Registered Nurse Care Manager / Case Management (RN), Alabama

Description

Job Summary:

Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patients, family and interdisciplinary staff as necessary. Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process.

Essential Functions: Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department

Directs, supervises, provides and evaluates nursing care provided to patients

Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated

Assigns nursing care team members in accordance to patient needs, team member's capabilities and qualifications

Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies

Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment

Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team

Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management

Revises the plan of care as indicated by the patient's response to treatment and evaluates overall plan daily for effectiveness

Performs patient care responsibilities considering needs specific to the standard of care for patient's age

Receives physician's orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors

Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate

Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure

Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers

Interacts professionally with patient/family and involves patient/family in the formation of the plan of care

Interprets data about the patient's status to identify each patient's age specific needs and provide care needed by the patient group

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors

Initiates or assists with emergency measures for sudden adverse developments in patients' condition

Answers telephone, paging system, patients' call lights, anticipates patients' needs, and makes rounds of assigned patients and responds as appropriate

Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs

Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off

Communicates appropriately and clearly to management, co-workers, and physicians

Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs

Participates in orientation, instruction/training of new personnel

Manages and operates equipment safely and correctly

Qualifications

Education: Graduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program

Licenses/Certification: Current state licensure as Registered Nurse

BLS, NRP and Fetal monitoring certifications required

De-escalation training required

Experience: Minimum six months' Obstetrical experience in an acute care setting preferred