RN - PACE-Naples

RN, Case Manager

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!

Benefits day 1

Mileage reimbursement

Schedule-Monday-Friday - Days Sign on bonus-10k-2 year commitment

The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible.

• 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

• Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs

• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system

• Mobile Driver - Valid driver's license and automobile insurance per Company policy

• Reliable transportation to meet visit schedule

• Ability to use equipment with visual and auditory mechanisms

• Ability to effectively communicate in English (verbal and written)

• Ability to visit Participant in their homes to assessments

• 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 accommodation

• Active BLS for healthcare professionals from the American Heart Association or Red Cross.

Some locations may require:

• Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested.
• Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations.
• Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT).
• Completes initial and semi-annual assessment for all Company services including, but not limited to:
• Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
• Provides information to Physicians and other IDT members and initiates Plan of Care to address patient's immediate needs
• Initiates skilled nursing interventions to enhance prevention, 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 other members of the IDT.
• Provides all necessary clinical communication timely using SBAR.
• Discusses any potential needs with after-hours staff.
• Develops strong relationships with case managers, physicians, etc. at facilities.

• Satisfactorily complete competency requirements for this position.

• 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…