Behavioral Health RN Full-time
6 days ago
Phoenix
Job Description The Community You Will Join At h/care, we are passionate about transforming the way home-based healthcare is delivered. As part of our Phoenix home health agency, you will be joining a team that is deeply rooted in the local community, committed to providing exceptional care, and dedicated to building meaningful relationships. Our local h/care team thrives on collaboration, innovation, and compassion, ensuring every patient receives care that is high-touch, high-tech, and built on trust. We foster a welcoming and supportive environment where every team member's contribution is valued. You'll be part of a mission-driven organization that prioritizes both the success of our team and the well-being of our patients, making a lasting impact in the lives of those we serve. h/care's Unique Approach to Care At h/care, we're revolutionizing healthcare delivery for patients and families of all ages. Frustrated with unpredictable and impersonal care experiences? We've got the solution. Our team of healthcare experts and entrepreneurial leaders has developed the PerfectVisit™ - a standardized approach ensuring high-quality, consistent care every time. By combining compassion with cutting-edge technology, we deliver transformative home-based services, from health visits to hospice care. We implement the Entrepreneurial Operating System ("EOS") to streamline decision-making, cutting through bureaucracy and eliminating unnecessary red tape. With h/care, you're not just receiving a service; you're experiencing care built on community, dignity, and trust. Available 24/7, we ensure you're never alone in your healthcare journey. The Impact You Will Have At h/care, we believe every patient deserves compassionate, high-quality care in the comfort of their home. As an RN Behavioral Health Case Manager, you'll be a cornerstone of our multidisciplinary team, coordinating and delivering patient-centered care that supports the health, independence, and well-being of patients and their families. Your role will be integral to ensuring clinical excellence, maintaining productivity, and achieving outstanding outcomes in a home health setting. Your mission: Provide exceptional nursing care, lead the coordination of care plans, and serve as a trusted resource for patients and their families. You'll ensure that clinical goals are met, care delivery is seamless, and compliance with regulatory standards is maintained. By fostering strong relationships with patients, families, and your team, you'll help create meaningful, life-changing impacts for those we serve. Key Responsibilities Care Coordination and Clinical Leadership -Patient-Centered Care Plans: Develop and execute individualized care plans to address the medical, functional, and in this role especially the emotional needs of patients. Ensure alignment of care plans with patient goals and medical conditions, fostering optimal health outcomes. -Interdisciplinary Team Leadership: Collaborate with physical therapists, occupational therapists, social workers, home health aides, and physicians to ensure cohesive and holistic care delivery. Act as the primary point of contact for patients and their families. -Clinical Oversight: Monitor patient progress through regular assessments, adjusting care plans and interventions to meet evolving patient needs. Operational Excellence -Productivity and Caseload Management: Manage a caseload efficiently, meeting visit productivity standards while ensuring high-quality care. Balance patient care with timely completion of documentation to maintain compliance and performance metrics. -KPI Tracking and Reporting: Regularly track and analyze key performance indicators such as visit completion rates, clinical outcomes, and patient satisfaction scores. Use data insights to identify opportunities for improvement and refine care delivery. -Seamless Communication: Ensure clear and consistent communication with patients, families, and team members to maintain continuity of care. Compliance and Quality Assurance -Regulatory Adherence: Ensure all care activities comply with Medicare, state, and organizational standards. Maintain accurate and timely documentation in the electronic health record (EHR) system to support billing and compliance. -Clinical Quality Assurance: Deliver evidence-based care while monitoring and improving clinical outcomes. Lead efforts to ensure safe and effective care delivery practices. Patient Outcomes and Satisfaction -Enhanced Health Outcomes: Focus on achieving measurable improvements in patient health, reducing hospital readmissions, and enhancing overall functional independence. -Patient Education and Empowerment: Educate patients and their families on disease management, medication adherence, and self-care strategies to promote independence and confidence. -Compassionate Support: Build trust and provide emotional support to patients and families, ensuring high levels of satisfaction and engagement. Culture and Professional Development -Team Collaboration: Foster a collaborative environment by sharing knowledge, mentoring new team members, and promoting a culture of continuous improvement. -Leadership by Example: Demonstrate professionalism, reliability, and a commitment to clinical excellence, inspiring confidence among team members and patients. -Continuous Learning: Stay current with advancements in home health care and nursing practices, incorporating new knowledge into daily care delivery. A Typical Day -Morning Planning and Review: Start the day by reviewing patient schedules, care plans, and key performance indicators (KPIs) to ensure all visits are prioritized and aligned with organizational productivity goals. Assess any urgent updates from the interdisciplinary team to prepare for patient visits effectively. -Patient Home Visits: Conduct thorough assessments and deliver nursing care based on individualized care plans. Administer treatments, monitor vital signs, evaluate progress, and provide hands-on care to address patients' medical and functional needs. Adjust care plans as necessary based on patient conditions and communicate changes to the care team. -Interdisciplinary Collaboration: Mid-day, engage with the interdisciplinary care team, including physical therapists, occupational therapists, social workers, and home health aides, to discuss patient progress, resolve challenges, and align on care strategies. Ensure all team members are updated on care goals and interventions. -Documentation and Compliance: Complete accurate and timely documentation of patient visits, interventions, and progress in the electronic health record (EHR) system. Ensure compliance with Medicare, state, and organizational regulations, while maintaining detailed records to support care continuity and billing. -Patient and Family Education: Provide comprehensive education to patients and their families on managing medical conditions, medications, and self-care practices. Empower them with the knowledge and tools to promote independence and improve health outcomes. -Afternoon Follow-Ups: Address any outstanding concerns or questions from patients and families, and follow up with the care team regarding changes in patient conditions or care plans. Review upcoming schedules to ensure all tasks are aligned for the next day. -Evening Reflection and Planning: Conclude the day by reviewing completed visits, clinical outcomes, and documentation tasks. Reflect on patient progress and care delivery to identify opportunities for improvement, and set goals and priorities for the next day. Your Expertise -Education: Associate's or Bachelor's degree in Nursing (BSN preferred). Active RN licensure in the state of practice is required. -Experience: At least 2 years of clinical nursing experience, with at least 1 year in a home health setting preferred. Proven ability to manage a caseload effectively while achieving clinical and organizational goals. -2 years of recent behavioral health experience -Clinical Skills: Expertise in conducting patient assessments, developing and adjusting care plans, and delivering evidence-based nursing interventions. Strong understanding of disease management, medication administration, and chronic care management. -Communication Skills: Exceptional ability to communicate with patients, families, and interdisciplinary team members, ensuring clear and compassionate care coordination. -Time Management: Demonstrated ability to manage a dynamic caseload while balancing patient care, documentation, and collaboration responsibilities efficiently. -Team Collaboration: Proven ability to work in an interdisciplinary care team, contributing to a cohesive and patient-centered approach. -Regulatory Knowledge: Familiarity with Medicare and Medicaid home health regulations, state-specific requirements, and compliance standards. -Tech-Savvy: Proficiency in using electronic health record (EHR) systems for documentation and care coordination. Experience with home health-specific software is a plus. -Patient Advocacy: Strong ability to advocate for patient needs, ensuring high-quality care and supporting optimal clinical outcomes. -Adaptability: Comfortable working in a variety of patient environments, addressing diverse clinical situations, and adapting to evolving patient needs.