RN - Hospital at Home - Complete Care
Company: Presbyterian Healthcare Services
Location: Albuquerque
Posted on: April 15, 2025
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 - -Type of Opportunity: Per Required Need FTE:
.001Work Schedule: 12 Hour Days -How you grow, learn and thrive
matters here.Educational and career development options, including
tuition and certification reimbursement, scholarship
opportunitiesStaff Safety (a wearable badge that allows nurses to
quickly and discreetly call for help when safety is a concern)Shift
differentials for nights and weekendsDifferentials for higher
education, certifications and various lead rolesMalpractice
liability insuranceLoan forgiveness through the -EPIC electronic
charting system Interested in learning more?: Text 505.388.0350 or
schedule directly with me by clicking ! - Qualifications: Associate
Degree in NursingState of New Mexico or Compact State Nursing
LicenseBLS certification REQUIRED at time of hireACLSPALSMinimum
one year acute care experience within the last 3 years required and
hospice or home care experience preferred Responsibilities:
Demonstrates nursing care management
of patients as evidence by 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 needd. 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.
- -About Presbyterian Healthcare ServicesPresbyterian 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.#RN123 Maximum
Offer for this position is up to: USD $51.00 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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