Stamford/Norwalk Hospice Case Manager (RN, Registered Nurse) – HomeCare

About the role

Provides skilled nursing care to hospice clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost-effective care.

Responsibilities

• Reviews referrals, and initiates contact with client and family.
• Counsels clients and families on grief and loss.
• Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status.
• Demonstrates clinical expertise in symptom management and end of life issues.
• Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilizations of appropriate resources.
• Facilitates peaceful death and assures appropriate bereavement follow up through timely documentation of bereavement assessment.
• Modifies plan of care as conditions change.
• Demonstrates understanding of payer information in order to maximize care planning.
• Utilizes Hospice Levels of care appropriately.
• Follows IDT process of approving non-formulary medications, treatments, and DME.
• Makes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment so as to promote peaceful death; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers.
• Utilizes interdisciplinary team members to support patient/family needs.
• Teaches patients and reinforces client/caregiver teaching and education.
• Prepares/teaches/supports family regarding signs and symptoms of death, as appropriate.
• Refers, collaborates, and coordinates all client care services.
• Consults with physician regarding client needs and plan of care.
• Directs LPNs in carrying out the established plan of care.
• Directs Home Care Aides and supervises plan of care.

Requirements

• Minimum Requirements: Education: Graduate of an Associate’s of diploma program in nursing
• Experience: One year nursing experience OR one year nursing experience in a specialty
• Licensure: License to practice in the State of Connecticut

Qualifications

• Preferred Education: Graduate of NLN approved BSN program
• Experience: Medical/surgery or home care experience