RN Case Manager/MDS Coordinator - Aventura at the Bay

We are currently seeking an experience RN/MDS Case Manager.

Job Responsibilities:

• Provide admission, case management, and follow-up skilled nursing visits for skilled nursing resident’s home health patients.

• Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.

• Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.

• Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.

• Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.

• Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers).

• Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis.

• Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems.

• Monitor the appropriate completion of documentation by personal care workers as part of the supervisory/leadership responsibility.

• Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.

• Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.

• Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care.

Required Experience/Skills:

• Diploma, Associate, or Bachelor Degree in Nursing

• A minimum of two year of case management experience preferred Current Registered Nurse licensure

• Current CPR certification Strong organizational and communication skills