RN Case Manager

JOB DESCRIPTION

Madrone Care Network

TITLE

RN Case Manager

REPORTS TO

Clinical Director

STATUS

Non-Exempt, Hourly or Per Diem

JOB SUMMARY:

The Madrone Care Network (MCN) RN Case Manager is a registered palliative care nurse tasked with the evaluation and implementation of health care plans for individual patients. Responsibilities consist of assessment, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient's health and service needs.

The RN Case Manager is part of an interdisciplinary palliative team and is responsible for overseeing the physical, psychosocial, and spiritual care needs of each of the patients on their census. In addition to the job functions of an RN Visit Nurse when serving in the Continuity Nurse role, the RN Case Manager has primary responsibility for the following essential functions for all patients on their census:

ESSENTIAL JOB FUNCTIONS:

• Initial in-person on service evaluation
• Ongoing patient care relationship and care interface including the Zoom enabling process
• Initiation, management, and evolution of the patient’s individualized care plan
• Patient and family/caregiver communication
• Adjusting the frequency/type of contacts based on patient need
• Internal and external resource utilization and coordination
• AD and POLST preparation, completion, and periodic patient review
• Documentation for patient recertification or recommending disenrollment to the IDT.

SECONDARY JOB FUNCTIONS:

• Working collaboratively with other members of the Interdisciplinary Team (IDT) who are in service to them and their patients
• Preparing the IDT Template and leading the weekly meeting, ensuring that the notes from the meeting appropriately capture the discussion and action steps
• Determining the appropriate Continuity Nurse and Team caring for each patient on census with attention to team member consistency
• Ensuring delegation of Case Manager responsibilities to other clinical staff when on vacation/leave
• Assuring that required visits and contractual obligations for their census population are met
• Completing care coordination and chart notes within standards set by MCN
• Maintaining MCN confidentiality standards
• Taking responsibility for and demonstrates safe work practices
• Modeling the Mission and Core Values of MCN
• Performing other tasks as assigned

ESSENTIAL EQUIPMENT, TOOLS OR MACHINERY:

• Laptop computer or I-pad
• Cell phone
• Stethoscope, blood pressure cuff, thermometer and portable stand-on scale
• Personal vehicle

WORKING CONDITIONS:

Work may be conducted from MCN’s office, a remote and electronically secure location that has stable WiFi and internet connectivity, or a patient’s residence. Requires frequent sitting, walking, and standing. May have some exposure to biological hazards and infectious diseases.

QUALIFICATIONS:

• Current California Driver’s License, auto insurance and vehicle registration
• Current and ongoing California nursing license
• Basic computer skills with capacity to access patient records and chart appropriately. Able to teleconference with patients and their families
• Capable of hearing and communicating verbally with patients, caregivers, other members of the team, and community partners
• Ability to respect all patients irrespective of their circumstance, ethnicity, race, sexual orientation, religious belief, or political affiliation
• Ability to perform the essential functions of the job

This position description is designed to outline the primary duties and qualifications but not limit the RN Case Manager or MCN to the work identified above.

* * * * *

The preceding Job Description has been reviewed and the employee/independent contractor acknowledges and accepts the requirements, essential functions, and duties of the position.

__________________________________ ______________________________

Signature Date

FORMULATED: January 6, 2022

REVIEWED:

REVISED:

Job Type: Full-time

Pay: $54.00 - $57.50 per hour

Expected hours: 32 – 40 per week

Benefits:

• Flexible spending account
• Health insurance
• Mileage reimbursement
• Paid time off
• Retirement plan

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• Nursing: 3 years (Preferred)
• Case management: 1 year (Preferred)
• Hospice care and/or Palliative Care preferred: 1 year (Preferred)

Language:

• English, with Spanish preferred (Preferred)

License/Certification:

• RN (Required)
• RN License (Required)

Ability to Relocate:

• Ukiah, CA 95482: Relocate before starting work (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: Hybrid remote in Ukiah, CA 95482

Salary : $54 - $58