Job Summary

Job Title/Position: Hospice Registered Nurse Case Manager

Reports To: Clinical/Nursing Supervisor

Job Description Summary

The Hospice Registered Nurse Case Manager plans, organizes and coordinates hospice care and services for the patient and family/caregiver.

Essential Job Functions/Responsibilities

The Hospice Registered Nurse Case Manager provides professional nursing services in accordance with the plan of care and accepted standards of practice including but not limited to:

• Performs initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychosocial and environmental needs and activities of daily living, including but not limited to:
  A. Risk for pathological grief
  B. Cultural and spiritual implications
  C. Verbal and non-verbal communication pattern
• Coordinates and implements the individualized plan of care recommending revisions to the plan as necessary, including but not limited to:
• Managing discomfort and providing symptom relief
• Specialized nursing skills related to palliative end-of-life care
• Consults and educates the patient and family/caregiver regarding:
  A. The disease process
  B. Self-care techniques
  C. End-of-life care
  D. The processes for dealing with issues of ethical concern
• Initiates appropriate preventive and rehabilitative nursing procedures
• Prepares clinical and progress notes that demonstrate progress toward established goal(s)
• Coordinates all patient and family/caregiver services and prioritization of needs with members of the interdisciplinary group
• Utilizes case management approach and referring to other services as needed
• Informs the physician and other personnel of changes in the patient’s needs and outcomes of interventions
• Determines scope and frequency of services needed based on acuity and patient and family/caregiver needs
• Supervises LPNs and paraprofessionals providing services to the patient with or without the LPN according to present at least every 30 days
• Participates in in-service programs
• Provides specialized hospice training to other staff, family members and informal caregivers to insure adequate care
• Evaluates the patient and family/caregiver response to care on an ongoing basis
• Assesses the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care
• Evaluates own needs for support and using identified system(s) to meet the need
• Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility
• Communicates information using current process and technology available to the organization
• Participates in performance improvement program
• Complies with organization’s policies and procedures
Performs other duties as assigned

Position Qualifications:

• Degree in Nursing from an approved school of nursing as determined by the Board of Nursing, required
• Licensed to practice registered nursing in the state by the Board of Nursing, required
• Hospice or home health care experience, preferred
• Management/supervisory experience helpful but not required
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist
• Understands the hospice philosophy of care
• Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required.

Physical Labor Requirements:

• Functioning auditory, speech and visual skills. Must be self-mobile*

Degree of Travel:

• Daily home visits, weekly office meeting. Requires dependable transportation

Benefit Conditions:

• Waiting period may apply
• Only full-time employees eligible

Patient Type:

• Geriatric

Job Type:

• Full-time

Benefits:

• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Mileage reimbursement
• Paid time off
• Vision insurance

Medical specialties:

• Geriatrics
• Hospice & Palliative Medicine
• Wound Care

Schedule:

• Monday to Friday
• On call

Work setting:

• Acute care
• Hospice

Experience:

• Registered Nurse: 1 year (Preferred)

License/Certification:

• Registered Nurse (RN) (Required)

Work Location:

• In person