Registered Nurse Med/Surg jobs at Central Health - 21 jobs

Under the supervision of the Director of Case Management, the Care at Home Registered Nurse is an integral part of a collaborative, multidisciplinary team that will support the clients in the Care at Home Program. The Care at Home Program serves as a temporary bridge in providing healthcare services to individuals who are discharging from acute care facilities such as the hospital or Skilled Nursing Facilities. The main duties of the Care at Home RN will include the review all incoming referrals for appropriate placement to the program and ensure criteria for admission are met. In collaboration with the Advanced Practice Provider, provide general nursing care as needed as defined by the Texas Board of Nursing. The Care at Home Registered Nurse will be an integral part of the Transitions of Care team and will interact closely with Case Management, Medical Respite and Post - Acute Care teams. Responsibilities Essential Functions: Completing accurate assessment of discharging needs, coordinating medication and appointments and documentation, reporting to appropriate personnel as indicated and working collaboratively with Advanced Practice Providers, primary care providers, specialists, and community providers. Medication review against list from discharging provider and/or facility. Work closely and collaboratively with local hospitals, skilled nursing facilities, community clinics and other programs to review incoming referrals according to inclusion criteria. This will include traveling to do an in person assessment if needed. Accompany Advanced Practice Provider for home visits and complete intake assessment in Electronic Health Record. Delegate appropriate tasks to Medical Assistant and Community Health Worker. Provide direct nursing care and education to clients in their homes and ensure all needs of the patient are met, in coonformance with established policies and procedures. Complete daily/ weekly quality assurance checklists to include delegation of trasks as appropriate to staff (McKesson, CLIA, etc.) Assist with oversight of infection control standards. Participate in continuous quality improvement projects in order to better serve the patient-client, family and healthcare system to improve the quality of service provided. Support organizational initiatives to promote and maintain a strong positive workplace culture. Triage all incoming referral for Care at Home Program and ensure admittance to program as clearly defined in program criteria. Ensure all tasks provided and associated with client care, patient administrative processes and related duties comply with all regulatory and accreditation standards, and Central Health Standard Operating Procedures, Policies and Procedures. Knowledge, Skills, and Abilities: Demonstrates the ability to work with people from diverse socio-economic backgrounds. Sound critical thinking and decision-making skills. Skill in triaging and ensuring appropriate level of care for a patient in an accurate and efficient manner. Effective interpersonal skills and the ability to work with an interdisciplinary care team. Ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures that are necessary for providing quality care. Proven written and oral communication skills. Able to relate positively, favorably and cooperatively with others, including employees, patients, family members, and personnel of outside agencies and organizations. Demonstrated familiarity with tools, technology, and systems typically found within most health care environments, (i.e. EHR, personal computer skills, including Microsoft Office) Qualifications Minimum Requirements: Education : Associate's Degree - Graduate from an Accredited School of Nursing Work Experience: Three (3) years Clinical Experience in ambulatory care setting, hospital setting, home health or community agency. Three (3) years Background in managing populations with complex medical needs. Preferred Requirements: Education: Bachelor's Degree - Bachelor of Science Degree in Nursing (BSN) Work Experience: Two (2) years Simple Wound Care One (1) year Experience with EPIC Licenses and Certifications Requirements: RN - Registered Nurse - State Licensure and/or Compact State Licensure: Unrestricted Registered Nurse License in the State of Texas Basic Life Support (BLS) - obtained through approved American Heart Association or Red Cross

Are you a compassionate Registered Nurse (RN) who has incredible assessment skills and enjoy meeting the needs of patients and families? Join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated.

GetMed Staffing is searching for a strong Physical Therapist-Home Health to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. Gain experience that matters.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: * Integrity: We are honest and professional. * Trust: We count on each other. * Excellence: We strive to always do our best and look for ways to improve and excel. * Accountability: We accept responsibility for our actions, attitudes, and mistakes. * Mutual Respect: We treat others the way we want to be treated.

