Home Hospice RN Case Manager - Greater Milwaukee South Counties

About the Role

This role is responsible for identifying and coordinating patient/family care to support terminally ill patients and families in all hospice settings. The Case Manager utilizes teaching, assessment, and intervention skills to provide comfort care at end of life and maximize the quality of life for patients and families.

Responsibilities

• Educate patients and families on disease processes, management, hospice philosophies, and end-of-life signs and symptoms.
• Update the primary physician and ensure compliance with agency, accreditation, state, and federal requirements.
• Continuously review patient caseloads to ensure appropriate utilization of services and adherence to hospice level of care criteria.
• Make referrals to other team members as needed.
• Administer medications and treatments as prescribed by the physician.
• Lead the interdisciplinary care group (IDG) for each patient and family, developing and revising the Plan of Care.
• Coordinate all services and collaborate with the interdisciplinary team to provide consistent patient care.
• Arrange for equipment, medical supplies, and other necessary items and services.
• Document patient care in the electronic health record according to agency standards and regulatory guidelines.
• Provide ongoing assessment of patient response to treatments and medications, updating the Plan of Care as needed.
• Communicate changes in patient condition to physicians, supervisors, and the IDG.
• Supervise Home Health Aides and licensed practical nurses, ensuring compliance with agency standards.
• Facilitate discharge planning and utilize community resources to ensure continuity of care.
• Conduct OASIS assessments and establish/update plans of care for palliative care patients (WI ONLY).
• Ensure compliance with skilled nursing/home-bound criteria and initiate preventive/rehabilitative nursing procedures.
• Orient and mentor new staff as requested.

Qualifications

• Registered Nurse license in the state of practice.
• Basic Life Support (BLS) certification from the American Heart Association (AHA).
• Valid driver’s license.
• Completion of an accredited or approved program in Nursing.

Experience

Typically requires 1-2 years of nursing experience in home health, hospice, medical/surgical, long-term care, emergency care/ICU, oncology, or similar related fields.

Skills

• Competence in deformity prevention, range of motion, body mechanics, and alignment.
• Understanding of human behavior and stress effects.
• Excellent assessment, communication, and interpersonal skills.
• Strong decision-making, critical thinking, and organizational abilities.
• Ability to work independently and prioritize tasks.

Physical Requirements

• Lift up to 50 lbs. from floor to waist and 20 lbs. over the head.
• Carry up to 40 lbs. and push/pull with 30 lbs. of force.
• Perform sliding transfers of up to 150 lbs. with assistance.
• Work safely with patients of various sizes, conditions, and limitations.
• Bend, kneel, squat, and reach for extended periods.
• Exposure to mechanical, electrical, chemical, and biological hazards.
• Functional speech, vision, hearing, and fine-hand manipulation skills.