Hospice Case Manager - RN

The Hospice Case Manager RN is responsible for coordinating and providing comprehensive, compassionate nursing care to hospice patients and their families in accordance with physician orders, the established plan of care, hospice philosophy, and applicable state and federal regulations. The Case Manager assesses patient needs, manages symptoms, coordinates interdisciplinary services, provides education and emotional support, and ensures timely, accurate clinical documentation. The goal is to promote comfort, dignity, and quality of life while supporting patients and their caregivers throughout the hospice experience. All responsibilities are performed under the direction and supervision of the Clinical Manager.

QUALIFICATIONS

1. Graduate of an approved school of professional nursing and current, unrestricted RN license in the state of Utah.
2. One (1) year nursing experience, hospice, home health, oncology, geriatrics, or end-of-life care experience preferred.
3. Knowledge of hospice philosophy, symptom management, care planning, and interdisciplinary care coordination preferred.
4. Acceptance of philosophy and goals of this Agency.
5. Ability to exercise initiative and independent judgment.
6. Valid driver's license, reliable transportation, and required automobile insurance.

RESPONSIBILITIES

1. Provides services in accordance with the plan of care.
2. Makes the initial evaluation visit, determines the immediate care and support needs of the patient, assesses
3. eligibility and homebound status and develops the plan of care in coordination with other IDT members.
4. Regularly reevaluates the patients nursing needs and revises the care plan to meet the patients needs.
5. Initiates the plan of care and necessary revisions.
6. Furnishes those services requiring substantial specialized nursing skill.
7. Initiates appropriate preventive and rehabilitative nursing procedures.
8. Prepares clinical and progress notes for each patient visit and summaries of care conferences on patients in a timely manner as per Agency policy.
9. Coordinates services with other members of the IDT, all physicians involved in the patient care, other care providers, patient, representative and caregivers when appropriate.
10. Informs physician and other personnel of changes in the patients condition and needs.
11. Counsels the patient and family/significant others in meeting nursing related needs.
12. Participates in in-service programs, supervising and teaching other nursing personnel.
13. Understands and adheres to established Agency policies and procedures.
14. Processes orders and notifies physician of patient needs and changes in condition. Completes certification/recertification orders and discharge summaries.
15. Determines the amount and type of nursing needed by each individual patient.
16. Refers to Physical Therapist, Speech Language Pathologist, Occupational Therapist and Medical Social Worker
17. those patients requiring their specialized skills.
18. Supervises the LPN/LVN every 30-days and supervises the HHA/CNA every 14-days (or per regulatory requirements) and teaches other nursing personnel.
19. Assigns home health aides to specific patients with written patient care instructions.
20. Conducts patient care conferences on patients assigned to his/her care.
21. Participates in peer review and quality management as assigned.
22. Participates in utilization review of medical records as assigned.
23. Gives total patient care as needed
24. Completes and submits OASIS assessments, reassessments, and transfers, resumptions of care, discharges and significant change in condition in accordance with Agency defined time frames.
25. Appropriately utilizes ICD-10 diagnoses and codes.
26. Observes confidentiality, safeguards all patient related information.
27. Attends staff meetings and patient care conferences as scheduled.
28. Completes documentation and paperwork in a timely manner per Agency policy.
29. Immediately reports to Administrator/Clinical Manager any patient incidents/variances or complaints.
30. Demonstrates competent performance of technical skills according to established procedures.
31. Understands and adheres to established policies and procedures.
32. Adheres to Agency standards and consistently interprets and accurately performs all assigned responsibilities.
33. Maintains acceptable attendance status, per Agency policy.
34. Reports all incomplete work assignments to Clinical Manager.
35. Appearance is always within Agency standard; is clean and well-groomed.
36. Demonstrates effective time management skills through daily documentation.
37. Maintains clean and neat work environment.
38. Demonstrates sound judgment, critical thinking and decision making.
39. Maintains current CPR certification.
40. Performs other duties as assigned.