Private Duty Case Manager, RN (Smithfield/Raleigh Area/PT)
3HC - Wake County, NC

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Job Responsibilities:

1.Abides by and supports 3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto is "Compliance
for all and all for Compliance". It is the intent of 3HC to comply with all applicable laws and regulations and that
spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things
ethically and legally, to which, each and every employee plays a critical role.
2.Creates positive experiences for internal and external customers that will meet their expectations. (External
customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the
people within the agency with whom you work.)
3.Manages assigned cases and assists office with achieving positive patient outcomes: (a) provides skilled nursing
care as outlined in the physician's plan of treatment, according to 3HC's policies and procedures and as allowed by
the Practice Act of the N. C. State Board of Nursing; (b) observes the patients' condition and reports changes of
condition and the need for measures requiring additional orders to the MD and manager timely. (c) report at least
weekly to the Director of Private Duty on each assigned patient and any employee issues. (c) assists the patient
with personal care, as well as basic nursing care. (d) performs staffing, admissions, recertification and resumption
of care on assigned patients. Completes for these tasks as per 3HC policy and procedure in a timely manner as
needed; (e) revises/reviews the patient's care plan every 60 days as needed; and (f) initiates appropriate preventive
and rehabilitative nursing procedures where appropriate.
4.Conducts a complete assessment of the patient to identify appropriate care needs: (a) assesses patient's needs and
service request utilizing the nursing process for assessment and problem identification, diagnosis, planning and
goal setting, implementing and documenting the care delivered, (b) initiates plan of care in consultation with MD.
5.Submits documentation: (a)submits clear, concise, and legible documentation reflecting patient's care/condition
per policy and procedure in a timely manner to include but not limited to nursing notes, weekly summary, and
supply request information, etc., (b) Assist in the collection and transfer of such items to the clinical offices; (c)
Organizes for the collection and transfer of progress notes, documentation and other paperwork from the patient's
6. Home to the clinical office as needed and perform review of nursing documentation.
Organize with the Private Duty Scheduling Coordinator to evaluate, check off skills, and provide orientation of
patient and home for new and present staff. Reviews at 30, 60, and 90 days for all new staff and reports any issues
to Director of Private Duty Nursing.
7. Assist if needed with organizing the schedule for staff and informs the Director of Private Duty and the Private
Duty Clinical Secretary of the schedule, any changes, and/or shortages in staffing. Assist in coverage of patients
when these staffing issues arise.
8.Ensures that the physician is involved ongoing with the patient's care: (a) reports to the physician and other
applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional
condition and outcomes of intervention, and (b) consults with the attending physician concerning alterations of the
plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on
order/plan of treatment will sign orders.
9.Provides regular supervision to Registered Nurses, Licensed Practical Nurses and paraprofessionals who are
providing services to the client as required by policy and state regulations. Provides coverage in the event of
staffing cancellations and/or open shifts.
10.Maintains regular communication with supervisor. Communicates problems of the patient(s) on a timely basis
following chain of command. Communicates information using current process and technology available to 3HC.
11.Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings,
patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b)
attends and participates in interdisciplinary team conferences at least 75% of the time; (c) attends agency
mandatory in-services and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve
nursing care through continuing education, active participation in professional and related organizations and
individual research and readings.
12.Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the
proper use of supplies and equipment.
13.Adheres to 3HC's Personnel Policy and performs other duties as assigned by supervisor.

Job Qualifications:
• Registered Nurse currently licensed to practice nursing in the state of North Carolina.
• One-year of recent experience in an acute care facility.
• Successful completion of skills assessment.
• Possess and maintain current certification in cardiopulmonary resuscitation.
• Must be self-directed; possess good observational/nursing judgment and communication skills.

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