Registered Nurse- Care Manager

Resident Care Liaison

This position serves as a liaison and advocate for resident clients.

Schedule: Monday- Friday 40 hours/ week with on call rotation.

Duties/Responsibilities

• Manage all aspects of resident client's care needs.
• Communicates with residents, physicians, families, and care partners.
• Attends physician appointments with resident.
• Reviews health insurance policies and other non-financial information as directed by resident clients.
• Provides crisis intervention (i.e. ER visits, hospital stays).
• Acts as a resident client advocate.
• Coordination and supervision of supportive services
• Ensures that the professional standards of community nursing are maintained.
• Adhere to Plymouth Harbor's procedures and resident care policy.
• Write a short plan of care for each resident and execute that plan.
• Assure progress reports are made to all Physicians, and residents' families
• Ensure that residents' confidentiality is maintained.
• Ensure that care management is appropriate, adequate, and consistent with plan of care, medical regime, and residents' needs.
• Ensure that nursing and other services provided to the resident are coordinated, appropriate, adequate, and consistent with the plan of care.
• Ensure that all service outcomes are completely legibly documented, dated, signed in the clinical record.
• Attend and participate in workshops, seminars, and mandatory in-services as approved.

Supervisory Responsibility

• This position has no supervisory responsibility.

Qualifications

Education:

• Must be a Registered Nurse in the state of Florida and meet the criteria as defined in section 400.462(10) of the Florida Statutes.

Experience:

• Preferred 3-5 years' experience in case management, disease management, home health care management, hospital nursing or intensive outpatient education and self-management support.

General:

• Comprehensive nursing assessment, problem identification and care plan development
• Disease Management
• Screening for developmental issues, depression, other psychological conditions, and frailty.
• Clinical system design and development
• Relationship building with residents, families, and health care providers
• Behavioral strategies including motivational interviewing and self-management support
• Documentation
• Organized and resourceful self-starter, strong ability to work in a team
• Excellent written, oral, and interpersonal communication skills
• Must have good organizational skills.
• Must be a detail-oriented person and able to perform duties with great accuracy on a daily basis.
• Must have excellent personal skills, demonstrating the ability to conduct oneself in a non-controversial style, a style that inspires the respect of others and promotes a sense of trust in the individual's competence.
• Must have good communication skills, speaking, writing, and listening.
• Must be fluent in English.
• Must be proficient with Microsoft Office programs with emphasis on Excel, Outlook, PowerPoint, Publisher, and Word, with the ability to learn and use proprietary software as required.

Certificates/Licenses/Registrations

• Must be a Registered Nurse in the state of Florida and meet the criteria as defined in section 400.462(10) of the Florida Statutes.

Personal Requirements

• Support Plymouth Harbor's mission, striving daily to ensure the best possible outcomes for the health and well-being of residents and staff.
• Maintain high personal standards for performance and encourage others to do the same.
• Must be able to get along with others and work as a team player.
• Maintain confidentiality in all Plymouth Harbor, resident, and team member matters.
• Use good judgement and make independent decisions when circumstances warrant such action.
• Work harmoniously with all persons residing in, employed by, or associated with, the organization.
• Be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people.