RN MDS Coordinator

Join Our Caring Team at Apple Rehab Rocky Hill! Are you passionate about providing exceptional care in a warm, family-oriented environment? Look no further! Apple Rehab Rocky Hill, a 100-bed skilled nursing center nestled near the Silas Deane Highway in Rocky Hill, CT, invites you to join our close-knit team. Why Choose Apple Rehab Rocky Hill? Our facility boasts spacious private and semi-private rooms designed to create a comfortable and homely atmosphere for our residents. With a team known for its longevity and commitment, we foster a family-like environment, organizing picnics and various engaging activities both indoors and in our scenic courtyard. About Us: As a family-owned and operated company, Apple Rehab prioritizes treating residents and staff like family. With our senior management based in our local Avon, CT office, we ensure superior care from a company deeply rooted in your community. Our leadership is not distant but right in your backyard, offering a supportive and collaborative environment. Job Opportunity: MDS Care Plan Coordinator (RN) Schedule: Part-time Please note: Candidates without prior experience in MDS (minimum data set) will not be considered for this position. Job Description: MDS Care Plan Coordinator leads the MDS department, assists in coordinating discharge planning as well as assessing short term residents. The ideal candidate will possess skills to maximize reimbursement as well as ensure Medicare compliance. The MDS Care Plan Coordinator may be responsible for managing short term managed care cases. The MDS Care Plan Coordinator gathers information, assesses needs, establishes reasonable goals, provides interventions and incorporates within an organized, concise, functional care plan. Coordinates completion of comprehensive assessment by interdisciplinary team and includes recommendations in the written care plan for each resident. Each plan must identify all relevant issues for the care of the resident as well as the goals to be accomplished for each problem or need identified. Works together with care planning team to implement final plans. Encourages the resident and his/her “responsible parties” to participate in the development and review of care plans. Care plans must focus on assisting residents to reach their highest practicable level of well being. The MDS Care Plan Coordinator ensures that all nursing personnel are aware of the care plan for each resident and that care plans are used in providing daily nursing services. Reviews nurses’ notes and monitors the resident to ensure the care plans are being followed and if each residents’ needs are being met. Assesses, reviews and revises care plans as required. Plans, schedules and conducts weekly care plan meetings for all residents according to OBRA and state requirements. Completes the MDS with utmost accuracy and insures highest level of reimbursement for facility. Complies with current CMS Mega Rule guidelines. Point Click Care experience a plus. Qualifications: Must hold a current state RN license and be a nurse in good standing. Must meet all applicable federal and state licensure requirements. Attention to detail, good follow through skills and ability to prioritize multiple tasks. Ability to instruct others. Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices, procedures, laws, regulations and guidelines governing long term care. Employee Benefits for 30+ Hours: Scholarships and career development opportunities Generous 4 weeks of paid time off 7 paid holidays Health insurance benefits Short & long-term disability coverage Access to Call-a-Doc/24-7 MD telephone service Employee Assistance Program Life insurance coverage 401K retirement program Longevity credit for dedicated service Join Our Compassionate Team! Embark on a fulfilling career where compassionate care meets professional growth. Apply now to become a valued member of Apple Rehab Rocky Hill! Note: Benefits and requirements may vary based on employment status and hours worked. Inquire within for specific details. (Apple Rehab is an equal opportunity employer committed to diversity and inclusion in the workplace.) IND123

RN

Hospice

Full-time

1 week ago

Hospice Registered Nurse Case Manager

Affinity Hospice Management LLC Torrington, CT

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice 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 individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. 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). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. 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. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. 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. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

Hospice Registered Nurse RN

Affinity Hospice Management LLC Torrington, CT

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice 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 individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. 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). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. 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. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. 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. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

Hospice RN

Athena Home Health & Hospice Torrington, CT

$49 / hour

We are hiring a full-time RN Hospice Case Manager to join the Athena Home Health & Hospice team in the Torrington area! This position is on-the-road covering Litchfield County and western Hartford County. Salaried role with weekly pay up to $49 an hour, depending on experience. Shift is Monday-Friday 8a-4:30p. Position is vacant due to relocation. As an RN Hospice Case Manager, you plan, organize, and direct hospice care. 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. Experience & Education: Graduate of an accredited school of nursing. One (1) to two (2) years of recent acute care experience in an institutional setting, and one (1) to two (2) years of recent experience in home care. Active and unencumbered RN license in Connecticut. CPR certification. Bachelor’s degree, with one (1) year of hospice care experience preferred. Duties & Responsibilities: Responsible for supervising hospice aides. 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 the nursing process. Assesses and evaluates patient’s status by: 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. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Benefits: Competitive and Weekly Pay Holiday Pay Career Advancement Opportunities Exclusive Employer Discount Program Benefits Available for Eligible Team Members: Employer Paid Life Insurance 401(k) with Employer Match Vacation and Personal Time Health, Dental, and Vision Insurance We are an equal opportunity employer that values diversity at all levels. All individuals are encouraged to apply. Our agency follows federal and state mandatory guidelines regarding staff vaccinations; our vaccination policy requires all newly hired staff to be fully vaccinated against COVID-19 unless they receive an approved exemption from Athena, except where prohibited by state law.

RN- Weekend WOW Homecare & Hospice Friday 8am-4:30pm, Sat.&Sun. 7am-7:30pm and on call on rotation

Bristol Health Downtown, CT

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Position Summary The weekend hospice registered nurse works Friday 8am-4:30am, Saturday 7am-7:30pm, and Sunday 7am-7:30pm, and is included in the on call schedule on a rotating basis. The weekend hospice RN is responsible for triaging, providing skilled nursing care, assessments, symptom management, education, and support to hospice patients and their families. The RN works collaboratively with the hospice team to ensure continuity of care and implementation of the hospice plan of care. Duties and Responsibilities Completes routine, PRN, follow-up, recertification, admission, and post mortem visits Performs comprehensive and focused nursing assessments and evaluates changes in the patient’s condition Provides effective symptom management, in collaboration with the hospice medical director, consistent with the hospice plan of care Triages and responds to urgent patient and caregiver needs Evaluates reported changes in condition and determines the appropriate nursing intervention, including an in-person visit when clinically indicated Provides education to patients and caregivers regarding medications, symptoms management, disease progression, safety, and end of life care Ensures medications, medical supplies, and DME are addressed during weekend coverage Performs hospice evaluations and admissions as assigned, and is available to Bristol Hospital to assess and admit hospital patients to GIP hospice services if appropriate Provides clear and thorough handoff communication regarding weekend events, changes in condition, new orders, and follow up needs Qualifications Current and unrestricted RN license in the state of CT Current BLS CPR certification Ability to work independently and exercise sound clinical judgement in the home and community setting Strong assessment, communication, organization, and documentation skills Ability to respond effectively to changes in patient condition, and end of life symptom management needs One or more years of nursing experience, preferred Previous home health or hospice experience, preferred Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

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