Are you a compassionate Registered Nurse (RN) who has incredible assessment skills and enjoy meeting the needs of patients and families? Join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On an Average Day You Will: (Includes, but not limited to) Complete an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs Provide a complete physical assessment and history of current and previous illness(es) Provide professional nursing care by utilizing all elements of the nursing process Assess and evaluate patient's status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care, as necessary Initiate the plan of care and make necessary revisions as patient status and needs change Use health assessment data to determine nursing diagnosis Develop a care plan that establishes goals, based on nursing diagnosis Include the patient and the family in the planning process Record pain/symptom management and changes/outcomes as appropriate Communicate with the physician regarding the patient's needs and report changes in the patient's condition; obtain/receive physicians' orders, as required Teach the patient and family/caregiver self-care techniques, as appropriate Work in concert with the interdisciplinary group All other duties as assigned Requirements: Must have at least one (1) year of acute care experience in an institutional setting One (1) year of experience in home care preferred Must have a current licensure in the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community The Admissions RN is also responsible for developing and increasing the access to Bristol Hospice Services in the communities that the location serves. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On an Average Day You Will: (includes but not limited to) Relate information to the DPCS, ED and Community Education Director of initiatives that promote hospice access in the hospice community Ensure the educational needs of the community related to hospice care and services, are assessed and met on an ongoing basis Establish and monitor community, customer, payer and patient perceptions of Bristol Hospice as a high-quality provider of hospice services in the community Facilitate communication with agency and referral sources as needed to promote the continuum of care Maintain comprehensive working knowledge in the field of Hospice educational resources and share information with appropriate organizational personnel Facilitate the hospice referral process Serve as a resource to review and consult available patient information related to the case, to determine hospice care needs and criteria Coordinate and communicate with hospice agency leadership and referral sources to promote care coordination and a timely admission process Complete hospice consults/evaluations and admissions Ensure coordination and communication with referral sources and hospice agency leadership Complete initial assessments of patients and families to determine hospice needs Facilitate and complete admissions as indicated Provide a complete physical assessment and history of current and previous illness(es) of referrals Work with the intake department so they can serve as a liaison between facility, physicians, hospitals, skilled nursing facilities, community and hospice programs, with coordination of referrals/admission process and services Coordinate with the ED and DPCS regarding the need for planning, implementation and evaluation of in-service and continuing education programs May be required to actively participate in the Quality Assurance Performance Improvement (QAPI) process, as directed by ED or DPCS May be required to function as an RN Case Manager and maintain an assigned patient case load as determined by the ED or the DPCS Provide professional nursing care by utilizing all elements of the nursing process Use health assessment data to determine nursing diagnosis May be required to participate in IDT meetings and work with the IDT to determine the patient/family plan of care, as needed Provide patient/family education related to the patient/family plan of care All other duties as assigned Requirements: Must have a current RN license in the state Must have a minimum of one (1) year of experience as a professional nurse within the last three (3) years or have a bachelor's degree in nursing from a program accredited by the National League of Nursing Must be able to travel 20% of the time, often without notice Must be flexible in work hours Must possess the willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On An Average Day You Will: (includes, but not limited to) Make a true difference- one patient, one family, one compassionate moment at a time. Develop and implement individualized care plans based on current and prior medical history Deliver attentive, one-on-one support to patients and their families, ensuring comfort, dignity, and understanding Conduct thorough assessments of physical, emotional, and spiritual needs throughout the care journey Accurately monitor and document vital signs including temperature, pulse, respiration, and blood pressure Administer physician-ordered medications and treatments with skill and empathy Educate patients and their families on care techniques and symptom management Track and communicate changes in patient condition, ensuring timely and effective responses Keep detailed and up-to-date clinical notes to reflect patient progress and quality of care provided Collaborate with interdisciplinary teams to ensure comprehensive care delivery And contribute to other supportive duties as part of a compassionate, mission-driven team And additional duties as assigned What You'll Bring to The Team: A heart for hospice care and a commitment to exceptional service A valid Registered Nurse license in good standing in the state you will work in A valid driver's license and reliable transportation CPR certification (current) Strong observational and communication skills-both written and verbal A flexible, team-oriented attitude and willingness to support additional duties as needed What You'll Get in Return (Perks & Benefits): Tuition Reimbursement - We invest in your continued growth Paid Time Off & Holidays - Because your well-being matters Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability 401(k) & HSA - Plan for your future with confidence Mileage Reimbursement - For applicable travel and visits Advanced Training Programs - Elevate your skills, expand your impact A Mission-Driven Culture - Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On An Average Day You Will: (includes, but not limited to) Make a true difference- one patient, one family, one compassionate moment at a time. Develop and implement individualized care plans based on current and prior medical