We are seeking a Continuous Care Nurse to service our patients throughout the Grandstrand area The role of the Continuous Care Nurse er position is a critical part of the patients care team to provide in home intensive short term bedside clinical care to manage uncontrolled symptoms The Continuous Care Hospice Nurse collaborates closely with the interdisciplinary hospice team to stabilize symptoms and ensure comfort dignity and safety Provide quality healthcare in adherence to all applicable laws regulations and policies within the scope of practice The Nurse Case Manager will have a full patient load against all patients in the region based upon priority Nurse Case Managers perform care in homes in their designated service area You must have reliable transportation as travel is required daily This is a full time salary based working positoin Track Schedule 7 on 7 off 12hr shifts The following service areas are currently available Grandstrand area
About We are a leading physician group
serving South Carolina and Georgia dedicated to delivering quality healthcare directly to patients in care facilities homes clinics and virtual visits Our services include comprehensive primary care specialty services and pharmacy support tailored to meet diverse patient needs Committed to excellence and innovation our team collaborates closely with facilities and families to ensure accessible coordinated and compassionate care
Why Choose a Career at Your Health
Providing high quality care for our patients is the center of what we do and we provide the same care for our employees
Here are some of the benefits that are available to our employees
- Competitive Compensation Package with Bonus Opportunities
- Employer Matched 401K
- Free Visit & Prescriptive Services with HDHP Insurance Plan
- Employer Matched HSA
- Generous PTO Package
- Career Development & Growth Opportunities
- Vehicle allowance
What Are We Looking For
Your Health is currently looking for a Registered Nurse to join our growing primary care family A successful Nurse Case Manager will be able to perform these essential duties and responsibilities Reasonable accommodations may be made in accordance with applicable law to enable individuals with disabilities to perform the essential functions The following is a list of essential functions which may be subject to change at any time and without notice Management may assign new duties reassign existing duties andor eliminate functions
Area of Responsibility
- Facilitate receiving all medical records from the patients primary provider and specialists
- Review medical records
- Complete consents with patients
- Enroll patients in Care Management if they meet eligibility criteria
- Initiate a Care Management Plan of Care if the patient is eligible
- Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted
- Complete AWVs to be reviewed by the provider
- Complete cognitive impairment screenings
- Complete Social Determinants of Health SDoH assessments andor screenings
- Complete ACPs to be reviewed with the patient by the provider
- Evaluate for home health hospice palliative or consults with Your Health Specialty Division etc
- Evaluate for RPM devices resources or tools that may improve the patients quality of life
- Communicate and coordinate care
- Reconcile prescribed and OTC medications vitamins supplements herbal remedies and other treatments
- Provide post discharge education
- Evaluate for adaptive equipment and DME
- Evaluate for safe environment
- Evaluation of acute conditions or follow up from previous visit
- Appropriately and accurately document and log Care Management activities
- Work in conjunction with care team to keep the patients Care Management care plans up to date
Qualifications
- Must be a licensed nurse
- Registered nurse preferred
- License must be in good standing with appropriate boardissuer
- A minimum of three 3 years clinical experience preferred
- Experience in community settings preferred
- Proven ability to effectively communicate and collaborate with interdisciplinary care teams patients and caregivers
- Strong written and verbal skills
- Basic computer knowledge
- Ability to manage and demonstrate effective leadership skills
- Should demonstrate good interpersonal and communication skills under all conditions and circumstances
- Ability to foster a cooperative work environment
- Team player with ability to manage multiple responsibilities and demonstrate sound judgment
- Must be able to work flexible hours and travel between offices facilities etc
- Must be a licensed driver with an automobile that is insured in accordance with state andor organizational requirements and is in good working order