- Responsible for Case Managing home based ESP participants through communication with providers, center nursing staff, specialists, Clinical Nurse Manager, Clinical Director and all other ESP staff members involved in participant care.
- Completes nursing assessment and collaborates in the development of a comprehensive plan of care, as required by the Patient Care Team.
- Triages patients' regarding illness and medical therapy and advises the patient/caregiver of the most appropriate action in consultation with a provider whenever necessary.
- Interacts with Clients and family members in a manner that adheres to the highest standards of care and professionalism.
- Builds trust and fosters smooth relationships with participant's and their families.
- Establishes and maintains, via provider order, an ongoing case management system that includes but is not limited to contacting patients with abnormal lab results or who miss appointments in accordance with ESP policies.
- Provides health teaching using appropriate information on health maintenance and disease management during each patient encounter according to ESP policies.
- Participates in after-hours call rotation, minimally 14 days per year, including any holidays/observed holidays which fall within the assigned after-hours call period: adheres to Nursing on Call Policies and Procedures regarding availability, response time, documentation and communication.
- Must be able to travel to and from participants homes and the work site in a timely manner.
- Two (2) or more years of experience in a home care, or professional healthcare environment.
- Computer literacy (Microsoft Office applications with a focus on Word, Excel and Outlook).
- Experience with medical computer scheduling preferred.
- Community health or ambulatory care experience preferred.
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Ambulatory Staff Nurse - Brockton, MA, United States - Harbor Health Services
Description
Sign On Bonus*The Elder Service Plan, a division of Harbor Health, is a Program for All Inclusive Care for the Elderly (PACE) which provides a personalized healthcare program guided by a care plan developed and customized for our participants needs.
To help further our mission, we are seeking a talented Home Care Nurse to join our team at the Elder Service Plan in Brockton, MA.
We offer an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off (20 days to start) plus 11 additional Holidays and much more
The Home Care Nurse provides all nursing functions according to Massachusetts Law and HHSI policy and procedure and is responsible for the medical case management of home-based Elder Service Plan participants, providing home health services to geriatric participants of the Elder Service Plan (ESP) while building a trusting relationship with our participants.
Service area includes Brockton and surrounding areas including but not limited to Bridgewater, Raynham, Easton, Norton, Taunton, Halifax and Pembroke (travel/mileage reimbursement provided).
Performs routine clinical nursing duties, including history taking, vital signs, administration of medications, dressing changes and other nursing procedures under the verbal or written order of a provider as prescribed by law, written clinical policies and within the limits of his/her own license and training.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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