Assesses patients' physical, psychosocial needs in a sensitive, caring manner following established Standards of Nursing Practice and VNA procedures.
Assesses patient/family learning needs, style and limitations and adjusts for delivery of information.
Establishes realistic goals and develops plans of treatment in cooperation with the patient, family and members of the health care team.
Collaborates with patient /family and other health care providers and/or community resources with planning of care and discharge.
Completes physicians' orders, levels of care, and OASIS on all patients assigned, in accordance with patient care policies.
Reconciles medications with patient and physician consistently.
Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.
Effectively manages assigned caseload, within the team model of care delivery.
Establishes a daily work plan based upon patient/family priorities of service and total area needs.
Promptly triages patient visits, messages, and phone calls according to priority and urgency.
Demonstrates excellent physical assessment and care planning skills.
Demonstrates current knowledge of pharmacology and medication administration and reconciliation.
Demonstrates ability to cope with patient/family emotional stress and provide appropriate supportive care.
Effectively manages assigned caseload, within the team model of care delivery.
Establishes a daily work plan based upon patient/family priorities of service and total area needs.
Promptly triages patient visits, messages, and phone calls according to priority and urgency.
Coordinates care and discharge planning with other team members during case conferences.
Acquires and maintains an expert working knowledge of all third part payers and regulatory bodies and agency policies on issues related to documentation and care provided.
Communicates and collaborates with all disciplines in the home care setting on a regular basis or immediately if there are any critical needs or crisis interventions needed.
Requirements
Massachusetts/New Hampshire RN Licensure.
Valid state issued Driver's License.
One (1) year of acute medical/surgical nursing experience.
Competitive salaries & benefits that start on day one!403(b) retirement with company matchTuition reimbursementFleet Car ProgramAbout Care at Home:About Tufts MedicineTufts Medicine is an equal opportunity employerAt Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that aHealth insuranceVision insurance
Additional Information
We are seeking an experienced and compassionate Registered Nurse Case Manager to join our home health team. This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient's plan of care as directed.
Key responsibilities include conducting comprehensive assessments, developing and overseeing individualized care plans, coordinating with physicians and interdisciplinary team members, monitoring patient progress, and adjusting care plans to achieve optimal outcomes. The RN Case Manager serves as the primary point of contact for patients and families, providing education, support, and advocacy throughout the episode of care. The ideal candidate demonstrates strong clinical expertise, exceptional organizational and communication skills, and the ability to manage a diverse caseload independently while maintaining compliance with regulatory and documentation standards.
Location:
Malden, MA and surrounding areas, including Reading, Lynnfield, Everett and Revere!
Hours: Full-Time, Days, 40 Hours/week
Tuftsmedicine · Malden - 178 Savin Street