We are searching for a Home Health RN Case Manager to join our team.
You will coordinate, implement, and evaluate home care services for our patients. If you are passionate about building from the resources of the organization and community to provide services to meet the healthcare needs of individuals and families within their homes, Partners in Care is the place for you.
Role Summary:
The Home Health RN completes an initial comprehensive (includes OASIS) and accurate assessment of patient and family to determine home health needs. Provides a complete physical assessment and history of previous illness (es) and uses the health assessment data to determine appropriate diagnosis and need for other disciplines and resources. Develops an individualized care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process. Makes necessary revisions to the care plan as patient status and needs change. Completes and updates the ongoing assessments, and care plan as patient's status changes. Provides health care instructions and education to the patient and or family as appropriate per assessment plan and patients' caregivers' ability to learn. Adapts teaching styles to meet patient's needs and family's needs.