RN Case Manager-Hospice

Responsibilities

• Ensures compassionate, empathetic quality and safe delivery of services to patients according to care plan.
• Consistently utilizes a patient-centered approach considering physical, psych/social, spiritual, educational, safety and related criteria appropriate to the age of the patients served in hospice.
• Integrates and coordinates the care of the at-risk population across the healthcare continuum making assessments, planning interventions working closely with providers and overall patient care team.
• Facilitates the interdisciplinary plan of care to meet multiple service needs as well as promote continuity through elimination of fragmentation of care/service.
• Delivers quality care consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of care to honor patient/ family values/ wishes.
• Makes visits to the homes of patients and assumes responsibility for an ongoing interdisciplinary assessment of the patient.
• Performs initial, comprehensive, and recertification assessments on all patients in accordance with agency policies and procedures.
• Performs nursing assessment at each visit in accordance with agency policies and procedures.
• Provides education to patients and family members to understand the following as well as any additional education needs identified by the assessing clinician and/or physicians:
• Medications purpose, use, side effects, potential adverse effects
• Proper use, safety hazards, and infection control issues related to the use and maintenance of any equipment provided
• Patient plan of care
• Emergency preparedness
• Disease progression and management of symptoms
• Provides the services that are ordered by the physician as indicated in the plan of care.

Qualifications

• Education: Graduate of State Board approved program for Registered Nurses
• Experience: One year nursing experience caring for similar patient population as to be assigned.
• Licenses/Certifications: Valid license as an RN in state(s) where providing care Valid licensed driver with automobile insurance in accordance with state(s)