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The Transitional Manager (TM) is responsible for proactively coordinating care and assisting with transitioning medically complex patients from the hospital to home. The TM works collaboratively with physicians and nurses in the hospital, primary care providers, care managers in the ambulatory setting and community, home care, and other members of the multidisciplinary care team in order to ensure the transitional needs of patients/families are identified and met. The TM will assess patients to identify risks impeding adherence to medical treatment plans, coordinate with the hospital care teams during the patient's stay, and assist patients and caregivers with the identification of issues/goals/interventions. They will follow-up with patients and caregivers for 30 days post discharge in order to ensure safe transitions of care and help reduce unnecessary hospital readmissions and ER visits. The assessment will take into account the patient and his/her caregiver’s perception of needs in order to make a safe transition from hospital to home.
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ArchCare, the Continuing Care Community of the Archdiocese of New York, provides top-quality healthcare and other services to thousands of people each day through an ever-expanding array of home- and community-based and residential care programs. We offer:
- Long-term nursing home care and short-term rehabilitation
- Nursing home alternatives that keep seniors healthy, safe and independent
- Healthcare plans that coordinate members’ every healthcare need
- Home health services for infants, children and adults
- Family-centered hospice and end-of-life care
- Specialized programs for people with exceptional care needs, including Huntington’s Disease, HIV/AIDS and developmental disabilities
As one of the largest and most dynamic Catholic health systems in the nation, ArchCare caters not just to the physical health of those we serve, but to their emotional and spiritual well-being, too. Helping families understand their healthcare options and cope with the challenge of making sure their loved one is well cared for is just as important to us.
Join the ArchCare Team
Our team of dedicated Care Members are shaping the health care landscape of today and tomorrow.
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ArchCare, the Continuing Care Community of the Archdiocese of New York, provides top-quality healthcare and other services to thousands of people each day through an ever-expanding array of home- and community-based and residential care programs. We offer:
- Long-term nursing home care and short-term rehabilitation
- Nursing home alternatives that keep seniors healthy, safe and independent
- Healthcare plans that coordinate members’ every healthcare need
- Home health services for infants, children and adults
- Family-centered hospice and end-of-life care
- Specialized programs for people with exceptional care needs, including Huntington’s Disease, HIV/AIDS and developmental disabilities
As one of the largest and most dynamic Catholic health systems in the nation, ArchCare caters not just to the physical health of those we serve, but to their emotional and spiritual well-being, too. Helping families understand their healthcare options and cope with the challenge of making sure their loved one is well cared for is just as important to us.
Join the ArchCare Team
Our team of dedicated Care Members are shaping the health care landscape of today and tomorrow.
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Responsible for providing home care nursing assessment and interventions along with care planning and coordination of 24 hour care for to PACE participants as part of the PACE interdisciplinary team. Plans and supervises the personal care and ADL assistance tasks of Geriatric caregivers in the home. Makes visits to participant homes, inpatient facilities and other locations as required to assess participant level of care needs, coordinate with participant, family caregivers, other providers and the IDT. Works under general supervision.
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ArchCare, the Continuing Care Community of the Archdiocese of New York, provides top-quality healthcare and other services to thousands of people each day through an ever-expanding array of home- and community-based and residential care programs. We offer:
- Long-term nursing home care and short-term rehabilitation
- Nursing home alternatives that keep seniors healthy, safe and independent
- Healthcare plans that coordinate members’ every healthcare need
- Home health services for infants, children and adults
- Family-centered hospice and end-of-life care
- Specialized programs for people with exceptional care needs, including Huntington’s Disease, HIV/AIDS and developmental disabilities
As one of the largest and most dynamic Catholic health systems in the nation, ArchCare caters not just to the physical health of those we serve, but to their emotional and spiritual well-being, too. Helping families understand their healthcare options and cope with the challenge of making sure their loved one is well cared for is just as important to us.
Join the ArchCare Team
Our team of dedicated Care Members are shaping the health care landscape of today and tomorrow.
-
ArchCare, the Continuing Care Community of the Archdiocese of New York, provides top-quality healthcare and other services to thousands of people each day through an ever-expanding array of home- and community-based and residential care programs. We offer:
- Long-term nursing home care and short-term rehabilitation
- Nursing home alternatives that keep seniors healthy, safe and independent
- Healthcare plans that coordinate members’ every healthcare need
- Home health services for infants, children and adults
- Family-centered hospice and end-of-life care
- Specialized programs for people with exceptional care needs, including Huntington’s Disease, HIV/AIDS and developmental disabilities
As one of the largest and most dynamic Catholic health systems in the nation, ArchCare caters not just to the physical health of those we serve, but to their emotional and spiritual well-being, too. Helping families understand their healthcare options and cope with the challenge of making sure their loved one is well cared for is just as important to us.
Join the ArchCare Team
Our team of dedicated Care Members are shaping the health care landscape of today and tomorrow.
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The Maternal Child Community Health Nurse provides skilled nursing care to individuals and families primarily in the home setting, utilizing all elements of the nursing process and in compliance with applicable laws, regulations and Agency policies.