history Deliver attentive, one-on-one support to patients and their families, ensuring comfort, dignity, and understanding Conduct thorough assessments of physical, emotional, and spiritual needs throughout the care journey Accurately monitor and document vital signs including temperature, pulse, respiration, and blood pressure Administer physician-ordered medications and treatments with skill and empathy Educate patients and their families on care techniques and symptom management Track and communicate changes in patient condition, ensuring timely and effective responses Keep detailed and up-to-date clinical notes to reflect patient progress and quality of care provided Collaborate with interdisciplinary teams to ensure comprehensive care delivery And contribute to other supportive duties as part of a compassionate, mission-driven team And additional duties as assigned What You'll Bring to The Team: A heart for hospice care and a commitment to exceptional service A valid Registered Nurse license in good standing in the state you will work in A valid driver's license and reliable transportation CPR certification (current) Strong observational and communication skills-both written and verbal A flexible, team-oriented attitude and willingness to support additional duties as needed What You'll Get in Return (Perks & Benefits): Tuition Reimbursement - We invest in your continued growth Paid Time Off & Holidays - Because your well-being matters Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability 401(k) & HSA - Plan for your future with confidence Mileage Reimbursement - For applicable travel and visits Advanced Training Programs - Elevate your skills, expand your impact A Mission-Driven Culture - Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community The Admissions RN is also responsible for developing and increasing the access to Bristol Hospice Services in the communities that the location serves. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On an Average Day You Will: (includes but not limited to) Relate information to the DPCS, ED and Community Education Director of initiatives that promote hospice access in the hospice community Ensure the educational needs of the community related to hospice care and services, are assessed and met on an ongoing basis Establish and monitor community, customer, payer and patient perceptions of Bristol Hospice as a high-quality provider of hospice services in the community Facilitate communication with agency and referral sources as needed to promote the continuum of care Maintain comprehensive working knowledge in the field of Hospice educational resources and share information with appropriate organizational personnel Facilitate the hospice referral process Serve as a resource to review and consult available patient information related to the case, to determine hospice care needs and criteria Coordinate and communicate with hospice agency leadership and referral sources to promote care coordination and a timely admission process Complete hospice consults/evaluations and admissions Ensure coordination and communication with referral sources and hospice agency leadership Complete initial assessments of patients and families to determine hospice needs Facilitate and complete admissions as indicated Provide a complete physical assessment and history of current and previous illness(es) of referrals Work with the intake department so they can serve as a liaison between facility, physicians, hospitals, skilled nursing facilities, community and hospice programs, with coordination of referrals/admission process and services Coordinate with the ED and DPCS regarding the need for planning, implementation and evaluation of in-service and continuing education programs May be required to actively participate in the Quality Assurance Performance Improvement (QAPI) process, as directed by ED or DPCS May be required to function as an RN Case Manager and maintain an assigned patient case load as determined by the ED or the DPCS Provide professional nursing care by utilizing all elements of the nursing process Use health assessment data to determine nursing diagnosis May be required to participate in IDT meetings and work with the IDT to determine the patient/family plan of care, as needed Provide patient/family education related to the patient/family plan of care All other duties as assigned Requirements: Must have a current RN license in the state Must have a minimum of one (1) year of experience as a professional nurse within the last three (3) years or have a bachelor's degree in nursing from a program accredited by the National League of Nursing Must be able to travel 20% of the time, often without notice Must be flexible in work hours Must possess the willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On An Average Day You Will: (includes, but not limited to) Make a true difference- one patient, one family, one compassionate moment at a time. Develop and implement individualized care plans based on current and prior medical history Deliver attentive, one-on-one support to patients and their families, ensuring comfort, dignity, and understanding Conduct thorough assessments of physical, emotional, and spiritual needs throughout the care journey Accurately monitor and document vital signs including temperature, pulse, respiration, and blood pressure Administer physician-ordered medications and treatments with skill and empathy Educate patients and their families on care techniques and symptom management Track and communicate changes in patient condition, ensuring timely and effective responses Keep detailed and up-to-date clinical notes to reflect patient progress and quality of care provided Collaborate with interdisciplinary teams to ensure comprehensive care delivery And contribute to other supportive duties as part of a compassionate, mission-driven team And additional duties as assigned What You'll Bring to The Team: A heart for hospice care and a commitment to exceptional service A valid Registered Nurse license in good standing in the state you will work in A valid driver's license and reliable transportation CPR certification (current) Strong observational and communication skills-both written and verbal A flexible, team-oriented attitude and willingness to support additional duties as needed What You'll Get in Return (Perks & Benefits): Tuition Reimbursement - We invest in your continued growth Paid Time Off & Holidays - Because your well-being matters Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability 401(k) & HSA - Plan for your future with confidence Mileage Reimbursement - For applicable travel and visits Advanced Training Programs - Elevate your skills, expand your impact A Mission-Driven