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Registered Nurse Case Manager - Home Health

Pathways Home Health and Hospice Palo Alto, CA

$56.95 - $78.30 / year

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Registered Nurse Case Manager - Home Health OFFICE LOCATION: Sunnyvale PATIENT TERRITORY : Cupertino - Redwood City SCHEDULE: Full Time SHIFT: M-F 8:30am - 5pm days, with rotating weekends Sign On Bonus: $9,000.00 (Conditions Apply) The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: In coordination and collaboration with the assigned Clinical Team Manager, is responsible for providing skilled nursing care to patients and their families. Coordinates care with other members of the home care team; supervises Home Health Aides. The majority of patient visit time is devoted to patient evaluations, admissions, and informational visits. AREAS OF RESPONSIBILITY: Performs an initial, comprehensive assessment. Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises the plan of care. Assesses the need for the services of other team members (PT, OT, ST, MSW, and HHA). Provides and documents skilled care on all visits (includes skilled observation of the patient's condition, skilled care, and procedures and teaching of the patient and/or family). Obtains and documents physician orders. Performs Home Health Aide supervisory visits per regulatory requirements. Coordinates care with the assigned Clinical Team Manager, physician and other members of the home care team, informing them of significant changes in the patient’s condition and needs. Documents these communications. Follows established standards for point of service technology, documentation, and synchronization. Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager to address scheduling needs. Performs re-certifications, resumption of care, transfers, and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation. Attends and actively participates in the clinical team multidisciplinary patient conference. Demonstrates established clinical competencies. Participates in agency sponsored in-service education. Participates in quality improvement activities. Assists in development of agency protocols, procedures and policies as requested. Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. QUALIFICATIONS: Current California RN license. Current CPR Certificate. Minimum of one year of nursing experience required. Home Health Experience Current California driver's license and automobile insurance.

Registered Nurse Case Manager - Hospice

Pathways Home Health and Hospice San Mateo, CA

$56.95 - $78.30 / hour

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Registered Nurse (RN) Case Manager - Hospice OFFICE LOCATION: Sunnyvale PATIENT TERRITORY: San Bruno - Redwood City SCHEDULE: Full Time SHIFT: 9:30am-6pm, with rotating weekends and holidays Sign On Bonus: $9,000.00 (Conditions Apply) The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Hospice Nurse admits patients to service, assesses the patient’s and family’s physical, psychosocial, environmental, safety and developmental needs. They develop an individualized plan of care based on their assessment and document their observations and interventions related to the patient's environment. This role coordinates care with a multidisciplinary team, participates in the hospice program's quality assessment performance improvement program and conducts follow up visits as needed. AREAS OF RESPONSIBILITY: • Performs an initial, comprehensive assessment. • Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans • In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises plan of care. • Assesses the need for the services of other team members (PT, OT, ST, MSW and HHA). • Provides and documents skilled care on all visits (includes skilled observation of the patient's condition, skilled care and procedures and teaching of the patient and/or family). • Obtains and documents physician orders. • Performs Home Health Aide supervisory visits per regulatory requirements. • Coordinates care with the assigned Clinical Team Manager, physician and other members of the home care team, informing them of significant changes in the patient’s condition and needs. Documents these communications. • Follows established standards for point of service technology, documentation and synchronization. • Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager to address scheduling needs. • Performs re-certifications, resumption of care, transfers and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation. • Attends and actively participates in the clinical team multidisciplinary patient conference. • Demonstrates established clinical competencies. • Participates in agency sponsored in-service education. • Participates in quality improvement activities. • Assists in development of agency protocols, procedures and policies as requested. • Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. QUALIFICATIONS: • Current California RN license • Minimum of one year of nursing experience required • Current CPR Certificate • Current California driver's license and automobile insurance

Registered Nurse Case Manager - Hospice

Pathways Home Health and Hospice San Francisco, CA

$56.95 - $78.30 / hour

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect. TITLE: Registered Nurse (RN) Case Manager - Hospice OFFICE LOCATION: Sunnyvale PATIENT TERRITORY: San Francisco County SCHEDULE: Full Time SHIFT: 8:30am-5pm, with rotating weekends and holidays Sign On Bonus: $9,000.00 (Conditions Apply) The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Hospice Nurse admits patients to service, assesses the patient’s and family’s physical, psychosocial, environmental, safety and developmental needs. They develop an individualized plan of care based on their assessment and document their observations and interventions related to the patient's environment. This role coordinates care with a multidisciplinary team, participates in the hospice program's quality assessment performance improvement program and conducts follow up visits as needed. AREAS OF RESPONSIBILITY: • Performs an initial, comprehensive assessment. • Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans • In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises plan of care. • Assesses the need for the services of other team members (PT, OT, ST, MSW and HHA). • Provides and documents skilled care on all visits (includes skilled observation of the patient's condition, skilled care and procedures and teaching of the patient and/or family). • Obtains and documents physician orders. • Performs Home Health Aide supervisory visits per regulatory requirements. • Coordinates care with the assigned Clinical Team Manager, physician and other members of the home care team, informing them of significant changes in the patient’s condition and needs. Documents these communications. • Follows established standards for point of service technology, documentation and synchronization. • Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager to address scheduling needs. • Performs re-certifications, resumption of care, transfers and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation. • Attends and actively participates in the clinical team multidisciplinary patient conference. • Demonstrates established clinical competencies. • Participates in agency sponsored in-service education. • Participates in quality improvement activities. • Assists in development of agency protocols, procedures and policies as requested. • Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate. QUALIFICATIONS: • Current California RN license • Minimum of one year of nursing experience required • Current CPR Certificate • Current California driver's license and automobile insurance

