RN Case Manager, Hospice at Home, Fulltime, 32Hrs/Wk

Job Description

Job Description

Join our team at Stillwater Hospice!

At Stillwater Hospice, we foster and support growth, teamwork, and good work-life balance among all staff.

We offer competitive wages and benefits in our team-forward, positive care environment. We look forward to talking to you today about joining our team!

Compensation is based on total years of experience in previous clinical roles.

In this role, you'll care for patients in the Wells and Adams County Area .

You will work in a Home Hospice environment, managing and coordinating the care of multiple patients

We pride ourselves on promoting an Excellent Work/Life Balance and providing Excellent Employee Benefits.

• Health Insurance with PPO (preferred provider organization).
• Dental and Vision Insurance.
• Flexible Savings Account (FSA).

• Free Employer Health Clinic (for medical plan participants). Partnership with Parkview Health.
• Catastrophic Medical Care Plan (qualifications apply).
• Medical Claims and Healthcare Utilization Management program.

• A partnership with Wellbridge Surgical, which is a concierge Surgery Center, includes reimbursement of medical plan deductibles and travel (for medical plan participants).
• Dependent Care Savings Account (DCFSA).
• TriShare Plus Child Care Cost Sharing plan (for qualifying employees).

• CoShare Child Care Cost Sharing plan (for qualifying employees).

• Generous Paid Time Off.
• Paid Wellness Days.
• Time Off for Voting.
• Paid Parental Leave for Births and Adoptions.
• 403b Retirement Plan for all employees with no cost access to a Financial Advisor and a strong Company Match for full-time employees.
• Shift Incentive Pay, Performance Incentives, & Mileage Reimbursement.
• Company-provided Uniform allowance.
• Company-provided Basic Life Insurance plus AD&D Insurance.
• Company-provided Short-Term Disability Insurance.
• Affordable Term Life Insurance policies are available for employees and family members.
• Education Incentives & Tuition Discounts w/ several local Universities.
• Private Student Loan Assistance Program with Gradify.
• Support the Federal Student Loan Forgiveness plan as a Qualifying Not-for-Profit Employer.
• Annual Employee Tuition Assistance Plan, up to $2000.00 per year.
• Stillwater Hospice Tuition Scholarships, up to $5000.00 per year.
• A Robust Employee Assistance Program (EAP) program for Employees & Family household members.
• New hire referral Finder's Bonus.
• Free employee access to the services and programs at the Peggy F. Murphy Community Grief Center.
• A newly remodeled, modern Inpatient Unit.
• Newly built Staff Respite Room in the Hospice Home IPU.
• Multiple employee engagement events per year: Wellness/Health Events, Quarterly Employee Benefit Fairs, Organization picnics, and Organization holiday events.
• A strong commitment to promoting and advancing employees from within the organization.
• The campus is connected to the Fort Wayne Trails system.
• Discounts at the YMCA (multiple included, not just Allen County).

POSITION TITLE: RN CASE MANAGER

FLSA STATUS: NON-EXEMPT

REPORTS TO: Clinical Team Leader

POSITION OBJECTIVE:

Manages and coordinates the provision of nursing care for assigned terminally ill palliative care patients by assessing needs, implementing nursing care plans, making appropriate revisions, and evaluating care outcomes.

QUALIFICATIONS:

• Graduate of an accredited school of nursing.
• Bachelor’s degree in nursing preferred.
• Must have a current RN license to practice in the state of Indiana.
• Must hold current CPR certification or obtain within the orientation period.
• Infusion skills preferred
• Must be able to provide those services requiring substantial specialized nursing skills.
• Prefer one (1) year of recent hospital or home health care experience.
• Must have a current motor vehicle operator’s license and have access to an automobile with current automobile insurance coverage.
• Must be able to drive independently to all patient/family clients’ homes.
• Must be able to safely perform the essential functions of the job without posing a direct threat to the health and/or safety of him/her, or to others in the workplace.
• Must be comfortable working with hospice patients with an emphasis on palliative care.
• Assists with in-service training of the community on the hospice philosophy as needed/requested.
• Ability to recognize needs and emergencies of hospice and palliative care patients, and provide appropriate interventions.
• Strong interpersonal skills.
• Strong assessment skills.
  

ESSENTIAL FUNCTIONS:

