RN Case Manager

Monday-Friday

8:00 a.m. - 5:00 p.m.

Occasional On-call & Weekends

Job Qualifications:

• Experience: Two years' experience as a Registered Nurse in hospice or home health preferred.

Essential Function and Responsibilities:

• Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e., risk for grief, cultural/spiritual, verbal /non-verbal.
• Implement the individualized POC and recommend revisions to the plan as necessary.
• Consulting with and educating the patient/family regarding disease process, self-care techniques, end-of-life care, nutrition and dietary needs. Providing training to other staff as needed.
• Initiating appropriate preventive and rehabilitative nursing procedures.
• Preparing clinical and progress notes that demonstrate progress toward established goals.
• Coordinating all patient/family services and prioritization of needs with the members of the IDT.
• Use of case management approach and referring to other services as needed.
• Informing physician and other personnel of changes in the patient's needs and outcomes of intervention, while evaluating patient/family response to care.
• Determining scope and frequency of services needed based on acuity and patient/family needs.
• Assessing ability of the caregiver to meet the patient's immediate needs upon admission and throughout care.
• Evaluating own needs for support and using identified systems to meet the need
• Communicating information using current process and technology available to the organization.
• Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
• Perform on-call responsibilities and provide on-call service to patients/families as assigned.