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Hospice RN
Colonial Springs, VA
Surrounding Areas (Chesterfield, Tri-Cities, Hopewell, Petersburg, Colonial Heights)
Pay: $50/hr
Primary Responsibilities:
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Conduct comprehensive assessments of high-risk members to evaluate clinical, functional, and psychosocial needs.
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Develop and implement individualized, goal-oriented care plans in collaboration with primary care providers and the interdisciplinary care team.
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Continuously monitor, evaluate, and adjust care plans to ensure appropriate, cost-effective levels of care and optimal patient outcomes.
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Identify and coordinate non-medical support services (e.g., housing, transportation, and community resources) to enhance compliance with treatment plans.
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Facilitate seamless transitions of care by collaborating with physicians, social workers, discharge planners, and claims professionals.
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Utilize specialty resources and clinical expertise to achieve optimal patient outcomes and minimize preventable complications.
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Maintain detailed documentation of assessments, care coordination activities, and measurable outcomes in compliance with organizational and regulatory standards.
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Promote health education, disease prevention, and early intervention strategies to improve overall member well-being.
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Serve as a patient advocate by ensuring privacy, confidentiality, and respect throughout all phases of the care process.
Qualifications:
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Associate’s or Bachelor’s degree in Nursing or a related healthcare field (BSN preferred).
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Current, unrestricted state Registered Nurse (RN) license.
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Strong analytical and clinical judgment skills with the ability to interpret complex medical data.
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Proven ability to work collaboratively across multidisciplinary teams and manage multiple priorities effectively.
