Registered Nurse Care Manager

Position Description: Renders professional nursing service to home care clients as assigned. Services include: nursing assessment, direct care, teaching, counseling and case finding. The Registered Nurse is responsible for identifying and coordinating needed services as dictated by the medical treatment plan, nursing assessment and the client environment. The Registered Nurse reports to the Director of Patient Services.

Qualifications: Graduate of an NLN or New York State Education Department approved nursing program.

Licensed and currently registered to practice professional nursing with the New York State Education Department.

At least one year of direct care experience within the past 3 years. Demonstrated experience in home care nursing.

Demonstrated ability to assess and plan for the needs of patients and families. Knowledge of medications, treatments and therapies.

Ability to communicate effectively orally and in writing.

Demonstrates good listening skills, and ability to work in a team concept.

Possesses a car, driver's license in good standing, current insurance and can arrange other means of transportation when personal car is not available.

Physical Requirements:

Physical agility with repetitive occurrence including but not limited to: Walking, running, bending, stooping, and climbing stairs, kneeling, crouching, reaching, sitting and twisting.

Lifting greater than 50 lbs repeatedly throughout the work day.

Ability to write, perform data entry and look at a computer up to two hours daily.

Vision acuity correctable to normal with normal color perception.

Hearing acuity correctable to normal.

Acute sense of smell for normal perception.

Ability to verbalize so that the average person can comprehend.

Cognitive Requirements:

Ability to provide direct care according to the established plan of care and delegate to others.

Ability to carry out a variety of treatments, procedures and examinations.

Responsibilities:

Functions as a role model by maintaining effective relationships with all team members.

Provides optimum patient care in an efficient and cost effective manner.

Participates in the orientation of new employees.

Regularly assesses and prioritizes workload to ensure optimum productivity and quality of services.

Assures the safe delivery of therapeutic patient care in accordance with policies and professional nursing standards.

Performs comprehensive, accurate physical assessments of clients, and records such data on agency forms properly.

Records thorough and accurate health histories and initial nursing assessments.

Identifies client health problems accurately and comprehensively.

Communicates client’s conditions, responses and needs to medical practitioners and other professionals as needed to promote management of the client’s health needs.

Accepts medical orders by agency policy.

Plans and performs interventions to ensure that needs are met in an appropriate and timely manner.

Sets realistic health goals for clients in concert with client and significant others.

Formulates and revises nursing care plans to consistently reflect the needs of the client in managing health problems.

Implements the nursing care plan with appropriate explanation of care and teaching to clients, staff and significant others as needed.

Teaches and demonstrates, insofar as possible, health care techniques or procedures to client/family.

Provides skilled nursing care, prescribed treatments administers medications and other services in accordance with plan of care and consistent with the medical regime. Obtains specimens for ordered lab work.

Creates a positive environment conducive to team building and progressive nursing practice.

Participates in performance improvement activities in compliance with policy and professional standards.

Continuously assesses and evaluates the quality of services delivered in order to ensure the highest possible level of care and customer satisfaction.

Demonstrates assertive and creative problem solving ability by identifying problems affecting customer satisfaction, service quality and efficiency and makes recommendations for improvement.

Coordinates services with other disciplines, agencies, and services to meet client's needs in an efficient and cost effective manner.

Formulates paraprofessional care plans, if assigned. Orients and instructs the paraprofessional to the care plan, reporting requirements, and agency policy.

Supervises the paraprofessional if assigned. Performs evaluation, teaching, and records such activities as required by the agency, according to policy.

Updates and revises the nursing and paraprofessional care plan to reflect response to client change.

Informs the physician, the agency supervisor and other personnel of changes in client condition.

Documents assessments, visits, communications, conferences, care plans and discharge planning and summaries by agency standards.

Completes admission and discharge paperwork in a timely fashion.

Completes all required documents for work time, time off, etc. in timely manner.

Rotates time on duty as assigned.

Demonstrates professional commitment by participating in monthly professional staff meetings as assigned.

Consults, confers and/or reports to Director of Patient Services regarding client issues and documents as necessary.

Identifies and plans for own learning needs.

Participates in the professional development of others.