Field RN Case Manager /Fri-Sun (8 am - 8 pm)

It’s inspiring to work with a company where people truly BELIEVE in what they’re
doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than
a job. It’s a mission. We’re committed to providing outstanding patient care and
a high level of customer service in our communities every day. Our employees
make all the difference in our success!

Role

The RN, Care Coordinator is responsible for assessing and identifying
patient/family needs, utilizing the nursing process, coordinating the Plan of
Care with the Interdisciplinary Group (IDG), and providing palliative and
supportive care to the patient/family unit.

Qualifications

* Current license as RN in the state where the employee will be working
* Minimum of one (1) year nursing experience; hospice or hospital experience
preferred
* Previous experience working with an EMR/EHR (Electronic Medical/Health
Record) system
* Ability to effectively communicate in English (verbal and written);
bi-lingual in Spanish preferred
* Mobile Driver - Valid driver’s license and automobile insurance per Company
policy
* Reliable transportation to meet patients’ needs
* Excellent critical decision making and problem-solving skills
* Excellent clinical and assessment skills
* Ability to use equipment with visual and auditory mechanisms
* Excellent time management skills with the ability to prioritize demands to
meet patient service standards and deadlines
* Ability to effectively handle stressful situations professionally and calmly
with exceptional customer service
* Strong patient service skills
* Information seeking / probing skills
* Accurate knowledge transfer
* Listening, understanding, and responding
* Able to navigate in a fast-paced environment utilizing interpersonal skills
during patient visits
* Ability to work in a cooperative team environment 
* Able to exhibit a sense of urgency in daily work activities
* Skilled in computer operations; proficiency in MS Office software
applications, on-line research and proven data entry and navigation skills
* Available to work shifts to accommodate extended hours of operation as
scheduled
* Ability to perform sedentary work with frequent interruptions
* Ability to manage the emotional stress of working with and caring for
terminally ill patients and their families
* Ability to perform the essential functions and physical requirements
(including, but not limited to: lifting patients and/or equipment, bending,
pushing/pulling, kneeling) of the job with or without reasonable
accommodations
* Active BLS for healthcare professionals from the American Heart Association
or Red Cross.

Some locations may require

* Completes clinical admissions for all Company services including, but not

limited to

* Explains services to potential patients/families and addresses questions
regarding patient fears, physical limitations, while putting the
patient/family at ease; presents services in an empathetic and
compassionate manner 
* Identifies admission objections, concerns or other entry barriers and
provides responses
* Educates patient/family on admission requirements and addresses immediate
needs
* Completes informed consents and initial assessment according to regulations
and Company policy
* Provides information to Physicians and initiates Plan of Care to address
patient’s immediate needs
* Initiates skilled nursing interventions to prevent complications, alleviate
symptoms and maximize physical and emotional comfort
* Obtains Physician orders
* Completes documentation per Company policy

* Acts as the Company representative at assigned facilities while facilitating
referrals to all service lines; works closely with referring hospitals,
physicians, facilities, patients, families, and the general public.
* Communicates frequently with Admissions to ensure timely follow-up.  When
assignment is complete, informs Admissions and prepares for next assignment.
* Provides all necessary clinical communication timely using SBAR.
* Discusses any potential needs with after-hours staff.
* Obtains consents for services and arranges safe discharge in an efficient
manner for referred and eligible patients while meeting productivity
expectations.
* Obtains medical record information for the referral.
* Develops strong relationships with case managers, physicians, etc. at
facilities.
* Works with Professional Relations Representatives (PRRs) to provide education
on all available services.
* Provides care for any GIP patients in a hospital including daily visits,
professional management, documentation and efficient discharge.

Competencies

* Satisfactorily complete competency requirements for this position.

Responsibilities of all employees

* Represent the Company professionally at all times through care delivered
and/or services provided to all clients.
* Comply with all state, federal and local government regulations, maintaining
a strong position against fraud and abuse.
* Comply with Company policies, procedures and standard practices.
* Observe the Company's health, safety and security practices.
* Maintain the confidentiality of patients, families, colleagues and other
sensitive situations within the Company.
* Use resources in a fiscally responsible manner.
* Promote the Company through participation in community and professional
organizations.
* Participate proactively in improving performance at the organizational,
departmental and individual levels.
* Improve own professional knowledge and skill level.
* Advance electronic media skills.
* Support Company research and educational activities.
* Share expertise with coworkers both formally and informally.
* Participate in Quality Assessment and Performance Improvement activities as
appropriate for the position.

Job Responsibilities

* Makes after-hours visits to patients in their home, assisted living facility,
nursing home, or hospital, anywhere within the assigned affiliate(s)
territory.  Provides compassionate customer service to patients and families.
* Assesses patient/family and identifies immediate needs and appropriate
nursing interventions by phone and/or during visit.
* Provides and manages direct care to patients and families as part of
Interdisciplinary Group (IDG), incorporating psychosocial, spiritual,
cultural, physical and biological components, and appropriate nursing
intervention and follow-up.
* Demonstrates clinical skills regarding case management, application of
company policy and procedure, physical assessment, intravenous therapies,
pain medication titration, symptom management, and patient/family
relationships.
* Prioritizes, consults, refers, and collaborates with other professionals to
promote quality and continuity of patient/family care.
* Educates patient, family, caregivers and other health professionals about
disease process and decline, palliative interventions, care giving, dying
process, and safety practices.
* Reports changes in the patient’s condition to appropriate members of the IDG
or other health professionals.
* Attends patient deaths; prepares body for transport; oversees disposal of
medications; and provides bereavement support.
* Completes documentation per policy and procedure.

* During times of emergencies (i. e. Hurricanes, etc.), the RN, Nights and
Weekends may be required to report to work at a location designated by the
company, to ensure continuity of services. This may include reporting to work
ahead of your scheduled date/time due to planned lock down of unit, and
staying overnight(s) based on duration of emergency.

* Perform other duties as assigned.

Compensation Pay Range

$65,996.22 - $98,994.33

This position requires consent to drug and/or alcohol testing after a
conditional offer of employment is made, as well as on-going compliance with the
Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates
are submitted through the Florida Care Provider Background Screening
Clearinghouse to verify eligibility after a conditional offer of employment is
made as well as ongoing eligibility. For more information, please visit
https://info.flclearinghouse.com/ [https://info.flclearinghouse.com/].