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Care Manager AIM RN
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AIM Palliative RN - Spring Valley, United States - Empatia
Description
Our Company:
Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care.
Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment.
We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees.
Here, you'll join gifted colleagues who make a lasting difference in people's lives every day.Overview:
Join us to make a difference when life matters most
We believe every day is an opportunity to make care more personal and life more comfortable.
That's why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.
TheAIM (Advanced Illness Management) Program - Palliative Care - Full Time RN
will report directly to the Director of Palliative Care.
You will work with patients, their families, and other health care professionals to provide and coordinate high-quality end of life care.
AIM Palliative RNs offer in-person and telephonic assessments to palliative care patients in collaboration with the interdisciplinary team.AIM Palliative RN's primary role provides in-person assessments in private homes, assisted living facilities, and skilled nursing facilities They provide education to patients and families and work to ensure patients are comfortable in their home environment.
As a Registered Nurse / RN, you will:
Conduct in-person/telephonic RN assessments/screenings and provides education to palliative care patients, family members or caregivers as appropriate.
Complete Risk Stratification Assessment to identify patient support needs per established protocols as appropriate in consultation with the NP
Observes patient visit frequency per patient individual need and risk identification
Provide reliable education and instructions to patients and families with consistently excellent customer service bringing calm, comfort and positively to patients and families
Consult with and educate patients/families regarding disease process, self-care techniques, end-of-life care, medications, nutrition, and dietary needs
Communicate any findings that identify appropriate preventive and rehabilitative skilled nursing, or therapy needs to the PCP or AIM Palliative NP
Educate patient and family on medication administration and treatments as prescribed by the nurse practitioner or physician in the plan of care
Coordinate care with palliative team members
Communicate change in condition, or signs and symptoms of decline to Palliative NP and/or PCP
Support hospice referral as appropriate
Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans
Support care plan development and implementation for palliative care from the initial assessment through discharge.
Assessment at a minimum should include:
disease-specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient's condition, caregiver and/or family's quality of life.
Collaborate on development and modifications to the palliative plan of care, individualized for each patient, in consultation with the patient, family and other members of the Palliative Care Team.
Facilitate in providing and/or obtaining care for patient when a need is identified in accordance with the Plan of Care.
Participates in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.Facilitate prescription transmission to pharmacy including controlled substances to the extent delegated and licensed, in accordance with state law. Receive laboratory results and other diagnostic tests, provide results to nurse practitioner in a timely manner. Place requests for ordered durable medical equipment as medically necessary.
Communicate clinical findings to the nurse practitioner and/or PCP as needed, but no less than bi-weekly. Re-assess effectiveness of care plan on a regular basis and modify as needed.
Maintain effective working relationships with supportive care team (e.g., Social Worker), as applicable, and involve team when patient's care plan warrants team participation to achieve desired outcome.
Establish and maintain effective working relationships with those contacted in the course of work.Communicate and document clinical findings, treatment plan and care provided in the patient's medical record in a manner consistent with acceptable standards in order to support sound nursing practice.
About You:
Registered Nurse / RN Requirements:
Education:
Registered Nurse
Experience:
2 years of prior skilled Registered Nurse experience
Demonstrated ability to provide quality patient care
Nursing experience in palliative care, oncology, hospice, or geriatric care preferred
Additional, preferred experience to help you be successful in a hospice role: hospital Staff RN, Med Surg, PACU, Float pool, ER or emergency room, critical care, acute care, cardiac, geriatric, admissions, wound care, telemetry or travel nursing
Licenses, Certifications and/or Registration:
Registered Nurse
Licenses, Certifications and/or Registration:
Current RN license to practice in the state
CPR Certification
Equipment/Tools/Work-Aids:
Fluent competence in computer programs Microsoft Outlook, Microsoft Word, and Microsoft Excel
Fluent in electronic medical record documentation
Specialized Knowledge and Skills:
Prior clinical experience
Strong compassionate phone skills
Strives for independence and sound critical decision-making regarding the delivery of patient care
Competent to perform afterhours in person visits
Familiar with the concepts and needs of patients/families who are facing advanced illnesses
Excellent written and verbal communication
Always maintains patient confidentiality
Good problem-solving skills
Good time management skills
We Offer:
As a Registered Nurse / RN, you will be eligible for:
Competitive Pay
Medical, Dental, Vision Plans
Wellness Program and Resources including:
A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs
Telemedicine Program
Type 2 Diabetes Management Program via Virta Health
A complete Joint and Spine Program with concierge services via Nimble Orthopedics
Generous Paid Time Off (plan increases with tenure) and 7 paid holidays
Pre-tax FSA and HSA plans (HSA w/company contributions)
401(k) with company matching contributions
Career growth opportunities available at both the branch and corporate levels
One on One Onboarding Program
Free Continuing Education Units
Tuition Program that includes:
Access to 280+ program at 25+ learning partners
Programs at every education level from ASN to BSN or BSN to MSN
Online classes with flexible start dates
Tuition reimbursement
Company paid life and long-term disability insurance
Voluntary long-term care, critical illness, accident insurance, and pet insurance
Local and national award programs
Referral bonus program
Mileage reimbursement or Fleet Program
Financial assistance program supporting teammates in times of need
Legalese:
This is a safety-sensitive position
Employee must meet minimum requirements to be eligible for benefits
Where applicable, employee must meet state specific requirements
We are proud to be an EEO employer
We maintain a drug-free workplace
Location:
Empatia
