Hospice RN Field Case Manager

Position Summary

A Case Manager RN administers nursing care to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Clinical Manager.

Position Responsibilities for Hospice Case Manager

• Provides and coordinates services in accordance with the plan of care.
• Makes the initial evaluation visit and regularly reevaluates the patient’s nursing needs.
• Initiates the plan of care and necessary revisions.
• Provides those services requiring substantial specialized nursing skills.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Prepares clinical and progress notes for each patient visit and summaries of care conferences on his/her patients in a timely manner as per Agency policy.
• Informs personnel of changes in the condition and needs of the patient.
• Counsels the patient and family/significant others in meeting nursing and related needs.
• Participates in and presents in-service programs.
• Understands and adheres to established Agency policies and procedures.
• Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
• Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker those patients requiring their specialized skills.
• Supervises and teaches other nursing personnel.
• Conducts patient care conferences on patients assigned to his/her care.
• Participates in peer review and Quality Assessment and Performance Improvement as assigned.
• Takes on-call duty nights, weekends and holidays, as assigned.
• Completes and submits assessments, reassessments, transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.

Knowledge, Skills and Abilities

Current nursing license in good standing with the Board in the state of practice. Preferred one (1) year of experience as professional nurse. Proficient in knowledge and use of computers and EMR software. Ability to work independently with minimal supervision. Exceptional communication skills with focus on quality patient care and customer satisfaction. Flexible, cooperative, team player in fulfilling all obligations.