Culture - Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Are you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end-it's a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you're ready to rediscover your purpose and join a team that feels like home, you're in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit ********************** and follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications On An Average Day You Will: (includes, but not limited to) Make a true difference- one patient, one family, one compassionate moment at a time. Develop and implement individualized care plans based on current and prior medical history Deliver attentive, one-on-one support to patients and their families, ensuring comfort, dignity, and understanding Conduct thorough assessments of physical, emotional, and spiritual needs throughout the care journey Accurately monitor and document vital signs including temperature, pulse, respiration, and blood pressure Administer physician-ordered medications and treatments with skill and empathy Educate patients and their families on care techniques and symptom management Track and communicate changes in patient condition, ensuring timely and effective responses Keep detailed and up-to-date clinical notes to reflect patient progress and quality of care provided Collaborate with interdisciplinary teams to ensure comprehensive care delivery And contribute to other supportive duties as part of a compassionate, mission-driven team And additional duties as assigned What You'll Bring to The Team: A heart for hospice care and a commitment to exceptional service A valid Registered Nurse license in good standing in the state you will work in A valid driver's license and reliable transportation CPR certification (current) Strong observational and communication skills-both written and verbal A flexible, team-oriented attitude and willingness to support additional duties as needed What You'll Get in Return (Perks & Benefits): Tuition Reimbursement - We invest in your continued growth Paid Time Off & Holidays - Because your well-being matters Comprehensive Health Benefits - Medical, Dental, Vision, Life Insurance, Disability 401(k) & HSA - Plan for your future with confidence Mileage Reimbursement - For applicable travel and visits Advanced Training Programs - Elevate your skills, expand your impact A Mission-Driven Culture - Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for managing all aspects of patient-centered care for patients with chronic illness. Works closely with the patient, the caregivers, physicians, and health care teams to provide long-term care coordination and cost management for patients with chronic illness. Responsibilities Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations): • Assess the state of patient and primary caregiver by conducting comprehensive interviews with patient and caregiver, specific to assigned Program. • Develop and communicate (with patient, caregiver and primary care physician/health care team) a comprehensive care plan based on evidence-based best practice (for chronic illness) for designated target population per Program guidelines. • Monitor the patient's condition on a regular basis or as indicated in Program guidelines. • Manage and coordinate all transitions between sites and providers of care or as indicated in Program guidelines. • Educate and support the patient (family caregivers) as per Program guidelines. • Facilitate patient access to community services. • Provide direct nursing care to patients as indicated in Program guidelines, including Program specific SDO's, and distribute medications and treatments according to accepted standards of care as applicable. • Patient triage as needed. • Optimize patient outcomes through the coordination of care with other providers by ensuring that patient care plans are in place. • Proactively manage and follow-up with patients according to the specified care plan. • Complete all direct and indirect care documentation in timely manner and ensure patient records are current and complete. • Attend daily patient care (unit) huddles and periodic informational (clinic) huddles, meetings, patient conferences, or planning sessions. These may be related to quality assurance, patient care and other related topics within the clinic. • Attend seminars and maintain all licensure and/or certification requirements for continuing education and best practices. • Participate in quality strategies to evaluate compliance with evidence-based guidelines, standards and to identify opportunities to improve patient outcomes. • Ensure all tasks provided and associated with patient care, patient administrative processes and related duties comply with all regulatory and accreditation standards including The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures. • Develop and maintain favorable internal relationships, partnerships with co-workers, including clinical managers, clinical support staff, providers and business office staff. • Interact respectfully and collaboratively with patients and their families, striving to develop favorable relationships with families. • Collaborate with all members of the care team in providing patient-centered care. • Perform other duties as assigned. Knowledge/Skills/Abilities: • High level of skill at building relationships and providing excellent customer service. • High degree of knowledge and competency in the practice of medicine and associated charting requirements. • Requisite skills and ability to perform certain medical tasks as assigned • High level of problem solving skill to better serve patients and staff. • Strong attention to detail and accuracy. • Excellent verbal and written communication skills. • Demonstrated success in the delivery of quality nursing practices and duties assigned to this role. • Demonstrated experience managing multiple nursing activities at once. • Demonstrated experience with direct patient services and the proper knowledge and use of medical devices and equipment. • Demonstrated familiarity with tools, technology, and systems typically found within most health care environments (i.e. personal computer skills, spreadsheets, word processing, patient records systems, EMR systems, etc.). Qualifications MINIMUM EDUCATION: Graduation from an accredited school of nursing. PREFERRED EDUCATION: BSN MINIMUM EXPERIENCE: Minimum of 2 years of clinical nursing experience. REQUIRED CERTIFICATIONS/LICENSURE: • Current license to practice nursing in the state of Texas. • Current Health Care Provider Cardiopulmonary Resuscitation (CPR) certification through American Heart Association or American Red Cross. Will be required to maintain a current CPR certification during employment.

