RN

This is a chance to join a new culture of care delivery that prioritizes quality, outcomes, teamwork, and empathy in how our client personalizes their model to focus on what matters most to each participant. This role will allow you to practice at the top of your license, promoting ongoing learning and development of professional expertise.

Key Responsibilities

• Participates in Interdisciplinary Team (IDT) by contributing insights from assessments, care plan recommendations, and care c coordination in a collaborative spirit.
• Conducts face-to-face nursing assessments that are inclusive of physical, psychosocial, and behavioral statuses in various settings (home, day center, virtual, long term care facility, etc.)
• In partnership with a medical provider, delivers personalized care for a panel of participants based on care plans.
• Delivers and documents nursing interventions as agreed upon in participant's care plans, promptly and accurately responding to physician orders, and correctly administering medications and therapeutic interventions.
• Triages in the outpatient setting, which includes independently initiating therapies within scope of practice and collaboratively working with a medical provider to escalate care as needed.
• Provides case management during transitions of care and proactively communicates with hospital and long-term care facility case managers for care coordination.
• Educates participants, caregivers including family members, and team members on how to personalize and carry out care plans.
• Remotely takes after hour calls that are triaged by a nurse team on a rotating schedule.