• Must be capable of functioning independently in the patient's setting.
• Implements Agency policies in all work-related situations; orientation of patient/family to hospice benefit services, including identifying the role of team members.
• Preparing clinical and progress notes.
• Conducts the initial assessment visit and identifies patients' health problems by evaluating environmental, psychosocial, spiritual, physiological, and health-behavior systems. Regarding Home Health Care, this would include Outcome and Assessment Information Set (OASIS) assessments at appropriate time points.
• Ensures proper initiation of the interdisciplinary plan-of-care, coordinating revisions to the plan-of-care, and evaluating outcomes.
• Anticipates problems related to the impending death of the patient beginning at the time of admission and pursues problem resolution, including bereavement follow-up for the caregiver.
• Follow state and Agency policy and procedures when legally pronouncing a death. Specifics of the death event will be documented in the clinical record; required information is communicated/submitted to appropriate parties. The patient’s body will be handled with respect and dignity and in accordance with individual patient/family requests.
• Respect the cultural and religious traditions and beliefs of the patient/family.
• Recognize and maintain professional boundaries in relationships with the patient/family/caregiver.
• As a member of the interdisciplinary team, participates in patient care conferences to promote holistic care.
• Documents findings accurately, in a timely manner, and on the appropriate forms in accordance with the Agency's procedures.
• Delivers nursing care to patients, which includes pain/symptom management, teaching, providing direct care, case management, referral, advocacy, and monitoring.
• Supervises clinically the care delegated to LPNs, Home Health Aides, CNA’s, Companions, and/or Homemakers.
• Instructs LPNs, Home Health Aides, and/or CNA’s on specific patient care procedures within approved policies.
• Maintains a therapeutic relationship with patients/families. This includes confidentiality of personal matters as well as patients', coworkers', and the Agency's business.
• Implements the individualized plan of care and re-evaluates the patient’s nursing needs on an ongoing basis.
• Follows orders from the patient’s physician and informs the physician and other personnel of changes in the patient’s condition and needs.
• Maintains expected and acceptable productivity.
• Participates in the student nurse program as it relates to field visits and hospice philosophy.
• Coordinates care and services with other health care providers.
• Recommends utilization of additional Agency services and other community services, as appropriate.
• Works in a cooperative relationship with other Agency personnel.
• Seeks appropriate clinical supervision.
• Participates in the agency's committees and task forces.
• Assumes responsibility for continued personal growth and development.
• Participates in on-call and Holiday rotation as assigned.
• Seeks educational opportunities to improve clinical practice and participates in in-service programs.
• Adheres to all the Agency's policies.
• Adheres to Stillwater Hospice dress code policy.
• Any other duties as assigned by the supervisor.
• Adheres to Stillwater Hospice privacy practices as described in the Notice of Privacy Practices.
• Participates in quality improvement activities and/or other agency committees or task forces when requested.

Critical Skill Sets and Attitudes:

• Proficient and timely in all aspects of clinical documentation, including computer data entry
• Proficient in blood draws, all routine patient treatments (dressing changes, catheters, etc.), pain and symptom management, care of the patient and family, including pediatric and HIV + patients; Mantoux administration.
• Proficient in case management, all aspects of IV care, including programming of IV pumps, tubing changes, site care, and subcutaneous access.
• Display compassion, be a team player, have an optimistic outlook, be adaptive, accountable, and customer-driven.

MARGINAL FUNCTIONS:

• Provides personal care.
• Participates in QA by reviewing patient records to ensure compliance.

ESSENTIAL PHYSICAL/MENTAL FUNCTIONS:

• Must have visual and hearing ability to comprehend written and verbal communication. Constant.
• Must be able to engage in clear, concise verbal/nonverbal communication. Constant.
• Lifting: Transfer patients into positions where they can perform daily care, personal hygiene, and grooming - Occasional to Frequent.
• Carrying: Personal hygiene supplies to and from the bathroom to the patient - Occasional. Linen for short distances - Occasional.
• Pushing/pulling/reaching: Readjust patient in bed - Occasional.
• Standing: While performing patient care - Frequent to Constant.
• Sitting: While driving to and from the patient's home - Frequent.
• Climbing: - Occasional to Frequent. Must be able to climb a minimum of three (3) flights of stairs.
• Balancing: Needed for normal ambulation, climbing stairs, and for reaching - Occasional to Frequent.
• Stooping/kneeling/crouching/bending: To perform patient care - Frequent.
• Handling objects, i.e. soap, shampoo, toothbrush, comb, dressing - Occasional.
• Fingering: Pen, visit reports - Occasional to Frequent.
• Opening: Bottles and jars - Frequent.
• Talking: To communicate with patient and family, and to communicate with supervisor and coworkers - Frequent.
• Hearing: To communicate with patient, coworkers, patient's family, and supervisor - Frequent to Constant.
• Seeing: Constant. The ability to discriminate colors.
• Must have the ability to remain calm in occasional emergency situations.
• Recognizes emergencies and has knowledge of emergency procedures, according to Agency policy.

ESSENTIAL HAZARDOUS PHYSICAL EXPOSURES:

• Must be willing to travel between patients in inclement weather.
• Potential threat of physical violence to self. (Security personnel available upon request.)
• Potential exposure to dangerous animals, such as dogs, rodents, etc.
• Potential exposure to environmental pollutants.
• Potential exposure to infectious diseases, needle sticks, blood and body fluids, and hazardous waste.
• Potential exposure to variable temperatures in the working environment.

CHEMICAL OR HAZARDOUS PHYSICAL EXPOSURES:

• Potential exposure to substances within the office environment, including copy machine toner, VDT emissions, and cleaning.
• Potential exposure to chemical/cleaning substances in the patient's home environment.

ESSENTIAL PERSONAL PROTECTIVE EQUIPMENT REQUIRED:

• Standard precautions will be consistently used for all patients. Protective clothing and equipment are provided by the employer at no cost to the employee.
• Seat belts must be worn when traveling during working hours according to state law.

OTHER SPECIAL CONSIDERATIONS:

• Must be willing to accept assignments without regard to location, socioeconomic environment, disease, or ethnic origin.
• Must exhibit dependability in areas such as attendance, tardiness, and timely performance of duties.
• Must accept responsibility for 24-hour call and/or back-up call, as assigned.
• Must be willing to make scheduled visits on holidays, weekends, or evenings when assigned.

The published compensation range for this position reflects a good-faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting. The base pay may be higher or lower based on demonstrated job-related experience.

Stillwater Hospice has been caring for the seriously ill of Northeast Indiana since 1888, and our goal is to foster the optimal quality of life through medical, spiritual, and emotional support for patients and their loved ones. We provide high-quality, patient-focused, and compassionate care that helps terminally ill patients and their families live as fully as possible. Providing hospice care allows patients and their families to have meaningful moments together.