Community Hospice & Health Services·Modesto, California
The RN Case Manager provides skilled nursing assessments, care planning, and interventions to maximize the quality of life for hospice patients and their families. They coordinate communication between the interdisciplinary team, physicians, and caregivers while managing admissions and patient visits.
Admissions of new patients, which includes assessment, planning, implementation, and evaluation phases of the nursing process, evaluation of patient appropriateness for services, and consultations to explain services, as requested by the PCM. Perform scheduled patient visits to assess needs; teach pain management, symptom control and patient care skills. Provide physical, emotional and spiritual support to the patient/family/caregiver. Maintain regular communication with the IDT regarding patient status including any unusual or problematic patient/family/caregiver issues The RNCM initiates communication with attending physicians, IDT members and other community agencies as needed to coordinate the plan of care and use of resources for patient/family/caregiver. Maintain up-to-date patient records so that problems, goals, and interventions are accurately and clearly documented. Changes in the plan of care are reflected as they occur. Target dates for goals in the Care Plan will be current and reflect the current recertification period when submitted for recertifications. Documentation should reflect movement of the patient toward the terminal primary diagnosis (hospice patients). Attend regularly scheduled IDT Meetings to review patient/family/caregiver needs, problem solve and cover unique patient issues. Share professional support, resources and exchange feedback aimed toward enhancing professional growth. Accept responsibility for coordinating care of the patient for IDT members, teaching primary caregivers and employed caregivers, teaching facility staff, or by providing direct care as appropriate. Assure continuity of care for patient in all settings. Share in providing 24-hour, 7-days a week and holiday coverage to patient/families. Accepts assigned work duties based on patient and organizational needs as assigned by PCM and/ or Administrator on Call. Attend death events (hospice patients) and provides appropriate support at time of death. Participate in Community Hospice education of students and community healthcare professionals and participate in the orientation of new employees. Participates in agency Quality Improvement process to improve level of services provided to Community Hospice patients and families and compliance to CMS Medicare regulations. Participate in inservices, workshops, and clinical meetings to promote professional growth and understanding of patient/family/caregiver care Follow all Community Hospice policies and procedures including, but not limited to, safety, infection control, privacy and confidentiality, and HIPAA. Displays a strong work ethic by accurately recording hours worked, accurate mileage reporting, and avoids unnecessary overtime. All overtime is approved by PCM. Must maintain RN license in accordance with federal, state and local laws, and must act only within the scope of their state license. All personnel qualifications must be kept current at all times. OTHER FUNCTIONS: Maintain a professional appearance by CHHS policy 1-048 Dress and Appearance and of working area. Assures employee badge with picture identification is visible during all work hours. Exhibits appropriate behavior with guests and clients, i.e., courteous, thoughtful and professional at all times. Other duties as assigned, including work in other areas to cover absences or relief to equalize peak work periods or otherwise meet the needs of the organization. Responsible for establishing and maintaining a safe environment for patients/families/caregivers, and a safe working environment for self and coworkers. Performs job duties and interacts with patients/families/caregivers, Community Hospice & Health Services staff, and community members in a courteous and professional manner. Maintains all required confidentiality and privacy requirements of both the organization and the regulatory agencies. Ability to minimize non-productive time and fill slow periods with activities that support IDT members, other patient care teams and other departments within the organization. SUCCESS FACTORS: Professional maturity and ability to cope with the demands of the job. Empathetic attitude toward the care and needs of the seriously ill and/or terminal patient and their family/caregivers. Demonstrates ability to recognize and follow healthy emotional boundaries. Demonstrates ability to work in a dynamic, rapidly changing environment. Excellent listening, verbal, and written communication skills. Demonstrates ability to follow written directions and to provide accurate and timely documentation. Demonstrates ability to work as a member of an interdisciplinary team. Demonstrates ability to assess and respond to needs of patients/families in varied settings. Able to cope with patient/family emotional environment and provide crisis intervention. Qualifications Graduation from an accredited school of nursing. BSN preferred. At least one-year recent experience within the past three years as a professional nurse. Possession and maintenance of a current license to practice as a registered nurse in the State of California. Possession and maintenance of a valid California driver’s license and current automobile insurance. CHPN preferred. Pediatric Experience strongly desired Possession and maintenance of current BLS certification. WORK ENVIRONMENT: The main environment for this position is in the patients' homes, which vary in levels of cleanliness, accessibility, and climate control. The employee may be exposed to virus, disease and infection from patients. The employee may experience situations, with emotionally disturbed, substance abuse, serious illness, and deceased patients. While performing the duties of this position, the employee will travel by automobile and is exposed to changing weather conditions. WORK SCHEDULE: Position is regular full-time required to work a regularly scheduled 40-hour workweek, with overtime required to meet patient needs. Position may also require rotating weekends and holidays.
Candidates must be a Registered Nurse licensed in California with at least one year of recent professional nursing experience and a valid driver's license. A BSN, CHPN certification, and pediatric experience are strongly desired or preferred.
Market context
California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.
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