Dedicated and well-qualified RN offering proven skills in patient care, medication administration and treatment implementation. Detail-oriented, responsive and proficient in routine care and emergency response.
Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in updating charts, monitoring medications and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Hardworking RN accustomed to treating diverse patient needs while managing dynamic conditions. Offering excellent clinical knowledge and judgment combined with strong documentation, vitals monitoring and problem-solving abilities. Well-versed in managing emergent cases with grace and efficiency.
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•Perform initial in-home pre-evaluation of patients that includes evaluation of health status, strengths, care needs, and preferences and guides the development of individualized long term care service plans
•Review consumer medical documentation and or health referral forms, as relevant to the case
•Enter evaluation data into electronic evaluation form and transmit, as required
•Document any concerns, conflicting information, other issues that surface during the evaluation process
•Emphasize continuity of care, thus reducing or eliminating fragmentation, duplication, and gaps in treatment plan
•Discuss with consumer on health care options, supports needed, service vendor options and waiver options
•Initiate communication between the Call Center and eligible consumers for enrollment into a managed care health plan
•Enhance communication and collaborative relationships with interdisciplinary care team members to improve care coordination and facilitate service delivery
•Collect quality review data and any required documentation to support outcome measurements and record case notes into CRM
•Identify opportunities for health promotion and illness prevention
•Maintain a comprehensive working knowledge of community resources, payor requirements, and network services for target population
•Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.
•Performs other duties as may be assigned by the Regional Nurse Manager or other project management.
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