RN Case Manager - Deep South East (Greater Nacogdoches/ Mt Enterprise area)

Job Summary:

Responsible for providing nursing services to terminally ill patients in their home setting and supportive services to family members in compliance with all applicable federal, state & local health and safety codes including LSC(R), laws and regulations, and all applicable policies and procedures of Hospice of East Texas.

Job Qualifications:

• Current Texas RN license
• Documentation of at least two years or equivalent of nursing experience in an acute care setting preferred
• Current CPR Certification as required by policy
• Hospice experience preferred

• Valid Drivers License
• Proof of Current Automobile Liability Insurance
• Reliable transportation
• Demonstrate ability to relate effectively with physicians, health care professionals, the community, patients/families, and members of the hospice interdisciplinary team
• Proficient with Microsoft Office software relevant to position; ability to master software applications relevant to position (including but not limited to the electronic medical record)
• Ability to read, write and comprehend English
• Employee must be FIT tested for an N95 mask

• Essential Functions & Responsibilities:
• Knowledge of local, state, and federal laws for delivery of hospice services
• Demonstrate specific communication skills, and the ability to interact with fellow employees\Has the ability to perform the nursing process of assessment, planning, and implementation and evaluation.
• Apply specific criteria for admission and re-certification for hospice care to establish appropriate levels of care and patient’s eligibility for hospice services
• Implement the individualized plan of care and recommendations for revisions to the plan as necessary
• Ensure nursing care complies with patient’s plan of care and is documented appropriately ·
• Coordinate all patient/family services and prioritize the needs with members of the IDT/IDG
• Provide initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychosocial and environmental needs and activities of daily living.
• Assess risk for pathological grief
• Assess cultural and spiritual implications of end of life issues
• Maintain awareness of verbal and non-verbal patterns of communication of patients/families
• Manage discomfort and provide symptom relief utilizing specialized nursing skills related to palliative and end of life care
• Educate the patient and family regarding the disease process, self-care techniques, issues related to end of life care, and the processes for dealing with issues of ethical concern
• Initiate appropriate preventive and rehabilitative nursing procedures
• Determine the scope and frequency of services needed based on acuity and patient/family needs
• Demonstrate knowledge of medication administration, interactions and side-effects
• Demonstrate knowledge and competence in pain and symptom control concepts, and ensure interventions are carried out on a timely basis
• Ensure the case management approach for referral to other services as needed
• Prepare and submit clinical and progress notes that demonstrate progress toward established goals according to policy and procedure guidelines
• Communicate information using current processes/available technology on a timely basis
• Act as physician agent when calling in prescriptions for patients by following agency protocols
• Supervise LVNs, HHAs and paraprofessionals providing services to the patient according to regulatory guidelines; participate in evaluation and corrective action when necessary
• Provide specialized hospice training to other staff, family members and informal caregivers to ensure adequate patient care
• Ensure on-going evaluation of the patient/family response to care
• Assess the ability of the caregiver to meet the patient’s immediate needs upon admission and through out care provision
• Evaluate own needs for support and identify systems to meet the needs
• Assume responsibility for reordering patient medications /maintaining inventory of supplies
• Demonstrate knowledge and awareness of cost containment by economical use of supplies, medications and other resources
• Ensure patient privacy when providing care and treatment
• Participate in clinical on-call as scheduled
• Ensure compliance with Death Pronouncements as per agency protocol
• Complete audits of discharged patient charts within 30 days of discharge
• Participate in the QA/PI process
• Monitor self, staff and patient safety in care setting
• Participate in departmental and other meetings as requested
• Participate in orientation of new staff, volunteers, and training of nursing students as requested
• Participate in all required In-Service Programs
• Maintain current level of skills and evidence of competency
• Adhere to all Confidentiality policies and procedures and maintain confidentiality of administrative information
• Personal growth and development by having flexibility in other work assignments as needed.
• RN act as preceptor for new nurses
• Seeks to increase knowledge and skills through education, in-services, workshop, and certification (CHPN) and maintains credentialing
• Perform other reasonable duties as assigned
• Physical Requirements:

• Frequently required to stand, sit, walk, drive, reach with hand and arms, stoop, kneel, twist, and crouch.
• Regularly required to use hands to handle and feel; and to speak and hear.
• Intermittently lift and/or move up to 50 pounds.
• Ability to deal effectively with stress
• Occasionally required to do standing/sitting presentations involving speaking and listening to an audience.
• Specific vision abilities required by this job include close, distance, color, peripheral, depth perception, ability to focus and ability to drive during varied weather conditions and day/night lighting
• Required ability to travel by automobile and airplane.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off

Experience:

• Nursing in acute care: 2 years (Preferred)

License/Certification:

• RN license (Preferred)

Work Location: In person