Hospice RN Case Manager

TITLE: Hospice Primary RN Case Manager

REPORTS TO: Director of Clinical Services
FLSA: Exempt

I. Primary Functions/General Purpose of Position:
As a member of the interdisciplinary team, the Primary RN/Day Case Manager works under the general direction of the DOCS and the attending physician in the provision of skilled nursing assessment, planning and care in order to maximize the comfort and health of patients and families. The Primary RN/Day Case Manager is responsible for identifying patient/family needs and for providing supportive care in accordance with the attending physician’s orders and plan of care and Crater Community Hospice, Inc.’s policies and procedures.

II. EMPLOYMENT QUALIFICATIONS:
1. Graduate of an accredited school of nursing and licensed to practice in the state of Virginia.
2. Bachelor’s degree in nursing preferred.
3. Experience in home health, hospice, oncology or critical care preferred with at least 3 years experience as a registered nurse.
4. Minimum of one-year recent practice in nursing required.
5. Current CPR certification.
6. Current driver’s license in the state of Virginia.
7. Demonstrated ability to assess and respond to the needs of patients and families in varied settings with a supportive, sensitive approach.
8. Skilled in nursing practice, able to cope with family emotional stress and tolerant of individual lifestyles.
9. Work requires the ability to work in a stressful environment and manage stressful situations on a daily basis.
10. Work requires employee to travel outside the office and provide their own transportation with reimbursement from the agency.
11. Interviewing and assessment skills to evaluate patient and family coping abilities.
12. Completion of hospice orientation required.

iii. ESSENTIAL JOB FUNCTIONS:
1. Assume primary responsibility for a patient/family caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process.
2. Assures that the initial in-home evaluation of any patient requiring services is performed by a Registered Nurse.
3. Assigns home health aides and other nursing support staff to individual patients.
4. Delivers and/or supervises the delivery of skilled nursing services.
5. Re-evaluates the patient’s nursing needs per visit.
6. Initiates communication with attending physicians, other hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient/family.
7. Maintains regular communication with the DOCS to review caseload.
8. Reports changes in the patient’s physical or mental condition to the attending physician and to hospice employees and contractors involved in the patient’s care.
9. Initiates the patient’s plan of care in accordance with nursing needs specified in the approved plan of care including therapy needs.
10. Assesses and initiates preventive and rehabilitative nursing procedures as needed.
11. Documents all daily visits and/or contacts into the medical record system at the time of the visit or before ending the shift.
12. Assesses need for and provides specific written instructions for the nursing assistant who will deliver services to the patient.
13. Conducts in-home supervision of the home health aide at least every 14 days and documents in the patient’s medical record whether services are being delivered in an appropriate manner, consistent with hospice nursing service policies and procedures. Documents the actions taken when delivered services are found to be unacceptable or inconsistent.
14. If the hospice contracts with other agencies or legal entities to deliver CNA services the hospice nurse will assure that the in-home supervisory visits are conducted by the contractor.
15. Obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care.
16. Maintains up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur.
17. Seeks input from other team members regarding the patient plan of care to obtain additional knowledge and support.
18. Accepts responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, employed caregivers, or by providing direct care as appropriate, for nursing or personal care needs.
19. Attends IDG conferences and facilitates discussion of issues to update the care plan.
20. Informs the DOCS of unusual or potentially problematic patient/family issues.
21. Shares in providing 24-hour, seven-days-per-week coverage to patients/families per established processes.
22. Provides appropriate support at time of death and during period of bereavement.
23. Participates in Crater Community Hospice orientation and inservice training programs for hospice employees assigned to the nursing service.
24. Participates in agency quality assurance reviews and evaluations of the nursing services and other community programs as requested to promote professional growth and understanding of hospice care.
25. Completes 15 day IDG care plans on all assigned patients and re-evaluates and prepares plan of care for MD review and signature.
26. Maintains current standards of practice.
27. Demonstrates familiarity with policies of the agency and rules and regulations of State and Federal bodies which aid in determining policies.
28. Accepts other assignments as appropriate.
31. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual must demonstrate knowledge of the principles of growth and development of the life span and possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his of her age, specific needs and to provide the care needed as described in the organization’s policies and procedures.

iv. OTHER JOB FUNCTIONS:
1. Develops or participates in the development of a discharge plan when the patient is transferred to another hospice or service or when the patient is discharged.
2. Acts as a consultant to Hospice staff.
3. Attends continuing education programs to facilitate professional growth.

V. WORKING CONDITIONS:
1. Works in normal office conditions where there are few physical discomforts due to dust, dirt, noise.
2. Work requires travel outside the agency, approximately within a 50-mile radius. May require provision of service in high crime areas, poor environmental conditions, and non-handicapped accessible sites.
3. The individual performing this job may reasonably anticipate coming into contact with human blood and other potentially infectious materials. Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

VI. CRATER COMMUNITY HOSPICE, INC. MISSION FOCUS:
All employees are responsible for extending the mission and values of Crater Community Hospice, Inc. by understanding each customer, treating each patient, staff member, and community in a dignified manner with respect, kindness, and understanding and subscribing to the organization’s commitment to quality and service.
Job Type: Full-time
Pay: From $70,000.00 per year
Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Mileage reimbursement
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Medical specialties:

• Hospice & Palliative Medicine

Schedule:

• Monday to Friday

Education:

• Associate (Required)

Experience:

• Nursing: 1 year (Preferred)
• Case management: 1 year (Preferred)

License/Certification:

• RN (Required)

Work Location: On the road

Salary : $70,000 - $0