Hospice Registered Nurse Case Manager

JOB TITLE: Registered Nurse Case Manager

JOB SUMMARY:

The Registered Nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.  The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

JOB RESPONSIBILITIES & DUTIES:

1. Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. 
2. Provides professional nursing care by utilizing all elements of nursing process and utilizes health assessment data to determine plan of care.
3. Assesses and evaluates patient's status, regularly re-evaluating patient and family/caregiver needs, and participating in revising the plan of care as necessary.
4. Develops a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions.  Includes the patient and the family in the planning process.
5. Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and treatments as prescribed by the physician in the physician's plan of care.
6. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care.
7. Acts as the Case Manager, assumes responsibility to coordinate patient care.
8. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given.  Records pain/symptom management changes/outcomes as appropriate.
9. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
10. Teaches the patient and family/caregiver self-care techniques as appropriate.  Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
11. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
12. Participates in on-call duties.
13. Actively participates in quality assessment performance improvement teams and activities.

JOB REQUIREMENTS & QUALIFICATIONS:

RN license required. Bachelor or Assoicate degree in nursing or related field preferred. Maintains an active nursing license that is in good standings in the state performing job duties. Maintains an active CPR certification. At least 2-5 years of experience in the healthcare management, hospice, or palliative care and/or training in end-of-life care, preferred. Knowledge of hospice care and the services provided to patient and family/caregiver through an interdisciplinary group. Proficient in MS Office applications and ability to learn department and job-specific software systems. Demonstrate organizational skills. Demonstrate effective verbal and written communication skills. Demonstrate analytical skills when problem-solving. Demonstrate high attention to detail and a high degree of accuracy.

CORE COMPETENCIES:

• Communication: Demonstrate knowledge to reply and receive information to and from others.
• Customer Service: Works with customers to assess their needs in an effort to exceed requirements and expectations.
• Emotional Intelligence: Demonstrates knowledge on how to manage oneself and how to interact successfully with others.
• Time Management: Demonstrate ability to manage your time productively and efficiently.