Stamford/Norwalk Hospice Case Manager (RN, Registered Nurse) - HomeCare

Location Detail: 765 Fairfield Ave Bridgeport (10411)

Work where every moment matters.

 
Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network as a Hospice Registered Nurse.  

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our colleagues to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home. Most importantly, our colleagues are appreciated for the real differences they make in both the lives of their clients and their clients’ families.

Provides skilled nursing care to hospice clients in their homes or community health settings ensuring the delivery of outcome based, high quality, cost-effective care.

· Reviews referrals, and initiates contact with client and family.

· Conducts a complete nursing assessment based on referral data, client/family interview, and clinical observation of patient health status. Demonstrates clinical expertise in symptom management and end of life issues.

· Develops a plan of care in collaboration with client and all disciplines based on assessment data which documents need for services, appropriate discharge planning, short- and long-term goals, and the utilizations of appropriate resources. Facilitates peaceful death and assures appropriate bereavement follow up through timely documentation of bereavement assessment. Modifies plan of care as conditions change.

· Demonstrates understanding of payer information in order to maximize care planning. Utilizes Hospice Levels of care appropriately.

· Follows IDT process of approving non-formulary medications, treatments, and DME.

· Initiates and maintains a client record utilizing the Agency’s standard for documentation.

· Makes follow-up visits to provide skilled care to assess disease progress and evaluates response to treatment so as to promote peaceful death; provides support to client/family utilizing teaching principles to promote and restore health and prevent disease and disability, as possible; coordinates care with providers. Utilizes interdisciplinary team members to support patient/family needs.

· Teaches patients and reinforces client/caregiver teaching and education. Prepares/teaches/supports family regarding signs and symptoms of death, as appropriate.

· Refers, collaborates, and coordinates all client care services. Consults with physician regarding client needs and plan of care.

· Directs LPNs in carrying out the established plan of care. Directs Home Care Aides and supervises plan of care.

Qualifications

Minimum Requirements:

Education: Graduate of an Associate’s of diploma program in nursing

Experience: One year nursing experience OR one year nursing experience in a specialty

Licensure: License to practice in the State of Connecticut

Preferred:

Education: Graduate of NLN approved BSN program

Experience: Medical/surgery or home care experience