Hospice Rn Case Manager

Job Title: Registered Nurse

Reporting to: Director of Patient Care Services (DPCS)

Classification: Regular Full-Time

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The RN Case Manager 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.
POSITION REQUIREMENTS

• Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
• 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.
• Initiates the plan of care, regularly re-evaluates patient and family/caregiver needs, and makes necessary revisions as status and needs change.
• Uses health assessment data to determine nursing diagnosis.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Communicates with community health related persons to coordinate the care plan.
• Counsels the patient and family in meeting nursing and related needs. 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. Works in concert with the interdisciplinary group.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary group meetings.
• Participates in on-call duties as defined by the on-call policy.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.
• Actively participates in quality assessment performance improvement teams and activities.

PHYSICAL REQUIREMENTS

While performing the duties of this job, the staff is frequently required to: be mobile, sit, stand, talk & hear in person or on the phone, do repetitive motions or utilize fingers/hands/wrists for typing documentation; have visual acuity to perform activities such as but not limited to: make patient assessments, operate equipment, transcribe, work on a computer terminal, take measurements. The staff is occasionally required to bend, climb, balance, stoop, kneel, twist/turn, balance, grasp, pinch, push/pull and/or lift/carry weights up to 50 lbs.

ENVIRONMENTAL AND WORKING CONDITIONS
Staff is subject to: both inside and outside environmental conditions; providing services in a variety of environments; driving in various weather conditions on roads in varying degrees of repair. Potential for exposure to infectious disease.

TO APPLY: Visit www.adyacare.com and fill out our online employment application.