After Hours Admission/Visit Registered Nurse (RN)

Pathways Home Health and Hospice Sunnyvale, CA

$56.95 - $78.30 / hour

For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice, Home Health and Palliative Care. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect TITLE: After Hours Admission/Visit Registered Nurse (RN) OFFICE LOCATION: Sunnyvale PATIENT TERRITORY: All Service Areas SCHEDULE: Full Time (2 Weekends/Month Required) Required Shifts: 5pm-1:30am and 12am-8:30am Sign On Bonus: $9,000.00 (Conditions Apply) The posted compensation range of $56.95 - $78.30/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law. POSITION SUMMARY: The Shared Services After Hours Visit RN is responsible for providing skilled nursing visits to patients and their families as requested by Intella Triage. Documents observations and interventions related to the patient’s environment; physical, mental, emotional and social status. Coordinates care with other members of the Interdisciplinary Group (IDG) or team, including the patient’s physician. AREAS OF RESPONSIBILITY: ●Admits patients to service, assesses the patient’s and family’s physical, psychosocial,environmental, safety and developmental needs. Develops an individualized plan of care based on the assessment. ● Obtains informed consent from patients and families and assists in completing forms required for hospice admission per regulations. ● Assesses patient, provides and documents appropriate skilled nursing care, including teaching, family support and other actions as needed. ● Assesses patient’s environment; physical mental and social status and eligibility for services in accordance with third party payee regulations. ● Coordinates care with the patient’s case manager, informing him/her of significant changes in the patient’s condition and needs. Documents these communications. ● Contacts patient’s physician when necessary. ● Demonstrates all skills of a registered nurse, including vein puncture and management of high interventions in the home, e.g. IV’s. ● Maintains in-dated and adequate stock of medical supplies and agency forms. ● Knowledgeably discusses overall history, philosophy and services of Pathways Home Health and Hospice. ● Admits patients to service, assesses the patient’s and family’s physical, psychosocial, environmental, safety and developmental needs. Develops an individualized plan of care based on the assessment. ● Obtains informed consent from patients and families and assists in completing forms required for Hospice and Home Health admission per regulations. ● Provides patients and their families with guidance regarding health care decision-making and options for making advance directives in coordination with the social worker. ● Assesses all aspects of the patient’s pain and other symptoms and develops an individualized symptom management plan. ● Anticipates, prevents and treats undesirable symptoms or secondary symptoms including use of non-pharmacologic measures. ● Supports, instructs and educates the patient, family, caregivers, and facility staff. ● Documents nursing assessments, problems, appropriate goals, care interventions, patient and family outcomes, and evaluation of these in the electronic record. ● Accesses electronic device during patient visit and documents during or immediately after the visit or per regulation. ● Reports regularly to Shared Services After Hours Triage RN, as appropriate, and RN Case Manager or designee regarding care provided, and when patient condition is found to be unstable and there is a need for changes in current plan of care. ● Supports, instructs and educates the patient, family, caregivers, and facility staff. ● Attends educational in-service trainings, and other agency meetings as requested by manager. ● Maintains the dignity of the dying patient and supports the patient’s and family’s unique spiritual and cultural beliefs. ● Provides holistic, family-centered care across the treatment settings to improve the quality of life. ● Knowledgeably discusses and initiates non-pharmacologic interventions as appropriate to promote comfort, improve quality of life, and help manage emotional, spiritual, and physical distress. ● Participates in the hospice program’s quality assessment performance improvement program and in-service education related to areas of practice as appropriate. ● Meets productivity standards as established by the manager. ● When in a facility, adheres to “Pathways Standards of Care and Practice in Facilities” or equivalent document. ● Prints out and files visit documentation in facility (RCFE or SNF) binder or chart per facility preference at the time of visit. ● Maintains timely communication with patient, family, and facility staff regarding all aspects of patient care as appropriate. ● Demonstrates awareness of and adherence to the safety, infection control and other policies of the facility. ● Maintains and updates level of knowledge and skills required to provide quality nursing care. ● Creates, documents, and maintains the medication list. Evaluates medications for side effects or interactions and communicates these. ● Effectively instructs patient, family, and/or staff use of medications and reconciles medication records. ● Effectively communicates with and uses the Hospice prescription plans, formulary/preferred drug list, and general hospice medication coverage philosophy. ● Adheres to all agency policies and procedures, including updates, as communicated in written, spoken, and electronic forms. ● Promotes a culture of service when representing Pathways by at all times treating internal and external contacts with respect, remaining professional, communicating clearly, preventing conflict, following through on commitments, and actively listening. Positively promotes Pathways by offering assistance and information. ● Assists in development of Pathways protocols, procedures and policies as requested. ● Demonstrates all skills of a Registered Nurse, including those skills required by the agency through competency testing. ● Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways. QUALIFICATIONS: ● California RN license. Hospice or Home Health experience preferred ● Graduate of an NLN accredited nursing school. ● Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting. Excellent nursing assessment, communication, and problem-solving skills. ● Minimum of one-year experience as a professional nurse within the last three years or a baccalaureate degree in nursing from a program accredited by the National League for Nursing ● California driver’s license and automobile insurance with minimum Bodily Injury Liability coverage Insurance per agency policy. ● Current CPR Certificate– American Heart Association “BLS Health Care Provider” requested upon renewal.