RN Case Manager South Austin Area M-F 8am-5pm

About the role

Provides and coordinates nursing care in the home care program.

Responsibilities

• Provides professional nursing care for hospice patients in the homecare setting.
• Performs initial and ongoing assessment of the impact of the terminal diagnosis on the patient's physical, functional, psychosocial, and environmental needs and activities of daily living.
• Performs nursing assessments, including vital signs, pain assessment, breath sounds, etc.
• Triages patient care problems
• Initiates appropriate preventive and rehabilitative nursing procedures as needed and facilitates movement to another level of hospice care when needed.
• Develops, maintains and updates individualized plan of care that involves performing specialized nursing skills related to palliative and end-of-life care related to managing discomfort and providing symptom relief.
• Consults with and educates the patient and caregivers regarding disease process, self-care techniques, end of life care, comfort measures, medication use and side effects, and processes for dealing with ethical issues.
• Provides psychosocial support to patients and families
• Provides preparation and support for patient’s death; pronounces deaths in accordance with state regulation, provides postmortem care, handles body and death event with respect and dignity and in accordance with patient/family/caregiver wishes
• Utilizes proper bag technique in performing nursing visits
• Reports adverse events to team leader or quality nurse within 24 hours of obtaining information.
• Complies with minimum weekly visit requirements per company protocol
• Coordinates nursing, personal and homemaker care hospice patients in the homecare setting
• Attends IDT meetings; coordinates patient/family care and services and prioritizes needs with the members of the IDT
• Informs the physician and other team members of changes in the patient's needs and outcomes of intervention
• Determines scope and frequency of services needed based on acuity and patient/family needs
• Coordinates personal care, DME, and obtaining medications and medical supplies
• Provides supervision of care provided by CNAs and LVNs and homemakers providing services to the patient according to regulatory guidelines
• Documents in a timely manner patient assessments, patient contacts, physician orders, and clinical and progress notes that demonstrate progress towards established goals
• Acts as a liaison between patient and physicians, hospital staff, long-term care facility staff, and other care team members to facilitate ongoing clinical care
• Evaluates own needs for support and self-care, using identified system(s) to meet the need
• Recognizes and maintains professional boundaries in relationships with patient/family/caregiver

Requirements

May be asked to provide nursing care to pediatric patients as needed and depending on current caseloads.

Qualifications

None specified, but the role requires a high level of nursing expertise and the ability to work in a home care setting.