Field RN Case Manager/Sun-Wed Cornerstone Hospice

Overview It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit. Qualifications Current license as RN in the state where the employee will be working Minimum of one (1) year nursing experience; hospice or hospital experience preferred Employees working at PACE, certification of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs Previous experience working with an EMR/EHR system Mobile Driver – valid driver’s license and automobile insurance per Company policy Reliable transportation to meet visit schedule Ability to use equipment with visual and auditory mechanisms Ability to effectively communicate in English (verbal and written) Ability to visit Participant in their homes for assessments Ability to perform the essential functions and physical requirements (lifting patients or equipment, bending, pushing or pulling, kneeling) with or without reasonable accommodation Active BLS for healthcare professionals from the American Heart Association or Red Cross Responsibilities Provide reassurance on the phone to patients and families, assist in finding solutions to their questions and/or recognize the need for an in‑person visit, and coordinate in‑person visits when needed or requested Utilize appropriate support or expert resources to resolve complex or difficult situations Document patient/family contact information in the EMR and communicate with the Interdisciplinary Team (IDT) Complete initial and semi‑annual assessments for all Company services and provide information to physicians and other IDT members to initiate Plan of Care addressing patient’s immediate needs Initiate skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort, and obtain physician orders Act as the Company representative at assigned facilities, facilitate referrals to all service lines, and work closely with referring hospitals, physicians, facilities, patients, families, and the general public Communicate frequently with other members of the IDT and provide all necessary clinical communication in a timely manner using SBAR Discuss potential needs with after‑hours staff, develop strong relationships with case managers and physicians at facilities Provide and manage direct care to patients and families as part of the IDT, incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing interventions and follow‑up Coordinate the Plan of Care, ensuring an individualized plan reflects the patient’s evolving needs Educate patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, caregiving, dying process and safety practices Report changes in the patient’s condition to appropriate members of the IDT or other health professionals Participate with the IDT to evaluate hospice referrals/admissions for level of care appropriateness, attend daily IDT collaboration meetings, and present concise and pertinent oral and written reports to IDT Supervise patient care provided by Community Health Workers and Home Health Aides as requested During emergencies (e.g., hurricanes), report to a designated location to ensure continuity of services, possibly before scheduled work time and staying overnight as required Perform other duties as assigned Competencies Satisfactorily complete competency requirements for this position Represent the Company professionally at all times through care delivered and/or services provided to all clients Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse Comply with Company policies, procedures and standard practices Observe the Company’s health, safety and security practices Maintain confidentiality of patients, families, colleagues and other sensitive situations within the Company Use resources in a fiscally responsible manner Promote the Company through participation in community and professional organizations Participate proactively in improving performance at the organizational, departmental and individual levels Improve own professional knowledge and skill level, advance electronic media skills, support Company research and educational activities, share expertise with co‑workers formally and informally Participate in Quality Assessment and Performance Improvement activities as appropriate for the position Physical Demands While performing the duties of this job, the following abilities are required: see, hear, talk, walk, use hands to finger, handle or feel, stand, sit, reach with hands/arms, lift, bend, balance, pull, push, stoop/crouch, kneel, climb stairs. Compensation Pay range: $60,058.27 – $90,087.92 All candidates shall satisfy drug and alcohol testing after a conditional offer of employment and comply with the Drug‑Free Workplace Policy. Florida affiliates require background screening through the Florida Care Provider Background Screening Clearinghouse. #J-18808-Ljbffr Chapters Health