Hospice RN Case Manager

Job Description

Job Description

Emunah Hospice of King David is seeking a new RN Case Manager Nurse to join our growing Hospice Team.

We are very proud of our Emunah Hospice program which serves a majority of patients on our Beachwood King David campus as well as patients residing in the community within a limited range.

Our core values of excellence, compassion, integrity, service and stewardship create the highest standards of care for our residents, clients and guests. We seek those who share this commitment to guest service, accountability for attendance and punctuality and a dedication to continuous learning and growth.

Job Description Summary

The Hospice RN assumes case management responsibility for an assigned caseload of hospice patients in their place of residence (e.g., home, nursing facility). This includes performing comprehensive assessments, developing and implementing the patient-centered plan of care, providing skilled nursing interventions for pain and symptom management, clinical documentation, and supervision of the Hospice LPNs and Aides.

Essential Job Functions/Responsibilities

Patient Care

1.      Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs.   Provides a complete physical assessment and history of current and previous illness(es).

2.      Provides professional nursing care by utilizing all elements of nursing process.

3.      Assesses and evaluates patient’s status by:

A.     Writing and initiating plan of care

B.     Regularly re-evaluating patient and family/caregiver needs

C.     Participating in revising the plan of care as necessary

4.      Uses health assessment data to determine nursing diagnosis.

5.      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.

6.      Initiates appropriate preventive and rehabilitative nursing procedures.  Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

7.      Counsels the patient and family in meeting nursing and related needs.

8.      Provides health care instructions to the patient as appropriate per assessment and plan.

9.      Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

10.   Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1.      Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given.  Records pain/symptom management changes/outcomes as appropriate.

2.      Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3.      Communicates with community health related persons to coordinate the care plan.

4.      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.

5.      Provides and maintains a safe environment for the patient.

6.      Assists the patient and family/caregiver and other team members in providing continuity of care.

7.      Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.

8.      Attends interdisciplinary group meetings.

Additional Duties

1.      Participates in on-call duties as defined by the on-call policy.

2.      Ensures that arrangements for equipment and other necessary items and services
are available.

3.      Supervises ancillary personnel and delegates responsibilities when required.

4.      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.

5.      Fulfills the obligation of requested and/or accepted case assignments.

6.      Actively participates in quality assessment performance improvement teams and activities.

Position Qualifications

1.      Registered nurse with current licensure to practice professional nursing in the state.

2.      Graduate of National League for Nursing accredited school of nursing.

3.      Maintains a current CPR certification.

4.      Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.

5.      Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

6.      Self directed and able to work with minimal supervision.

7.      Management experience not required.  Responsible for supervising hospice aides.

8.      Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.

9.      Shows ability to organize and prioritize workload independently.

10.   Prolonged or considerable walking or standing.  Able to lift, position, and/or transfer patients.  Able to lift supplies and equipment.  Considerable reaching, stooping, bending, kneeling, and/or crouching.  Visual acuity and hearing to perform required nursing skills.