Hospice Case Manager- Livingston County

About the role

Position Purpose: The Hospice RN Case Manager provides professional nursing care to the organization’s hospice clients as prescribed by the physician, and/or requested by the client/family, and in compliance with the state’s Nurse Practice Act, any applicable licensure/certification requirements, and the organization’s policies and procedures. The RN is fully responsible for the client assessment, care planning, therapeutic intervention, and overall supervision of client care and outcomes, is designated as the case manager for hospice patients. The Hospice RN in collaboration with the physician and other Hospice team members anticipates and manages patient’s symptoms, assists in identifying pt/family/caregiver grief/loss issues and assists in implementing the Hospice plan of care. Provides functional support to Hospice Aides and LPN/LVNs as needed.

Position Highlights: We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.

Primary Service Areas: Livingston County

Responsibilities

• Informs the client/caregiver about the agency, care/services available, client obligation for payment, and other responsibilities and rights, before care is initiated. Accurately explains/understands the Hospice Benefit.
• Develops and implements an individualized Plan of Care that incorporates realistic, and attainable goals that is also outcome-focused so that the services provided will improve the patient’s quality of life and promote dignity.
• Makes appropriate referrals for evaluation/care to other disciplines and services, and coordinates care with others to ensure effective and efficient care is provided.
• Utilizes interview, observation, and evaluation in assessing clients and applies nursing judgment, practice standards, in formulating nursing interventions and making recommendations to the physician, client/family and IDT/IDG.
• Reports changes in client condition as appropriate and in a timely manner, to the client’s physician and/or Case Manager/designee and obtains orders for changes in the plan of treatment to respond to the client’s condition.