Rn Case Manager

JOB SUMMARY: Responsible for providing nursing care to hospice patients, including identifying and coordinating patient/family care with other members of the Interdisciplinary Team and health care community.

REPORTS TO: Assistant Director of Nursing

QUALIFICATIONS:

• A Registered Nurse professionally licensed to practice in this state who has at least one year experience in a hospice or home health setting.
• Current CPR certification
• Valid driver’s license, personal vehicle for on-the-job transportation, and evidence of insurance coverage as required by company policy.
• Ability to develop and implement improved methods of operation.
• Ability to supervise objectively without personal bias towards individuals and identify and evaluates personal strengths and weaknesses of self and others.
• Ability to solve practical problems; variety of variables with limited standardization; interprets instructions.
• Ability to communicate well, both verbally and in writing
• Ability to perform activities such as viewing a computer terminal, reading data and figures, visual inspection of patients.
• Required to have visual acuity to operate motor vehicles.

JOB CONDITIONS AND WORK DEMANDS:

• Requires minimal lifting of 50 lbs occasionally and up to 10 pounds of force constantly to move objects.
• Prolonged periods of sitting with periodic kneeling, standing, stooping, pushing, pulling and walking, as well as communication by phone and in person.
• Travel will be required, by car.
• Both inside and outside environmental conditions.
• Work Monday through Friday may include on-call work weekends, evenings, and nights.

ENVIRONMENT CONDITIONS AND RISK:

Frequently– Exposure to blood, body tissues, and other potentially infectious fluids

Rarely – Exposure to other hazardous waste materials

Frequently – Exposure to unpleasant odors as related to care of incontinent residents or wounds

Frequently – Exposure to latex, plastic and/or materials which are used for personal protective equipment

Occasionally – Exposure to marked changes in temperature and/or humidity

Frequently – Exposure to microbial bacteria and other infectious agents inherent to care of ill patient

Frequently – Exposure to fumes, odors, dust, poor ventilation, or smoking

RESPONSIBILITIES: (Included but not limited to):

• Assess home care and physical needs of the patient.
• Provide direct nurse care to patients as designated in care plan.
• Assume primary responsibility of care management.
• Document visit record electronically within 24 hours of the visit.
• Make and document Certified Nurse’s Aide and LPN supervisory visits to the patient’s residence or living facility at least every two weeks to assess the performance of the personal care aide services.
• Communicate with the primary physician regarding patient change in status and pain and symptom control.
• Document all care provided on the patient’s clinical record in accordance with Hospice’s documentation requirement.
• Attend and participate in patient care conferences to coordinate care with other healthcare agencies/providers.
• Administer medications and other treatments in accordance with the physicians ' orders, generally accepted standards of practice, and any federal and state laws pertaining to medication administration.
• Teach and counsel patients/families on care giving techniques.
• Supervise and document the home health aide plan of care.
• Coordinate ongoing patient care with the interdisciplinary team and care partners.
• Ensure effective use of resources.
• Assures that all documentation meets requirements for accuracy and timeliness, and reflects services provided, billing requirements, patient/caregiver needs, and confidentiality.
• Serves as an educational source to staff, care Partners and the community.
• Ensure implementation of strategic goals.
• Adhere to the practice of confidentiality regarding patients, families, staff and the organization.
• Participate in Hospice’s success by ensuring access to our exceptional care.
• Participate in the organization’s quality assessment and performance improvement
• Support and promote Hospice’s mission to lead in providing exceptional patient centered end-of-life care and grief support to anyone affected by a terminal illness.
• Adheres to all Agency, state and federal policies and procedures, laws, and regulations which are relevant to job responsibilities.
• Perform other duties as assigned.