Registered Nurse Case Manager

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 fromthe resources of the community to plan and direct services to meet the needs of individual andfamilies within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. 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). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Uses health assessment data to determine nursing diagnosis. 5. 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. 6. Initiates appropriate preventive and rehabilitative nursing procedures. Administersmedications and treatments as prescribed by the physician in the physician’s plan of care. 7. Counsels the patient and family in meeting nursing and related needs. 8. Provides health care instructions to the patient as appropriate per assessment and plan. 9. Assists the patient with the activities of daily living and facilitates the patient’s efforts towardself-sufficiency and optional comfort care. 10. Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor andassumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’scondition and care given. Records pain/symptom management changes/outcomes asappropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Providesmedication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works inconcert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity ofcare. 7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation incontinuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities POSITION QUALIFICATIONS 1. Registered nurse with current licensure to practice professional nursing in the state. 2. Graduate of National League for Nursing accredited school of nursing. 3. Maintains a current CPR certification. 4. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 5. Registered nurses shall have a minimum of (a) one (1) year of experience as a professionalnurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from aprogram accredited by the National League for Nursing and a current RN license. Minimumof two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 6. Self directed and able to work with minimal supervision. 7. Management experience not required. Responsible for supervising hospice aides. 8. Demonstrates excellent observation, problem solving, verbal and written communications;nursing skills per competency checklist. 9. Shows ability to organize and prioritize workload independently. 10. Prolonged or considerable walking or standing. Able to lift, position, and/or transferpatients. Able to lift supplies and equipment. Considerable reaching, stooping, bending,kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills. Job Type: Full-time Pay: $115,000.00 - $125,000.00 per year Work Location: In person