RN, Case Manager

Description

Professional Duties

• Coordinates the patient’s and families care and services including those of the team, social worker, chaplain, home health aide, volunteer and physician.
• Responds necessary information to the Team Manager.
• Monitors the re-certification process.
• Participates in Interdisciplinary Team Meetings as indicated.
• Documentation is complete, accurate and timely.
• Ensures and documents appropriate use of the medications, durable medical equipment and supplies.
• Educates patients, families and other caregivers.
• Provides skilled nursing as determined by the interdisciplinary plan of care.
• Updates care plan regularly and integrates plan of care with any new changes in patient condition.
• Appropriately utilizes the skills and resources of contract personnel such as PT, OT, Dietary, Speech and Pharmacy.
• Performs on site evaluations of Certified Home Health Aides (CHHA) and volunteers.
• Participates in the on-call rotation, weekends and holiday schedules if situation arises.
• Integrates Quality Improvement results into the established plan of care.
• Participates in the orientation of new team members and / or act as a preceptor to nursing students as assigned by the Team Manager.
• Attends regularly scheduled in-services and educational conferences.
• Reconcile medication with each change of level of care and update the electronic health record and Hospice pharmacy.
• Performs other duties as assigned.
• Be accountable for your work
• Speak positively about your work, co-workers and Desert Oasis Healthcare and Family Hospice Care
• See the positive in situations and in others
• Avoid gossip and negativity
• Inform patients and co-workers of how and when to contact you under normal circumstances (phone number, email, a help line, Immediate Care, etc.) or when unforeseen issues arise

Qualifications

• Current California RN License
• 1 year experience as a professional nurse, with Diploma, Associate of Science in Nursing (ASN) or Bachelor of Science in Nursing (BSN), BSN may substitute for 1 year of work experience. Previous experience in hospice or home health, preferred.
• Knowledge of the principles and practices of primary medical and nursing care.
• Ability to communicate effectively with individuals within all levels of the organization, patients, providers, and others.
• Ability to work independently. Ability to utilize critical thinking and judgement to problem solve.
• BLS required within 60 days of hire.
• Valid California’s Driver’s license and proof of auto insurance.

Physical Demands