FULL JOB DESCRIPTION
Place of Employment: Remote
Accountable to company's Director and Administrator
We are a home care agency that is in need of a Supervising RN to perform clinical care management (such as case management, disease management, and/or care coordination) to best meet the client's specific healthcare needs and to promote quality care. Oversees a collaborative process with other team members and those involved in the client’s care to assess, plan, implement, coordinate, monitor and evaluate care as needed.
$55-$75 Per Assignment - Weekly pay
ESSENTIAL JOB FUNCTIONS:
- Collaborates with members of the health care team and patient to ensure the delivery of quality, efficient, patient centered, and cost-effective health care services.
- Assists patients who are at risk for developing chronic conditions to minimize these risks by providing self-management support and patient education; empowers patients to manage their health.
- Provides targeted interventions to avoid hospitalization and emergency room visits; in specialty population the care manager ensures proper triaging of the patient and appropriate delivery of care in accordance with established protocols.
- Assesses, plans, implements, monitors and evaluates delivery of individualized patient care with the goal of optimizing the patient’s health status.
- Serves as an active member of the office-based care team and works closely to support identification and referrals of eligible patients for care management support.
- Participates in the outreach and engagement of patients that are hospitalized to assist with the transition of care and provide support and education to avoid further readmissions.
- Coordinates the care and services of selected member populations across the continuum of care, promotes effective utilization and monitoring of health care resources and assumes a collaborative role with all members of the healthcare team to achieve optimal clinical and resources outcomes.
- Maintains the ability to utilize guidelines and standards of care for management of chronic diseases.
- Identifies common populations/high volume complex populations within the practice and prioritizes and directs interventions. Clinical work entails:
- Coordinates and provides patient education for common patient populations within the office.
- Designs individual plan of care for patients based on field RN assessments.
- Fosters a team approach by collaborating/referring patients to supporting members of the care team and ensures coordination of services.
- Assures clinical compliance with follow through utilizing reminders, follow-up calls, patient, and office education.
- Refers selected patients to determined community resources and coordinate with these resources.
- Provides patient-specific feedback to providers and clinical team.
- Provides face-to-face and telephone interactions with patient population, if needed but not required.
- Utilizes relevant computer information support including the EMR and any other care management and/or clinical IS systems needed to complete the tasks of clinical care and performance reporting.
- Works with patients and providers to customize services that will best meet the needs of the patient and work within their benefits.
- Researches and facilitates services for patients outside of their benefits while utilizing community services and resources.
- Assists in orientation process by having new CNA's shadow.
- Provides feedback on the CNA orientation process.
- Evaluates and manages daily workflow and adjusts as needed to increase efficiency.
- Attends required meetings and training; participates in committees as requested.
- Assists with special projects and performs other duties as assigned and works within the scope of RN licensure.
- In collaboration with the Adorn Health Care Team and/or primary care physician the Supervising RN works to implement a plan of coordinated care that supports the individual’s goals, strengths and preferences.
ORGANIZATIONAL EXPECTATIONS:
- Creates a positive, professional, service-oriented work environment for staff, patients and family members by supporting the mission and values of Adorn Health Care.
- Must be able to work effectively as a member of the Clinical team.
- Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
- Successfully completes all relevant organizational training and adheres to Adorn Health Care standard of care as outlined in the Adorn Health Care Code of Conduct.
- Maintains knowledge of and complies with Adorn Health Care standards, policies and procedures.
- Maintains general knowledge of Adorn Health Care office services and in the use of all relevant office equipment, computer and manual systems.
- Maintains strict confidentiality in compliance with Adorn Health Care and HIPAA guidelines.
- Serves as a role model by demonstrating exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and respects cultural differences.
- Uses resources efficiently.
- If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities.
CREDENTIALS/LICENSURE: Valid, unrestricted RN license in the State of Texas; valid CPR certification. Possess a valid state driver’s license and automobile liability insurance
MINIMUM EXPERIENCE: 2-5 years of experience with primary care/ambulatory care, home health agency, Behavioral Health, skilled nursing facility, or hospital medical-surgical, within the past five years. Care management experience preferred. Experience as participant in continuous quality improvement preferred.
POSITION REQUIREMENTS (ABILITIES & SKILLS):
- Knowledge of patient care procedures and organizational policies related to position responsibilities.
- Knowledge of chronic conditions, evidence-based guidelines, prevention, wellness, health risk assessment, and patient education
- Excellent assessment and triage skills
- Understands chronic disease management strategies and can implement appropriate protocols and guidelines.
- Proficient/knowledgeable in medical terminology.
- Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, electronic medical records and other care management and/or clinical IS systems, email, e-learning, intranet, Microsoft Word and Excel, and computer navigation needed to complete the tasks of clinical care and performance reporting. Ability to use other software as required while performing the essential functions of the job.
- Excellent communication skills in both written and verbal forms, including proper phone etiquette. Ability to speak before groups of people.
- Ability to work autonomously and collaboratively in a team-oriented environment; courteous and friendly demeanor.
- Ability to work effectively with various levels of organizational members and diverse populations including Adorn Health Care staff, providers, provider leadership, patients, family members, insurance carriers, vendors, external customers and community groups.
- Good organizational and time management skills to effectively juggle multiple priorities and time constraints.
- Ability to exercise sound judgement and problem-solving skills. Demonstrated skills with influencing and negotiating individual and group decision-making.
- Ability to handle patient and organizational information in a confidential manner.
- Knowledge of the compliance and quality aspects of clinical care and patient privacy and best practices in medical office operations.
- Ability to assist with meetings and training, if needed.
MINIMUM PHYSICAL EXPECTATIONS:
- Physical activity that often requires keyboarding, phone work and charting.
- Physical activity that often requires extensive time working on a computer.
- Physical activity that often requires handling and lifting patients walking, standing, bending, stooping, reaching, climbing, kneeling and/or twisting.
- Physical activity that often requires lifting, pushing and/or pulling up to 20 pounds.
- Specific vision abilities required include close vision, depth perception, peripheral vision and the ability to adjust and focus.
- Manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment.
- Must hear and speak well enough to conduct business over the telephone, face to face, and virtual for long periods of time in English.
MINIMUM EQUIPMENT REQUIREMNTS:
Computer and/or laptop that has a web cam and monitor.
Schedule: Based on the availability we have for an assignment. We will work with your schedule.
This position is subject to a criminal history check. Only relevant convictions will be considered and, even when considered, may not automatically disqualify the candidate.
EEO Policy Statement
Adorn Health Care is an equal opportunity employer. Adorn does not discriminate against any employee or applicant for employment, on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or expression, marital status, genetic information, or any other category protected by applicable laws, Adorn is committed to creating a diverse and welcoming workplace where employees are valued and respected for their unique backgrounds and abilities.