Hospice

Rn Care Manager - Full-Time

At Augusta Health your work matters — and so do you. Whether you're delivering direct patient care supporting operations or innovating behind the scenes every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized independent health system located in Virginia's scenic Shenandoah Valley.

Our team members thrive in a supportive culture that values collaboration integrity and excellence. With opportunities across clinical and non-clinical areas Augusta Health is a place where your skills make a difference and your growth is a priority.

Why Join Augusta Health

We believe in taking care of the people who care for our community. That's why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being career development and work-life balance. Whether you're launching your career or bringing in years of experience we provide the tools resources and encouragement to help empower you to reach your full potential — personally professionally and financially.

Total Rewards & Benefits (may vary by position)

• Comprehensive insurance package including medical dental and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical ladders shared governance and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking 24/7-armed security for your safety a Health Fitness Reimbursement Program and an onsite credit union and pharmacy
• