The RN Case Manager plans and directs hospice care, performing comprehensive assessments and developing individualized care plans for patients and families. They coordinate care within an interdisciplinary team and manage a caseload to ensure quality palliative support in home settings.
Requirements summary
Candidates must be a Registered Nurse with current state licensure and a degree from an accredited nursing school. A minimum of two years of experience is preferred, specifically in public health, home care, or hospice nursing.
JOB SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.
The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
DUTIES & RESPONSIBILITIES Patient Care Completes hospice admissions.
Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs.
Provides a complete physical assessment and history of current and previous illness(es).
Provides professional nursing care by utilizing all elements of nursing process.
Assesses and evaluates 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 Uses health assessment data to determine nursing diagnosis.
Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions.
Includes the patient and the family in the planning process.
Initiates appropriate preventive and rehabilitative nursing procedures.
Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
Counsels the patient and family in meeting nursing and related needs.
Provides health care instructions to the patient as appropriate per assessment and plan.
Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.
Communication Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given.
Records pain/symptom management changes/outcomes as appropriate Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
Communicates with community health related persons to coordinate the care plan.
Teaches the patient and family/caregiver self-care techniques as appropriate.
Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers Works in concert with the interdisciplinary group.
Provides and maintains a safe environment for the patient.
Assists the patient and family/caregiver and other team members in providing continuity of care Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
Attends interdisciplinary group meetings.
Additional Duties Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services are available.
Supervises ancillary personnel and delegates responsibilities when required.
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
Fulfills the obligation of requested and/or accepted case assignments.
Actively participates in quality assessment performance improvement teams and activities.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job.
The employee may be requested to perform job-related tasks other than those stated in this description.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Graduate of National League for Nursing accredited school of nursing.
Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
Management experience not required.
Responsible for supervising hospice aides.
Registered nurse with current licensure to practice professional nursing in the state.
Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
Shows ability to organize and prioritize workload independently.
Visual acuity and hearing to perform required nursing skills.
Maintains a current CPR certification.
Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
Self-directed and able to work with minimal supervision.
The employer for this position is stated in the job posting.
The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.
More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. Namaste Home Health + Hospice is a Medicare and Medicaid certified home healthcare and hospice agency that has been serving the greater Denver area since 1998.
At Namaste Home Health + Hospice, we believe that choice always exists and that excellent quality of life is always attainable.
Whether we’re caring for a senior after a surgery, supporting a patient’s family member cope with grief, or supporting a loved one with a serious illness, our team will seek to provide care that exemplifies truly Life Changing Service.
We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record.
No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.
