Description

Purpose:
Snohomish County Human Services Case Management is hiring a registered nurse to provide clients, caregivers and case managers nursing services.  The nurse will offer consult for adult clients with unstable or chronic health conditions who are at risk of hospitalization or residential placement.   This is a hybrid position.  
 
About You:
You have clinical experience and can function independently using critical thinking skills and the nursing process to carry out job responsibilities.  You enjoy working with disabled and geriatric clients in the home setting and are comfortable providing education and training for clients, caregivers, and case managers.
 
Position Purpose:
To work in collaboration with case managers, caregivers, and members of the client’s health care team to review care needs and address concerns.  There is no direct nursing care involved that requires physician orders.   The case management nurse assists with developing and implementing the care plan and provides education and resource coordination to facilitate an optimal level of functioning and health for the client enabling them to remain safely in their home.  

About Human Services:

Snohomish County Human Services strives to be an equitable and trauma-informed department. Our department believes every interaction, procedure, and policy provides an opportunity to build a pathway toward a more resilient and restorative Snohomish County.

Job Duties

1. Assesses medical, psychosocial, and physical needs of clients; conducts home visits with clients, care providers, families and other involved parties to review client needs and resolve concerns. Makes joint home visits with non RN staff to provide information from a medical point of view.
2. Provides health-related education and training to groups.     
3. Provides task-specific training and instruction from a medical perspective to care providers and clients, and/or makes appropriate referrals for training, as needed.

1. Provides consultation to non RN Case Managers regarding clients with unstable medical conditions at risk of residential placement or hospitalization due to unstable health.
2. Develops and implements individualized plan of services for clients with medically intensive issues with a goal of maintaining the client's independence; monitors services provided to these clients to determine adequacy of service provision; reassesses and revises service plans as needed; documents client progress. 
3. Responds to referrals from non RN Case Managers by providing file reviews of the CARE assessment, other client related care plans, and medical information; office consultation or staffing with case managers regarding client specific disease processes, diagnoses, & medications; telephone consultation with clients, providers, or case managers; and home visits to clients. RNs complete documentation related to file reviews, consultations, and home visits.
4. Provides care coordination for clients through consultation and coordination with all pertinent members of a client's care team and facilitates health-related referrals to other services and programs as needed. The RNs provide education regarding available community resources and programs related to the health care needs of the clients.
5. Assists clients with medically complex care needs to hire personal care providers that are able to provide care according to the client's individualized care plan.   Facilitates completion of contracting procedures; provides training information to care providers.
6. Responds to client crises by providing timely assessment of in home care needs; offers services within program parameters, or refers as needed; coordinates with DSHS field staff to facilitate transition of clients between residential and in-home care settings.

1.  Performs related duties as required and/or when assigned 

Minimum Qualifications

Additional Information

• professional nursing principles, practices and concepts
• medications and expected action and side effects
• psychological, physiological and anatomical issues and systems related to children, disabled and geriatric populations
• social, financial and health problems confronting low-income, elderly and/or disabled, persons
• available community resources; interviewing, assessment and counseling techniques
• computers and software programs

• establish and maintain effective working relationships, rapport and coordination with disabled or elderly clients, their families, social services providers, community agencies, other county employees and the public
• interpret a variety of medical, social and psychological data
• communicate effectively, both orally and in writing, with people regardless of age, sex, social, economic, cultural or ethnic background, or sexual orientation
• instruct and train care providers; respond effectively to crisis or emergency situations
• use computer
• maintain detailed records and prepare clear, concise written reports
• function independently in client home situations
• coordinate a large volume of telephone contacts
• facilitate groups and meetings