Registered Nurse - Field Team - Case Manager

About the role

This position provides care for hospice patients in homes and long-term care settings on the Westside of Cincinnati, collaborating with an interdisciplinary team of physicians, CNPs, nurses, STNAs, Social Workers, Chaplains, Holistic providers and Volunteers.

Responsibilities

• Performs initial and ongoing assessment of patient and family.
  • Completes initial assessment tool.
  • Documents ongoing assessment per unit/TriHealth guidelines.
  • Communicates assessment findings to other health care providers as appropriate.
  • Includes health counseling and health teaching needs in assessment.
  • Plans care for patient and family based on assessment, standards of care, and optimal specific outcomes.
  • Initiates and individualizes appropriate patient care guidelines/plan of care or clinical pathways.
  • Updates current plan of care as needed based on patient/family input and healthcare needs.
  • Develops both short and long term goals with patient/family and healthcare team including discharge planning.
  • Communicates plan of care to others.
  • Provides a safe, therapeutic environment, maintains patient’s autonomy, dignity, and rights, and is sensitive to patient diversity.
  • Sets ethical decisions.
  • Balances patient's needs and those of the unit/facility.
  • Recognizes emergency situations and takes appropriate action.
  • Completes patient assignment including documentation within scheduled timeframe.
  • Bases interventions on clinical data and desired outcomes and documents accordingly.
  • Trains/educates other staff and acts an expert resource in specialty area through abilities in existing and newer knowledge and skills.
  • Effectively communicates information relative to surgical cases.
  • Carrries out physician orders.
  • Evaluates the plan of care for patient based on optimal specific patient outcomes.
  • Documents the patient/family response to care including teaching.
  • Collaborates with the patient/family and with other members of the health care team, including physicians, to revise plan of care as needed.
  • Supervises the care that was delegated to other health care team members.
  • Performs technical skills according to policy and procedure and accepted standards within their area of practice.
  • Safely administers medications/treatments and monitors their effects.
  • Uses all equipment in a safe, appropriate manner.
  • Assumes organizational and educational responsibilities.
  • Identifies areas for professional and self-improvement through self-assessment and peer review, as well as the continuing education of team members continuing education, formal education, professional organization membership, and/or certification.
  • Shares knowledge and skills with colleagues and others.
  • Provides peers with constructive feedback regarding skills and knowledge.
  • Maintains awareness of ongoing continuous improvement changes and supports changes through active participation.
• Supervises the care that was delegated to other health care team members.
• Performs technical skills according to policy and procedure and accepted standards within their area of practice.
• Safely administers medications/treatments and monitors their effects.
• Uses all equipment in a safe, appropriate manner.
• Assumes organizational and educational responsibilities.
• Identifies areas for professional and self-improvement through self-assessment and peer review, as well as the continuing education of team members continuing education, formal education, professional organization membership, and/or certification.
• Shares knowledge and skills with colleagues and others.
• Provides peers with constructive feedback regarding skills and knowledge.
• Maintains awareness of ongoing continuous improvement changes and supports changes through active participation.

Requirements

• Associate's Degree or Diploma in Nursing (Required)
• New hires required to obtain BSN within 5 years of hire. (Required)
• Up to 1 year Clinical in Nursing (Required)
• Knowledge, judgment, and skills derived from the principles of biological, physical, behavioral, social, and nursing sciences to meet complex health care needs at various stages of the life cycle
• Preferred Membership In Related Professional Organization
• Registered Nurse Required
• Basic Life Support (BLS) Required

Qualifications

• Reliable transportation with insurance
• Full Time (40 hours weekly)
• 8am-4:30pm Day Shift (No weekends or holidays)

Skills

• Compassionate
• Confident working independently
• Passion for supporting colleagues
• Providing calm reassurance
• Upholding the highest standards of patient-centered care

Benefits

• Competitive shift differentials
• Opportunities for professional growth
• A comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement
• Link to view TriHealth’s benefits: https://careers.trihealth.com/what-we-offer/benefits

Pay

• Not specified

Schedule

• Full Time (40 hours weekly)
• 8am-4:30pm Day Shift (No weekends or holidays)