Home Health RN Care Manager FT-Days (Polk County)

Description Home Health RN Care Manager FT-Days (Polk County) -AdventHealth Top Reasons to Work at AdventHealth Faith Based & Mission driven Facility Largest Employer in the County Surrounded by beautiful Lakes, Golf Courses and Florida’s oldest State Park Close knit community with a hometown family feel 2 hours to just about any beach on either Coast Local arts scene from museums and theaters to festivals and galleries Local restaurants with the authentic taste of Florida Near 100 clear, freshwater lakes.

Ideal for swimming, boating and fishing Beautiful agriculture and farmland Nature and hiking trails Work Hours/Shift: Full Time – Days You Will Be Responsible For: Assesses physical, functional, psychosocial, social, spiritual, educational, developmental, cultural, cognitive status and discharge planning needs of the home care patient utilizing interview observations and physical exam techniques.

Utilizing assessment data, formulates a patient specific plan of care along with the patient, family and physician which is feasible within the physical, financial and emotional resources of the family.

Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team.

Provides care based on physician’s orders, in compliance with policies and procedures, standards of care, and regulatory requirements.

Uses motivational interviewing/health coaching techniques to engage key stakeholders in the management of care.

Informs the physician, clinical manager, and other appropriate members of the health care team of changes in the patient’s condition and needs.

Facilitates and coordinates interdisciplinary care conferences with groups of complex patients.

Always maintains an updated clinical record on each patient, meeting required deadlines for documentation of certification, re-certification, aide supervision reports, aide care plan updates, routine recording of case coordination, care plan updates, addressing progress toward goals, and verbal orders.

Provides care based on the best evidence available and may participate in research activities within clinical practice.

Interacts and participates in the education, role development, and orientation of agency personnel promoting and supporting growth of other through precepting and mentoring as needed.

Qualifications What You Will Need: Current Registered Nursing License in State of Practice Minimum of 1 year of relevant clinical RN experience Valid Driver’s License and current car insurance BLS CPR certified Job Summary: The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs the home care patient’s care based on individual patient needs.

The RN Care Manager is responsible for independent management of the Home Health patient population requiring the use of advanced assessment, teaching and decision-making skills.

The nurse is responsible for ensuring that appropriate referrals to other services are made, interdisciplinary conferencing takes place regularly, and appropriate documentation is completed.

Relevant knowledge and experience is consistently applied to new patient populations.

The Care Manager cares for a caseload of home health patients by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician.

S/he educates patients, families, caregivers and community providers to safely perform care.

S/he provides follow up by evaluating effectiveness of the home care plan, and monitoring patient/family’s response to the plan to achieve patient/family goals and top decile outcomes.

The Care Manager also identifies performance improvement and home health standard of care initiatives and assists to design or implement programs to address needed changes.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.