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Home Care Field Nurse Shift Nursing - Now Hiring RN's and LPN's

ChenMed

Gloucester City, NJ
21 hours ago

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Job Description

ChenMed is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Gloucester City, New Jersey. Specialty: Case Management Discipline: RN We're different than most primary care providers. This is a full time role requiring Monday through Friday hours from 8am-5pm (no nights/weekends). You will be on-site at an assigned hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager, Complex Care (RN) is responsible for achieving positive patient outcomes, managing quality of care across the continuum of care with efficient allocation of resources. This role will first and foremost serve as an advocate for our patients and families as they navigate through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care Team and will use all available resources and leverage other members of the healthcare care team to develop effective plans of care and with focus on delivering high levels of longitudinal care coordination. The Acute Care Nurse role also involves establishing relationships with patients' families and care givers, primary care physicians, hospitalists, specialists, social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. The success of this role is determined by management of patients in hospital to ensure patients receive safe and timely discharge to the lowest level of care. This position will focus on health promotion for a senior population providing onsite hospital visits communicating and coordinating care with hospitalist/hospital staff and patient providing appropriate level of care recommendation (inpatient vs observation), using our internal charting system to report daily inpatient updates and working with hospital team on an expeditious discharge, planning to next level of care. The Acute Care Nurse anticipates the need for post-acute and/or long-term care, from day one (1) of hospital stay, providing support to all parties involved. Acute Care Nurse follows the patient throughout the continuum of care when patient discharges to a Skilled Nursing Facility (SNF) or Long-Term Care (LTC) to provide weekly updates on discharge and ensure that upon discharge patients is connect back to the care of the primary care provider. The Acute Care Nurse will provide warm hand off to the Community Care Nurse when patient is discharged to home and/or from post-acute care facilities. The Acute Care Nurse adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance and policies and procedures. Detects areas of opportunities regarding proper allocation of healthcare resources in an acute and post-acute setting. Recognizes and manages safety risks (completes a social assessment), identifies functional status (ADLs and PT needs), discusses medications and self-management, identifies and corrects knowledge deficits. Supports, collaborates and partners with the Complex Care and Clinical Strategy Teams on the day-to-day execution of our acute care standard operating procedures. Conducts hospital bedside discussion explaining our Care Management/Disease Management program with verbal introduction to their Community Care Manager for home visit once discharge to home from either inpatient or skilled nursing facility (SNF). Identifies from day one (1) of hospital stay any barriers for a safe discharge back to the community. Seeks assistance from ChenMed's specialists when needed to support the care of our patients in healthcare facilities. In markets as appropriate, when patient is in SNF, in conjunction with the post-acute physician, coordinates the transition to a lower level of care as soon as appropriate using a preferred provider if further services are needed. Facilitates discharge to appropriate level of care and preferred providers. Communicates discharge to all stakeholders including patient, patient's family or designee, PCP, center leadership and Community Care Nurse. Documents the appropriate date that the patient is medically discharged and updates as appropriate. Performs Social Determinates of Health (SDoH) screening with each patient on every admission and communicates to our Community Social Workers or PCPs when a need is identified. Coordinates acute UR physician meetings. Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community Understanding utilization review and how to leverage with inpatient staff for possible reduction of medical cost on long length of stay patients Ability to plan, implement and evaluate individual patient care plans Knowledge of nursing and case management theory and practice Knowledge of patient care charts and patient histories Knowledge of clinical and social services documentation procedures and standards Knowledge of community health services and social services support agencies and networks Proficient in Microsoft Office Suite products including Excel, Word, PowerPoint, and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time Spoken and written fluency in English, bilingual preferred Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in a related clinical field preferred A valid, active Registered Nurse (RN) license in State of employment required A minimum of two (2) years' clinical work experience required A minimum of one (1) year of utilization review and/or case management, home health, hospital discharge planning experience required A minimum of one (1) year of case management experience in acute case management or community case management experience highly desired Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. RN Case Management Home Health At ChenMed, we're shaping the future of value-based care. Our patient-centered, preventive care approach is aimed at improving health outcomes for seniors. We serve our communities in over 100 medical centers across 12 states and prioritize our team members with competitive compensation and benefits and with our purpose-driven culture. Working at ChenMed is more than just your next opportunity, you will feel rewarded from day one as your contribution will truly make an impact in both the health and lives of seniors . Employee assistance programs ~ Medical benefits ~ Holiday Pay ~ Dental benefits ~ Life insurance ~ 401k retirement plan ~ Mileage reimbursement ~ Healthcare - Nursing] Registered Nurse (RN/BSN/ASN)