RN CASE MANAGER

Why choose Integritus Healthcare – Hospice Care in the Berkshires :

• Competitive Compensation
• Employee Satisfaction
• Growth and Career Advancement
• Cookouts and Luncheon’s
• Culture of Respect and Empowerment
• Celebrating Individuality
• Recognizing Excellence

Benefits include but not limited to:

• Paid time off (vacation, sick, holiday)
• Medical Insurance
• FSA
• Dental
• Vision
• Life Insurance
• Long-term disability Insurance
• HRA
• 401(k)

From short term rehab and recovery to long term skilled nursing care, hospice services, restorative care, and even respite care, we are by your side. IntegriHome, has been caring for area families since 1989, providing top-quality skilled nursing care for short-term rehabilitation and long-term care. We focus on maximizing patient recovery, comfort, and independence for the highest possible quality of life. From post-surgery and post-hospital rehabilitation to long-term care for a chronic illness, our highly skilled care teams provide compassionate attention and specialized care every step of the way.

The RN Case Manager manages and delivers comprehensive home health services, including Oasis assessments, Plan of care development, including goal development and interventions to patients within their place of residence in collaboration with primary care physicians. Additional duties may include telephone triage, problem-solving, patient/caregiver/family education, advocacy, and support.

Job Duties:

• Assesses patient/family learning needs, style and limitations and adjusts for delivery of information
• Establishes realistic goals and develops individualized plans of care in collaboration with the patient, family and members of the health care team
• Collaborates with patient/family and other healthcare providers and/or community resources with planning of care and discharge.
• Follows physician orders on all patients assigned in accordance with patient care policies
• Reconciles medications with patient and physician consistently
• Effectively manages assigned case load, within the team model of care delivery
• Establishes a daily work plan based upon patient/family priorities of service and total area needs.
• Promptly triages patient visits, messages, and phone calls according to priority and urgency.
• Demonstrates excellent physical assessment and care planning skills.
• Supervises HHA in accordance with state and federal requirements.
• Demonstrates knowledge of pharmacology and medication administration and reconciliation
• Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions.
• Completes documentation accurately and timely
• Performs on-call responsibilities and on call services to patients and families assigned
• Participates in agency quality management and safety activities
• Participates in ongoing staff meetings and in-services