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The Clinical Assessment RN gathers referral information and makes a determination that the member may be appropriate for MLTC. The documentation is processed and a Nurse Assessor makes a home visit for the purpose of enrollment assessment to determine clinical eligibility for enrollment and works with the enrollment team to make enrollment decisions and develop care plans. Also conducts reassessments of MLTC members in their homes to determine continuing eligibility and identify any needed changes to care plans, reports findings to Care Management Team.
Documents all in Tru-Chart March system of record.
May also conduct PRI (Patient Review Instrument) assessment and screen if properly certified to do so.
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ArchCare, the Continuing Care Community of the Archdiocese of New York, provides top-quality healthcare and other services to thousands of people each day through an ever-expanding array of home- and community-based and residential care programs. We offer:
- Long-term nursing home care and short-term rehabilitation
- Nursing home alternatives that keep seniors healthy, safe and independent
- Healthcare plans that coordinate members’ every healthcare need
- Home health services for infants, children and adults
- Family-centered hospice and end-of-life care
- Specialized programs for people with exceptional care needs, including Huntington’s Disease, HIV/AIDS and developmental disabilities
As one of the largest and most dynamic Catholic health systems in the nation, ArchCare caters not just to the physical health of those we serve, but to their emotional and spiritual well-being, too. Helping families understand their healthcare options and cope with the challenge of making sure their loved one is well cared for is just as important to us.
Join the ArchCare Team
Our team of dedicated Care Members are shaping the health care landscape of today and tomorrow.
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Opened in 1973, ArchCare at Ferncliff Nursing Home is located on 36 beautiful acres of the former Astor family estate just outside the historic village of Rhinebeck. Our goal is to provide the best possible experience through holistic care that addresses not only the residents' physical needs, but their social, psychological, emotional and spiritual needs as well.
As part of the management team, the supervisor is responsible for planning and organizing, staffing and influencing , controlling and evaluating nursing service functions to provide optimum nursing care to each individual resident served with in the facility. It is also her/his responsibility to be knowledge of the established State and Federal Regulations and approve standards of patient care, in addition to established house policies and procedures: ensuring accurate interpretation and compliance. During the Course of duty she /he will be called upon to perform various technical nursing skills as well. In the absence of the Director of Nursing Service and Assistant Director of Nursing, is responsible for the operation of the Nursing Department on her shift.
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Opened in 1973, ArchCare at Ferncliff Nursing Home is located on 36 beautiful acres of the former Astor family estate just outside the historic village of Rhinebeck. Our goal is to provide the best possible experience through holistic care that addresses not only the residents' physical needs, but their social, psychological, emotional and spiritual needs as well.
As part of the management team, the supervisor is responsible for planning and organizing, staffing and influencing , controlling and evaluating nursing service functions to provide optimum nursing care to each individual resident served with in the facility. It is also her/his responsibility to be knowledge of the established State and Federal Regulations and approve standards of patient care, in addition to established house policies and procedures: ensuring accurate interpretation and compliance. During the Course of duty she /he will be called upon to perform various technical nursing skills as well. In the absence of the Director of Nursing Service and Assistant Director of Nursing, is responsible for the operation of the Nursing Department on her shift.
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ArchCare, the Continuing Care Community of the Archdiocese of New York, provides top-quality healthcare and other services to thousands of people each day through an ever-expanding array of home- and community-based and residential care programs. We offer:
- Long-term nursing home care and short-term rehabilitation
- Nursing home alternatives that keep seniors healthy, safe and independent
- Healthcare plans that coordinate members’ every healthcare need
- Home health services for infants, children and adults
- Family-centered hospice and end-of-life care
- Specialized programs for people with exceptional care needs, including Huntington’s Disease, HIV/AIDS and developmental disabilities
As one of the largest and most dynamic Catholic health systems in the nation, ArchCare caters not just to the physical health of those we serve, but to their emotional and spiritual well-being, too. Helping families understand their healthcare options and cope with the challenge of making sure their loved one is well cared for is just as important to us.
Join the ArchCare Team
Our team of dedicated Care Members are shaping the health care landscape of today and tomorrow.
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Works closely with the RN/Unit Manager in assisting each resident to attain and maintain highest level of functioning. Carries out the Residents' care plan as directed by the RN/ Unit Manager.
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Opened in 1973, ArchCare at Ferncliff Nursing Home is located on 36 beautiful acres of the former Astor family estate just outside the historic village of Rhinebeck. Our goal is to provide the best possible experience through holistic care that addresses not only the residents' physical needs, but their social, psychological, emotional and spiritual needs as well.
As part of the management team, the supervisor is responsible for planning and organizing, staffing and influencing , controlling and evaluating nursing service functions to provide optimum nursing care to each individual resident served with in the facility. It is also her/his responsibility to be knowledge of the established State and Federal Regulations and approve standards of patient care, in addition to established house policies and procedures: ensuring accurate interpretation and compliance. During the Course of duty she /he will be called upon to perform various technical nursing skills as well. In the absence of the Director of Nursing Service and Assistant Director of Nursing, is responsible for the operation of the Nursing Department on her shift.
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Works closely with the RN/Unit Manager in assisting each resident to attain and maintain highest level of functioning. Carries out the Residents' care plan as directed by the RN/ Unit Manager.
