About This Role
This Registered Nurse role serves a case management function, overseeing and managing post-acute services for an assigned group of patients in their homes. It involves providing direct patient care, supervising other nursing staff, and coordinating care with a multidisciplinary team to ensure high-quality outcomes and patient satisfaction.
Responsibilities
- Manage an assigned patient caseload daily, ensuring timely care and documentation as prescribed in the plan of care and per physician orders
- Collect pertinent data from patient assessments in the home setting, telephonic contacts, and available EMR information
- Analyze data to determine issues and available resources for effective resolution
- Identify patients at high risk for re-hospitalization, falls, or high resource utilization who require additional intervention and case conferencing
- Prioritize multi-issue situations appropriate to the criticality of patient health and welfare, patient/staff safety, and impact to effective, timely services
- Identify barriers to situation/complaint resolution (e.g., language, literacy, psychological) and follow up with appropriate resources or leadership
- Develop and oversee a plan of care that is effectively communicated and supports quality patient outcomes and satisfaction
- Implement the identified plan and direct care coordination of a multidisciplinary clinical team approach
- Supervise LPNs and/or HHAs involved in the care of the assigned patient caseload to promote health and safe outcomes
- Perform ordered treatments, therapies, and/or procedures in accordance with State Nurse Practice Act, Home Health Conditions of Participation, JCAHO, and agency policy and procedures
- Evaluate progress towards attainment of patient-centered goals
Requirements
- Graduate from an accredited School of Nursing
- Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works
- BLS required per policy guidelines
- Work requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling
- Ability to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies
- Must speak English in good, understandable terms
- Intact sense of sight, hearing, smell, touch
- Finger dexterity
- Critical thinking and ability to concentrate
- Ability to respond quickly to changes in patient conditions
- Physical Abilities Testing required
Nice to have:
Benefits
- Patient autonomy
- Home care home base technology
- Employment with a great employer/perks
About the Company
Atrium Health provides world-class healthcare to patients in North and South Carolina in the comfort of their own homes. The team of experts at Atrium Health At Home offers compassionate care and advanced services outside the scope of a medical facility, working with patients' physicians to develop personalized care plans for individuals of all ages. Backed by extensive experience, greater access, and more services than any other home care provider in the region, Atrium Health At Home is trusted to meet patient needs.
