• Eastern Connecticut Health Network
  • $65,600.00 -103,520.00/year*
  • Watertown, CT
  • Healthcare - Nursing
  • Full-Time
  • 239 Northfield Rd

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    Manages the plan of care and services of assigned patients
    Coordinates all disciplines involved in the assigned patients plan of care
    Partners with others to effect change and produce positive patient outcomes
    Provides direct care and health counseling and teaching to agency patients
    Participates in the Agency's Community Wellness Program
    Performs on-call and extended hours activities to meet the needs of the agency as assigned
    Performs all duties in compliance with applicable federal and state regulations and Agency policies and procedures
    Provides exemplary customer service to all customer contacts
    Performs all other duties that management may determine necessary
    Reports to the Clinical Manager

    Minimum Education and Experience
    The Nurse Case Manager will have one of the following: (1) B.S. in Nursing; (2) Associates Degree in nursing; (3) RN diploma from an approved school of nursing.
    The Nurse Case Manager must be a registered nurse with an active license to practice nursing in the State of Connecticut who has at least one (1) years' nursing experience in an acute/sub-acute or home care setting.

    Other Qualifications:
    Proof of completion of an Infusion Therapy Education Program preferred
    Current certification in Cardiopulmonary Resuscitation from American Heart Association or American Red Cross
    Must possess a valid driver's license and personal vehicle.
    Physical, mental and sensory abilities sufficient to meet performance criteria with or without assistive devices.

    1. The Nurse Case Manager will possess the following skills and attributes to be responsible for providing direct care, health counseling and teaching to agency patients.
    Utilizes sound clinical judgment and age appropriate techniques in the assessment of patients' physical and psychosocial needs for home care.
    Develops and collaborates in the implementation of the home health care plan under the direction of a physician or dentist and documents the plan of care and any revisions for each patient. Documents assessments and care provided, thoroughly and accurately. Completes and submits required documentation in accordance with agency policy.
    Delegates care activities appropriately to licensed practical nurses and home health aides. Orients and supervises licensed practical nurses and home health aides in the plan of care in accordance with agency policy and federal and state regulations.
    Implements the physician ordered plan of care using available resources. Obtains physician or dentist orders for all changes in treatment and medical supplies. Obtains insurance authorization as needed for reimbursement.

    2. The Nurse Case Manager partners with others to effect change and produce positive patient outcomes
    Orients and supervises professional and paraprofessional personnel providing patient services.
    Communicates information regarding each patient's health status and plan of care among all relevant care providers, including the home health aide and the physician or dentist. Information may include but not be limited to: Patient condition, response to interventionsand teaching, changes in plan of care and discharge planning.
    Reports abnormal findings or additional needs to the physician or dentist in charge of patient's care.
    Makes referrals to other disciplines when indicated and ordered.
    Provides supportive and restorative nursing care and patient counseling and teaching in accordance with agency policy and procedure and accepted standards of practice.
    Adheres to infection control and exposure prevention practices as outlined by agency policies and procedures.

    3. The Nurse Case Manager manages the plan of care and services of assigned patients
    Ensures that there is coordinated and effective sharing of information amongst and between all disciplines, with contracted service providers and other patient care providers as identified.
    Continually evaluates the patient's plan of care for skilled and home health aide services and makes revisions as necessary.
    Collaborates with the interprofessional team and community resources and maintains communication related to the patient's response to the plan of care.
    Regularly evaluates patient progress toward goals and facilitates discharge planning collaboratively with the patient, family and the physician or dentist.
    Documents case conferences with other disciplines/clinical team members, clinical manager, physician or dentist, etc. in accordance with agency policies.

    4. The Nurse Case Manager provides exemplary customer service to all customer contacts.
    Treats patients, family members, and caregivers respectfully and courteously.
    Treats colleagues with respect, trust and dignity.
    Precepts colleagues, including those new to home health practices, and participates in the orientation process when assigned.
    Participates in the education of nursing students and serves as role model.
    Promotes and educates the public regarding agency services and agency specialty programs.
    Participates in the Agency's Community Wellness Program that may include but are not limited to blood pressure, diabetic screenings, health counseling, education and administration of vaccines to community dwelling adults

    5. The Nurse Case Manager contributes to the agency's Quality Improvement (QI) Program.
    Participates in the agency 's QI committee activities to enhance home health policies, standards and practices
    Identifies areas for improvement within agency processes as well as personal/professional learning needs.
    Regularly attends staff meetings, inservices or outside seminars to enhance practice and knowledge.
    Meets mandatory inservice and competency requirements as determined by the agency.

    6. Accountability/Responsibility
    Can be relied upon to meet requirements of job description, with a minimum of supervision
    Communicates schedule changes and need for assistance to manager or appropriate person
    Is prompt and attends meetings and programs as expected

    7. Organization/Productivity
    Demonstrates an ability to perform job responsibilities in an organized, efficient manner
    Prioritizes needs and meets productivity standards for the department

    8. Adaptability
    Demonstrates an ability to understand and carry out instructions
    Adapts to changing conditions during the work day and in the industry
    Remains focused and responds appropriately when under pressure

    9. Documentation
    Ability to complete and submit job related/required reports in an accurate, clear, concise and timely manner, assuring that content meets any federal, state, local and agency requirements

    10. Professional Integrity

    Demonstrates integrity and sound decision making in all issues related to job
    Adheres to standard of confidentiality, discussing patient and agency information only with appropriate personnel in the proper setting
    Promotes a positive image of the agency at all times

    11. Attendance
    Demonstrates faithfulness in coming to work in accordance with assigned work schedule
    Adheres to the Agency's Attendance Policy

    12. Teamwork/Commitment
    Functions with an understanding of individual performance and its impact on co-workers
    Works cooperatively and assists department and agency co-workers as needed
    Volunteers for projects/committees to achieve department and/or agency goals

    13. Interpersonal Skills/Communication
    Demonstrates an ability to effectively express self, orally and written
    Shows respect and courtesy in interactions
    Seeks clarification from appropriate source if communication is not clearly understood
    Displays a positive attitude and is resolution oriented

    14. Ambition/Motivation
    Demonstrates ability to take initiative and to follow through on responsibilities and projects
    Presents ideas effectively and encourages participation by others
    Delegates responsibility appropriately and offers support and guidance as necessary

    15. Creativity
    Demonstrates innovative ideas and suggests positive approaches to problem solving
    Recommends plan for implementation

    16. Personal Appearance
    Adheres to Human Resources Dress and Footwear Policy

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Associated topics: case manager, case management, development, liaison, manage, office manager, plan, project, program development, project management

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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