Registered Nurse Case Manager - Cantonese Speaking
Company: VNS Health
Posted on: May 25, 2023
OverviewProvides high quality comprehensive nursing care to meet
the needs of the patient/client and manages/coordinates the
delivery of cost effective multidisciplinary health care services
for a caseload of patients/clients consistent with VNS Health
philosophy, policy, goals and objectives, and Standards of Nursing
Practice. Works under moderate supervision.For Nurse-Family
Partnership (NFP) only: Provides health education, social support
and community linkages to meet the needs of pregnant and
postpartum, first-time mothers and their infants. Also responsible
for adhering to NFP national guidelines.Responsibilities
- Assesses the physical, social and psychological needs and
environmental conditions of the patient/client through professional
knowledge, skills of observation, interviewing, and physical
examination to develop a plan of care.
- Understands, interprets, and implements reimbursement
protocols; determines the billing source for patient/client care.
Consults with management on complex/unique reimbursement
- Acts as the coordinator of care for the multidisciplinary team
by providing and managing the care needs of patients/clients which
includes making/confirming referrals to other disciplines/community
agencies and ordering supplies/services and ensuring they are
delivered as needed.
- Documents content and process of all services provided in
accordance with government regulations/requirements, and VNS Health
policies, practices, and procedures, as well as NFP requirements as
appropriate. Initiates and maintains written (including clinical
and progress notes) and verbal communications with team members and
management to assure optimal patient/client care.
- Participates in the orientation of selected staff through
'buddy system' field observation of staff and feedback to
appropriate staff involved in orientation process.
- Participates in selected student programs by providing
guidance, training and mentoring to students.
- Provides nursing care in accordance with VNS Health policies,
practices, procedures and Standards of Nursing Practice, which may
require standing, stooping, sitting, crouching, bending and
stretching to deliver patient/client care.
- Transports and utilizes required medical equipment and other
supplies using VNS Health designated/supplied carrying case
weighing approximately 25 - 30 lbs. to and from patient/client
- Travels to patient/clients' homes and/or other facilities with
varying environments (e.g., elevated buildings, walk-ups, care
facilities, single/multiple family homes, presence of pets, etc.)
using approved transportation options to deliver direct care to the
- Follows work procedures in relation to established
- Maintains productivity sufficient to meet VNS Health
- Assumes responsibility for personal professional growth through
attendance at in-services, training, continued formal education and
select journal readership.
- Performs other related duties and participates in special
project, as assigned.
- For CHHA and Hospice Only
- Establishes, implements, and revises a plan of care with input
from appropriate multidisciplinary health team members (i.e.,
physician, OT, PT, SW, SLP, family members, caregivers, HHAs, etc.)
based on goals mutually acceptable to the patient and significant
others. Ensures that services follow the plan of care by ongoing
assessment, planning, coordination, counseling, teaching and
supervision of the delivery of care to meet the needs of the
- Oversees/supervises the care provided to the patient by
Licensed Practical Nurses and Paraprofessionals through regular
home visits in compliance with regulatory and VNS Health
requirements. Assesses the patient's condition, monitors the effect
of the care plans on the patient/family health status, informs
physician and other team members of changes in the client's needs
and updates the plan of treatment, as needed.
- Manages, plans, coordinates and executes the patient's safe
discharge from service. Ensures that physician's orders, discharge
summary and communication to team members, patient and family
members adhere to VNS Health and regulatory requirements.
- Communicates and consults with patient's MD and follows-up on
problematic situations affecting care such as abnormal clinical
findings, medication discrepancies, or other factors that impact
patient's ability to comply with the plan of care. Manages and
coordinates all aspects of assigned caseload.
- Assists patients with activities of daily living, which may
require positioning, moving, transferring and lifting patients of
varying weights and physical conditions, with and without
assistance and as appropriate, from family members and/or
- For NFP Only
- Establishes, implements, and revises a plan of care with input
from the client and from appropriate multidisciplinary health team
members (i.e., social worker, physician) based on goals mutually
acceptable to the client. Ensures that services follow the plan of
care by ongoing assessment, planning, coordination, counseling,
teaching, and evaluation of the delivery of care to meet the needs
of the client.
- Manages, plans, coordinates and executes the client's safe
discharge from service. Ensures that discharge summary and
communication to team members, patient and family members adhere to
VNS Health and regulatory requirements.
- Maintains a flexible work schedule to meet clients needs.
- Participates in all required NFP training
sessions.QualificationsLicensure: License and current registration
to practice as a registered professional nurse in New York State
required. Valid driver's license or NYS Non-Driver photo ID card,
may be required as determined by operational/regional
needs.Education: Degree in Nursing from an approved program
required. Education for NFP: Bachelor's degree in Nursing
required.Experience for CHHA: Minimum of one year of experience in
a medical/surgical environment preferred. Bilingual skills may be
required, as determined by operational needs. Experience for
Hospice: Minimum of one year of clinical nursing experience,
including at least six months of Hospice, or Med/Surg or ICU or
Emergency Dep't or Home care, Palliative Care, Oncology or Long
Term Care experience, required. Bilingual skills may be required,
as determined by operational needs. Demonstrated computer skills
may be required based on operational needs.Experience for NFP:
Minimum of one year of recent experience in maternal/child health
required. Demonstrated basic computer skills required. Bilingual
skills may be required as determined by operational needs.
Keywords: VNS Health, Yonkers , Registered Nurse Case Manager - Cantonese Speaking, Executive , Montvale, New York
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