The Registered Nurse (RN) position presents an exciting opportunity for RN's to advance the art and science of nursing in a patientcentered Multi-Specialty environment through their professional practice and leadership. The RN utilizes their knowledge, skills, and compassion in delivering Specialty nursing care in a supportive team-based environment. The RN will provide nursing care for patients to restore and promote health and to prevent illness and injury. The RN practices professional nursing as defined by the Texas Board of Nursing, Texas Nurse Practice Act and by adhering to organizational policies, procedures, and guidelines. Our nurses are committed to providing a collaborative environment to deliver the safest and highest quality of care for our patients. Our team of Registered Nurses model a commitment to the organization's vision/mission/values to support an unparalleled patient experience and positive clinical outcomes. Responsibilities Essential Duties • Collaborates with the patient's care team including, primary care team, specialists, home care, hospital team, and any others involved with the patient's care to optimize clinical outcomes.• Oversees assigned team, including but not limited to, assisting with establishing work assignments and overseeing flow of unit along with identifying staffing needs.• Assesses the physical, social, and emotional needs of patients and families in clinics. • Serves as an advocate, providing direction and support to the patient and family. Educates patient and family members on diagnosis, treatments, procedures, and medications. • Participate in the identification of patient needs for referral to resources that facilitate the continuity of care.• Enhance the patient experience by supporting Provider teams with in-basket management, refilling medications, and triaging patients in a timely manner following established protocols. • To ensure efficient patient flow and avoid delays in care, may support Provider teams by assisting with procedures, distributing medications and treatments, rooming, and dismissing patients consistent with the standardized workflows.• Perform clinical duties as assigned and competency validated in accordance with Standing Delegation Orders including, but not limited to: administering medications, immunizations, setting up exam or procedure rooms, preparing patients for examinations and /or treatments, assisting provider with exams or procedures, cleaning and disinfection of equipment, exam rooms and storage, stocking exam rooms, perform quality control checks on equipment as per manufacturer guidelines.• As required and competency validated, performs appropriate EKG, spirometry, point of care testing, specimen collection, staple and suture removal, wound care, toenail cutting, equipment cleaning/reprocessing and other requested procedures.• Participates in daily patient care (unit) huddles, in some case ensuring that huddles are taking place along with weekly clinic staff informational huddles.• Enhance the patient experience by practicing AIDET during each patient interaction. • Completes daily/weekly quality assurance checklists to include delegation of tasks as appropriate to staff (Rider report, class D, McKesson, CLIA, AED, equipment checks, etc.)• Assists with oversight of health center equipment needs, infection control standards, and CLIA regulations, vaccine management, compliance with Standing Delegation Orders, and emergency protocols. • Enhances the patient experience by addressing and resolving patient issues in a timely manner• Acts as a resource to Medical Assistants, and other clinical team members.• May participate in the hiring process for new staff members by conducting interviews and making hiring recommendations to the clinical/non-clinical leader.• Serve as a preceptor for new clinical team members and students.• Assists with supply management by ensuring Provider teams maintain requisite supplies needed to deliver timely patient care, identify trends, and anticipate needed supplies.• Assist in the development of departmental protocols, policies, and procedures. • Participates in continuous quality improvement projects in order to better serve the patient, family and healthcare system to improve the quality of service provided.• Attend staff meetings and education offerings both in person and via teleconference/online as required.• Supports organizational initiatives to promote and maintain a strong positive workplace culture.• Ensure all tasks provided and associated with patient care, patient administrative processes and related duties comply with all regulatory and accreditation standards, and Central Health Standard Operating Procedures, Policies and Procedures.• Adheres to state board of nursing and state nurse practice act requirements and to other governing agency regulations. • Perform other duties as assigned. Knowledge/Skills/Abilities: High level of skill at building relationships and providing excellent customer and patient care. High degree of knowledge and competency in the practice of nursing and documentation requirements. High level of problem-solving skills to better serve patients and staff. Excellent verbal and written communication skills required. Strong commitment to quality, efficiency, and effectiveness. Strong application of Microsoft office and electronic health records. People Management/Department Management/BusinessUnit Management:• Supports nursing leadership with execution of initiatives, goals, programs, and complex organizational change efforts.• Manage and supports the implementation of new initiatives and ensure coordination of strategy and initiatives.• Supports complex organizational change efforts.• Adheres to all local, state, and federal regulations Qualifications MINIMUM EDUCATION: Graduation from an accredited school of nursing MINIMUM EXPERIENCE:• Two years nursing experience in an ambulatory clinic and/or hospital setting • Demonstrated knowledge of Joint Commission standards, HIPAA regulations, and the Quadruple Aim REQUIRED CERTIFICATIONS/LICENSURE: Holds and maintains these certifications as a professional. Lapsing/expiration of these certifications/licensure will result in suspension of work:1. Unrestricted Registered Nurse License in the State of Texas2. Basic Life Support (BLS) - Obtained through approved American Heart Association or Red Cross PREFERRED EDUCATION: Bachelor of Science in Nursing (BSN) preferred PREFERRED EXPERIENCE: • Three years nursing clinical experience in an ambulatory clinic setting with Specialty services.• One year nursing experience in the care of Cardiology, GI, Nephrology, Pulmonology, Podiatry, or Neurology patients in anambulatory clinic and/or hospital setting • Able to recognize cardiac rhythms and/or cardiac diagnostic testing experience.• Ability to start and maintain intravenous (IV) infusions.• Knowledge leading teams with clinical workflow development and nursing triage.• Experience with Epic PREFERRED CERTIFICATIONS/LICENSURE:AAACN Certification REQUIRED COURSES/COMPLETIONS (e.g., CPR): Basic Life Support (BLS) - Obtained through approved American Heart Association or Red Cross.

