In this role, the selected candidate will act as a main contact for transition of patients from area hospitals and other referral sources; conduct pre-placement assessments of potential admits and meets with families to facilitate a safe transition plan.
This position is responsible for maintaining day to day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations that govern skilled nursing facilities.
In this role, you will identifying the patients and familys physical, psychosocial, environmental, safety and developmental needs and individualizing the patients plan of care based on the needs identified.
In this role, you will be responsible to
coordinate patient care with the interdisciplinary team including physician, patient/family, and referring agency; and administer skilled nursing care for clients of all ages in their place of residence and assume the responsibility for the total provision of care.
In this role, the selected candidate will assist in the identification, evaluation and selection of Home Dialysis training candidates, and Home Partners as appropriate for the FMS Home Dialysis Program.
In this role, the selected candidate will implement plan of care consistently, effectively and cost efficiently with focus on resident centered outcomes by utilizing all appropriate, available resources for resident/family/responsible party counseling and discharge planning.
In this role, you will assesses home health patients to identify the physical, psychosocial, and environmental needs as evidenced by documentation, clinical record, case conference, team report, and evaluations.