About the Role
This role involves managing patient cases in home and community settings, focusing on care planning, assessments, and coordination with medical teams to support recovery and long-term health goals.
Responsibilities
- Perform in-home patient assessments and health evaluations
- Develop individualized care plans based on clinical findings
- Monitor patient progress and adjust treatment strategies
- Coordinate with physicians and specialists for continuity of care
- Educate patients and families on disease management
- Ensure compliance with prescribed therapies and medications
- Document clinical findings in electronic health records
- Conduct follow-up visits to track recovery milestones
- Identify psychosocial factors affecting patient health
- Facilitate referrals to support services when needed
- Maintain patient confidentiality and ethical standards
- Respond to urgent patient health concerns promptly
- Collaborate with case management teams on complex cases
- Participate in quality improvement initiatives
- Stay current with clinical guidelines and best practices
- Support transitions of care between facilities and home
- Assess home safety and recommend modifications
- Advocate for patient needs within the healthcare system
- Attend care coordination meetings with interdisciplinary teams
- Manage caseload efficiently within set timelines
- Ensure adherence to regulatory and compliance standards
- Utilize clinical judgment in high-pressure situations
- Communicate effectively with patients of diverse backgrounds
- Maintain accurate and timely visit documentation
- Support patient empowerment through health literacy
Compensation
Competitive hourly rate based on experience
Work Arrangement
Hybrid role with field and remote components
Team
Collaborative team serving patients across multiple locations
About Us
We are a growing healthcare services organization dedicated to improving patient outcomes through personalized, community-based care. Our mission is to bridge gaps in the healthcare system by delivering compassionate, evidence-based nursing support directly to patients in their homes.
What We Offer
- Comprehensive benefits package including health, dental, and vision insurance
- Retirement savings plan with employer contribution
- Paid time off and holiday pay
- Professional development and continuing education support
- Flexible scheduling within field requirements
- Modern technology and tools for efficient documentation
- Supportive team environment with clinical mentorship
Not available for this position