In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for planning, organizing and directing the clinical support staff assigned to a unit in a community healthcare center. Responsibilities Essential Duties: Performs Charge Nurse Duties in absence of Charge Nurse. Oversee assigned staff, including but not limited to, establishing work assignments and oversee flow of unit along with identifying staffing needs. Input for performance evaluations and serve as a support lead to the charge nurse. Helps identifies and participates in process improvement strategies Assist Charge Nurse in Care Coordination and Population Health as needed. Provide coaching/mentor of Staff Development of nurse and clinical team. Supporters nurses and clinical team to improve clinical skills and knowledge. Assess the physical, social and emotional needs of patients and families in clinics. Teach and counsel patients and families concerning health assessment and care including prevention of disease, disability, hygiene, and health maintenance. Participate in the identification of patient needs for referral to resources that facilitate the continuity of care in conjunction with care management team. Provide direct nursing care to patients and distribute medications and treatments according to accepted standards of care. Complete all direct and indirect care documentation in timely manner and ensure patient records are current and complete. Participates in daily patient care (unit) huddles, in some case ensuring that huddles are taking place along with weekly clinic staff informational huddles. Maintains all licensure and/or certification requirements for continuing education and best practices. Identifies, in collaboration with Charge Nurse, supports and participates in quality strategies in collaboration from Charge Nurse to evaluate compliance with evidence-based guidelines, standards, and to identify opportunities to improve patient outcomes. Ensure all tasks provided and associated with patient care, patient administrative processes and related duties comply with all regulatory and accreditation standards including The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures. Act as the site lead in the absence of the Nurse Manager Operations and/or Practice Leader. Daily/weekly quality assurance checklist to include delegation of tasks as appropriate to staff (Rider report, class D, McKesson, CLIA, AED, equipment checks) Ensures state vaccine (VFC/ASN) policies are being followed. Attends all clinic codes. Patient triage as needed. Performs periodic chart audits. De-escalation of crisis situations by seeking guidance of supportive personnel. Perform other duties as assigned. Knowledge/Skills/Abilities: High level of skill at building relationships and providing excellent customer and patient care. High degree of knowledge and competency in the practice of nursing and documentation requirements Requisite skills and ability to perform assigned nursing tasks. High level of problem solving skills to better serve patients and staff. Strong attention to detail and accuracy. Strong ability to multitask and prioritize needs in a fast paced environment. Strong verbal and written communication skills. Ability to implement and evaluate operational and administrative processes. Strong application of Microsoft office and electronic health records. People Management/Department Management/Business Unit Management: Develops communication processes to support quality of care and patient experience. Ability to develop and manage professional relationships in a complex healthcare environment including capability to collaborate with providers and other members of the healthcare team in meeting the needs of CUC patients. Develop and maintain favorable internal relationships, partnerships with team members, including nurse managers, clinical support staff, providers and business office staff. Interacts respectfully and collaboratively with patients and their families, striving to develop favorable relationships with families. Collaborates with all members of the care team in providing patient-centered care. Qualifications MINIMUM EDUCATION: Graduation from an accredited school of nursing PREFERRED EDUCATION: Bachelor of Science in Nursing (BSN) preferred MINIMUM EXPERIENCE: Graduate from accredited school of nursing. Demonstrate success in providing clinical care and nursing support within an organization of comparable pace and complexity. Experience managing difficult patient/customer situations. Collaborates with clinical staff in order to achieve a common goals. Knowledge of medical practices and procedures in a healthcare environment. Demonstrate success and experience with direct patient services and the proper knowledge and use of medical devices and equipment. Familiarity with tools, technology, and systems typically found within most health care environments (i.e. Microsoft Office, EMR systems, etc.) for data entry and retrieval. PREFERRED EXPERIENCE: Prefer at least of at least 2 year of experience as nurse. REQUIRED CERTIFICATIONS/LICENSURE: Unrestricted Registered Nurse License in the State of Texas. Current healthcare provider Cardiopulmonary Resuscitation (CPR) course completion card obtained through approved American Heart Association or American Red Cross PREFERRED CERTIFICATIONS/LICENSURE: AAACN Certification

