RN - Hospital at Home - Complete Care
Company: Presbyterian Healthcare Services
Location: Albuquerque
Posted on: March 25, 2025
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Job Description:
Overview: Join Complete Care Home Health Team! Presbyterian
Complete Care Home Health team is seeking an experience Registered
Nurse. In this role you are responsible for case management of Home
Healthcare patients. Ensures that care delivery is within quality
and utilization guidelines and is directed toward the achievement
of desired clinical outcomes for the disease state. Responsible for
development, coordination and scheduling delivery of care through a
multidisciplinary team to the patient in the home or community
setting.
The Case Manager assures completeness, timeliness and
appropriateness of the patient care plan, its implementation and
ongoing evaluation. Assures communication with the
multidisciplinary team, support services and community resources to
ensure that care goals are achieved in the most efficient and cost
effective manner possible. Ensures that documentation is timely,
accurate, complete and reimbursable. Is a patient advocate.
Precepts newly hired nurses. PRN staff will not be responsible for
managing a caseload; but all staff are required to manage the case
load, follow up and communication for their daily assignments
Click here to read the full article about our HaH team!
Type of Opportunity: Full Time FTE: 1.0
Work Schedule: 12 Hour Days
Sign on and relocation bonuses available for qualified
candidates.
Interested in learning more?: Text or schedule directly with me by
clicking here !
Qualifications:
a. Assessments that are complete, timely, and appropriate of
physical, mental, psychological/social (behavioral), functional,
financial, treatment, resource and spiritual needs of patients.
b. Analysis that defines problems that are capable of correction
through home healthcare and hospice interventions and are
prioritized in development of care plan.
c. Intervenes consistently with orders and changes interventions
with orders to meet changes in patient need
d. Evaluates each visit the effectiveness of interventions and the
patients response to intervention.
Provide direct patient care by assessing patient for care needs,
resources to meet needs and developing a home care or hospice plan
of care in conjunction with physician. Assures completion of
required OASIS assessments according to regulations for home care
and QAPI measures for hospice .
Coordinates implementation of the plan of care through a
multidisciplinary home care or hospice team, community resources
and the physician
Ensures plan of care is followed and that documentation complies
with regulation.
Maintains a department productivity standard for visits and
caseload management.
Demonstrates professional accountability for self-scheduling
patient case load with appropriate frequency and duration, and
concurrently updates schedule throughout the day as needed so that
ongoing patient needs can be met.
Assure patients on case load are notified timely of their visits
and of any unplanned schedule changes accommodating, when possible,
patent preferences for time of day.
Precepts newly hired nurses, and students and serves as a resource
person and professional role model as needed.
Maintain communication with the multidisciplinary team s and
assures that orders for necessary care plan changes are obtained
and assures that changes are communicated timely to the team.
Initiates documentation in the home and completely records all care
delivery so that receiving staff have record of care delivered by
the end of each day which includes admissions.
Demonstrates proficiency and competency in interventions
(treatments) required through day to day practice and annual
competency testing.
Delegate or assign aspects of patient care to health care team
members commensurate with their validated competency to perform the
task.
Be professionally responsible for current nursing research, current
nursing standards, home care or hospice philosophy in order to
maintain quality.
Be responsible for clinical supervision of licensed and
non-licensed assistive personnel.
Participates in agency continuous quality improvement activities as
required.
Assume other leadership roles as required by the department.
Responsible for weekend and holiday coverage and evening call for
agency and patient home visits as required on a rotating basis.
Assure clinical outcomes are met and sustained .
Performs other functions as required.
Benefits: We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique
wellness program, including free on-site and community-based gyms,
nutrition coaching and classes, mindfulness and meditation
resources, wellness challenges and more.
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and
the communities we serve. We are a locally owned, not-for-profit
healthcare system comprised of nine hospitals, a statewide health
plan and a growing multi-specialty medical group. Founded in New
Mexico in 1908, we are the state's largest private employer with
nearly 13,000 employees - including more than 1,200 providers and
nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and
offers Medicare Advantage, Medicaid (Centennial Care) and
Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer
with smoke free campuses.
Maximum Offer for this position is up to: USD $51.00/Hr.
Compensation Disclaimer: The compensation range for this role takes
into account a wide range of factors, including but not limited to
experience and training, internal equity, and other business and
organizational needs.
Keywords: Presbyterian Healthcare Services, Albuquerque , RN - Hospital at Home - Complete Care, Healthcare , Albuquerque, New Mexico
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