the ability to legally drive a car.

Licensure and Certification:
Current and unrestricted RN license in the State of Ohio required Case Management Certification is highly preferred Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated. Employment in this position is conditional pending successful clearance of a criminal background check. Results of the criminal background check may necessitate an offer of employment being withdrawn or, if employee has started in position, termination of employment.To help protect our employees, members, and the communities we serve from acquiring communicable diseases, full COVID-19 and Influenza vaccination is an essential requirement of this position.CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have forty-five (45) days from their hire date to complete the required vaccination.CareSource requires all employees to be fully vaccinated (two weeks removed from completion of a two-dose mRNA series or two weeks removed from a one dose vaccine) against the COVID-19 virus. Employees are required to disclose and provide proof of their vaccination status as a condition of continued employment. Candidates who accept an offer of employment must upload proof of vaccination prior to their start date.Failure to meet the vaccination requirement, including providing proof of vaccination prior to the start date, may result in rescission of an employment offer or termination of employment.CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be reviewed by the CareSource Health & Wellness team.

Working Conditions:
This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need May be required to travel greater than 50% of time to perform work duties.Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

Organization Level Competencies
Leveraging FeedbackCustomer OrientationValuing DifferencesManaging WorkEarning TrustQuality OrientationAdaptabilityInfluencingCollaborating

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.

Why Join Us?

$10,000 Sign on Bonus, Benefits you will love, Generous earned time package, Retirement plan with employer match, Tuition reimbursement and More!

Utilizing the nursing process, the Evening Home Care Registered Nurse will manage and deliver comprehensive home health services to hospice clients and clients with various medical/surgical diagnoses within their place of residence. Responsible for providing nursing care to patients and education to families in their homes; coordinates activities with other community and Agency staff and carries out special activities on assignment.

As a key member of the health care team, the Evening Home Care Registered Nurse will must interact courteously and effectively with patients and their families as well as with co-workers from all Agency departments, community resources, and with patients' physicians in order to facilitate safe and efficient patient care.

Essential Functions

Assess and implement physical and psychosocial needs of the patient following established Standards of Nursing Practice and Hospice/VNA procedures.

Communicates patient reports and status changes concisely and effectively.

Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes.

Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.

Manages assigned visits efficiently and effectively.

Involves Clinical Manager and Medical Director in situations appropriately.

Utilizes good customer service skills internally and externally.

Works with Clinical Manager to identify opportunities for improvement in performance and works to address them.

Proactive in increasing knowledge of hospice and home health care and standards of practice.

Participates in achieving Home Health Foundation's goals and objectives.

Position Type/Expected Hours of Work & Travel

This is a part-time position, and days and flexible hours of work are available Monday through Friday Evening various shifts available. This position will also be required to work rotating weekend shifts every other weekend. Days and hours of work are based on operational needs with some flexibility based on position.