Under general direction of the Associate Director of Case Management, identifies, screens, tracks, monitors and coordinates care to ensure highest quality care for client's disease state. Utilizes clinical skills to review and monitor utilization of health care services with the goal of maintaining high quality cost-effective care while engaging and empowering the client. The RN Case Manager will serve as the lead for each multidisciplinary CM team in assessment of medical and social needs for the member. The RN Case Manager will appropriately assign and delegate non-medical CM tasks to the social worker or Community Health Worker for timely follow up and navigation. The RN Case Manager will work in conjunction with Social Workers, Community Health Workers, Physicians, Advanced Practice Providers, and other care team members to provide case management and navigation services, while working in collaboration with inpatient care teams and other Central Health medical and transitions of care teams. This is an onsite position. Only candidates that live or will live in the Austin area will be considered for this role. "This is an onsite Registered Nurse Case Manager supporting Oncology patients within Central Health Transitions of Care Department. This role will be a community-based role that will conduct home visit and clinic visits to provide support and advocacy to patients. The ideal candidate has experience with oncology and multiple chronic medical conditions." Responsibilities Essential Functions: * Knowledge of Utilization Management and application of Medical Necessity criteria. * Collaborates with the patient's care team including primary care team, specialists, home care, hospital team, and any others involved with the patient's care to optimize clinical outcomes. * Oversees assigned team and assists with establishing work assignments. * Assesses the physical, social, and emotional needs of patients and families for optimal health outcomes. * Educates patient and family members on diagnosis, treatments, procedures, medications and healthcare services covered by Central Health. * Develops, collaborate and execute care plan in collaboration with primary care provider teams through Care at Home Model. * Performs comprehensive assessment of medical needs, including but not limited to disease education and medication reconciliation. * Completes all clinical documentation in timely manner, including admissions, resumptions of care, accurately and ensures that documentation meets all requirements per departmental policies and procedures. * Promote adherence with disease specific clinical outcomes by providing each individual with self-management supports including disease specific education materials and Care plan and treatment goals including self-management goals. * Responsible for telephonic and/or face to face assessment, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. * Coordinate care and communication between multiple providers, medical, nursing, social, and behavioral health. * Evaluate and modify care plan goals based on patient improvement and resource effectiveness. * Participate in the identification of patient needs for referral to resources that facilitate the continuity of care. * Serve as a preceptor for new clinical team members and students. * Participates in continuous quality improvement projects in order to better serve the patient, family and healthcare system to improve the quality of service provided. * Plan and coordinate care daily with all members of Central Health's care team to assure maximum quality and efficiency of care between Eligible Patients, Physicians, Advanced Practice Providers, case management and nursing * Supports organizational initiatives to promote and maintain a strong positive workplace culture. * Adheres to state board of nursing and state nurse practice act requirements and to other governing agency regulations. * Performs other duties as assigned. Knowledge, Skills and Abilities: * Ability to thrive in a complex and dynamic work environment with multidisciplinary, cross-functional teams and matrixed team structures. * Ability to apply critical thinking to generate and assess potential solutions and to anticipate needs in advance. * Knowledge of nursing best practice and industry standards for practice of nursing. * Compliance with data confidentiality and security procedures * Ability to interact with colleagues in a respectful, supportive fashion which encourages employee's personal and professional growth * High level skill at building relationships within the organization and with external partners * Able to balance a customer-oriented and results-driven approach * Able to persuade others to approach topics and ideas with an opportunistic mindset * Strong attention to detail and accuracy * Ability to communicate complex ideas clearly and effectively through both writing and speaking * Experience with electronic medical records and healthcare-derived data and working knowledge of the laws and regulations that govern the same. * Ability to collaborate with patients, families and care teams through multiple complex systems * Strong assessment skills * Follows standard precautions * Maintains confidentiality * Exhibit compassion, vulnerability, and empathy when working with employees (patients) and advancing Central Health's equity and DEI goals * Provide patient centered care that is inclusive and focuses on cultural humility Qualifications Minimum Requirements for role: Education: Graduation from an accredited School of Nursing Work Experience: Minimum three years of clinical nursing experience in a hospital or clinic setting Licenses/Certifications: Current unrestricted RN license to practice nursing in the State of Texas Basic Life Support (BLS) - Obtained through approved American Heart Association Training Network or American Red Cross.

