Registered Nurse Case Manager; RNCM
Listed on 2026-01-12
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Nursing
Healthcare Nursing, RN Nurse, Nurse Practitioner, Clinical Nurse Specialist
Are you ready to bring your talent and passion for delivering exceptional patient care to a team that's transforming lives?
Req #187 Home Health - Full Time - Santa Cruz County Compensation:Earn More Per Visit - Your Hard Work, Rewarded!
Our unique compensation structure is designed to value your time and effort. Instead of an hourly wage, you'll be paid per visit, allowing you to maximize your earnings based on the number of patients you see. This means more flexibility, more control over your schedule, and a clear connection between your dedication and your paycheck. Join us to enjoy a role that rewards your efficiency and commitment!
Paid Per Visit Range(s): $85-$237.50
Job Description SummaryThe Registered Nurse Case Manager plans, organizes and directs care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.
Essential Job Functions/Responsibilities Patient Care:- Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
- Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
- Assesses and evaluates patient's status by writing and initiating plan of care.
- Writing and initiating plan of care
- Regularly re-evaluating patient and family/caregiver needs
- Participating in revising the plan of care as necessary
- Initiates the plan of care and makes necessary revisions as patient status and needs change.
- Uses health assessment data to determine nursing diagnosis.
- Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
- Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care.
- Counsels the patient and family in meeting nursing and related needs.
- Provides health care instructions to the patient as appropriate per assessment and plan.
- Assists the patient with the activities of daily living and facilitates the patient's efforts toward self‑sufficiency and optional comfort care.
- Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations.
- The RN Case Manager, when assigned by the Clinical Manager/DPCS, assumes responsibility to coordinate patient care for an assigned case load.
- The Admission RN may act as Case Manager when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate patient care for assigned caseload.
- The RN Case Manager may act as an Admission Nurse when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate with intake, program staff and management to complete a patient initial admission/assessment with plan of care.
- Completes, maintains, and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate.
- Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
- Communicates with community health related persons to coordinate the care plan.
- Teaches the patient and family/caregiver self‑care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
- Provides and maintains a safe environment for the patient.
- Assists the patient and family/caregiver and other team members in providing continuity of care.
- Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
- Attends…
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