(RN) Team Manager Home Care

About the role

The Team Manager is the leader of the Patient Care Team and is responsible for:

• Supervising, evaluating, and coordinating the interdisciplinary team
• Affirming continuity of care from admission to discharge or transfer to bereavement
• Serving as a patient advocate and coordinator for other social service and healthcare providers in the community
• Assuming responsibility for maintaining patient records from intake through discharge or transfer to bereavement

Responsibilities

• Directs all patient care services for the team, including volunteer and bereavement services
• Reviews information on all pending patient admissions, new admissions (assessments and histories), and “alive” discharges to ensure eligibility and appropriateness criteria are met
• Collaborates with both the team physician and the attending physician regarding palliative care measures for pain and symptom management
• Affirms complete and accurate data and documentation are available for recertification decisions and ensures these decisions are made on a timely basis
• Reviews all imminent “alive” discharges to ensure effective discharge planning
• Monitors the type and level of team services provided (staffing, medications, HME, supplies, level of care changes to inpatient and continuous care, etc.) to ensure they are appropriate and responsive to patient/family needs and expectations
• Facilitates team meetings, ensuring interdisciplinary input into the update and revision of the plan of care in concert with the changing needs and expectations of the patient and family
• Participates in on-call rotation

Requirements

• Reliable transportation with appropriate license and insurance coverage for driver and passengers
• Private telephone in home
• Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care
• Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement
• Working knowledge of VITAS information system (Vx) and the ability to utilize management reports
• Two years successful supervisory experience or equivalent in a health care organization

Qualifications

• Reliable transportation with appropriate license and insurance coverage for driver and passengers
• Private telephone in home
• Knowledge of the principles and practices of primary medical and nursing care, with at least a working knowledge of oncologic nursing and palliative care
• Basic understanding of the interpersonal dynamics operative within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement
• Working knowledge of VITAS information system (Vx) and the ability to utilize management reports
• Two years successful supervisory experience or equivalent in a health care organization
• Bachelor's degree preferred
• Current and valid R.N. License to practice in the state where the VITAS program is located