Under general direction of the Associate Director of Case Management, identifies, screens, tracks, monitors and coordinates care to ensure highest quality care for client's disease state. Utilizes clinical skills to review and monitor utilization of health care services with the goal of maintaining high quality cost-effective care while engaging and empowering the client. The RN Case Manager will serve as the lead for each multidisciplinary CM team in assessment of medical and social needs for the member. The RN Case Manager will appropriately assign and delegate non-medical CM tasks to the social worker or Community Health Worker for timely follow up and navigation. The RN Case Manager will work in conjunction with Social Workers, Community Health Workers, Physicians, Advanced Practice Providers, and other care team members to provide case management and navigation services, while working in collaboration with inpatient care teams and other Central Health medical and transitions of care teams. This is an onsite position. Only candidates that live or will live in the Austin area will be considered for this role. Responsibilities Essential Functions: Knowledge of Utilization Management and application of Medical Necessity criteria. Collaborates with the patient's care team including primary care team, specialists, home care, hospital team, and any others involved with the patient's care to optimize clinical outcomes. Oversees assigned team and assists with establishing work assignments. Assesses the physical, social, and emotional needs of patients and families for optimal health outcomes. Educates patient and family members on diagnosis, treatments, procedures, medications and healthcare services covered by Central Health. Develops, collaborate and execute care plan in collaboration with primary care provider teams through Care at Home Model. Performs comprehensive assessment of medical needs, including but not limited to disease education and medication reconciliation. Completes all clinical documentation in timely manner, including admissions, resumptions of care, accurately and ensures that documentation meets all requirements per departmental policies and procedures. Promote adherence with disease specific clinical outcomes by providing each individual with self-management supports including disease specific education materials and Care plan and treatment goals including self-management goals. Responsible for telephonic and/or face to face assessment, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Coordinate care and communication between multiple providers, medical, nursing, social, and behavioral health. Evaluate and modify care plan goals based on patient improvement and resource effectiveness. Participate in the identification of patient needs for referral to resources that facilitate the continuity of care. Serve as a preceptor for new clinical team members and students. Participates in continuous quality improvement projects in order to better serve the patient, family and healthcare system to improve the quality of service provided. Plan and coordinate care daily with all members of Central Health's care team to assure maximum quality and efficiency of care between Eligible Patients, Physicians, Advanced Practice Providers, case management and nursing Supports organizational initiatives to promote and maintain a strong positive workplace culture. Adheres to state board of nursing and state nurse practice act requirements and to other governing agency regulations. Performs other duties as assigned. Knowledge, Skills and Abilities: Ability to thrive in a complex and dynamic work environment with multidisciplinary, cross-functional teams and matrixed team structures. Ability to apply critical thinking to generate and assess potential solutions and to anticipate needs in advance. Knowledge of nursing best practice and industry standards for practice of nursing. Compliance with data confidentiality and security procedures Ability to interact with colleagues in a respectful, supportive fashion which encourages employee's personal and professional growth High level skill at building relationships within the organization and with external partners Able to balance a customer-oriented and results-driven approach Able to persuade others to approach topics and ideas with an opportunistic mindset Strong attention to detail and accuracy Ability to communicate complex ideas clearly and effectively through both writing and speaking Experience with electronic medical records and healthcare-derived data and working knowledge of the laws and regulations that govern the same. Ability to collaborate with patients, families and care teams through multiple complex systems Strong assessment skills Follows standard precautions Maintains confidentiality Exhibit compassion, vulnerability, and empathy when working with employees (patients) and advancing Central Health's equity and DEI goals Provide patient centered care that is inclusive and focuses on cultural humility Qualifications Minimum Requirements for role: Education: Graduation from an accredited School of Nursing Work Experience: Minimum three years of clinical nursing experience in a hospital or clinic setting Licenses/Certifications: Current unrestricted RN license to practice nursing in the State of Texas Basic Life Support (BLS) - Obtained through approved American Heart Association Training Network or American Red Cross.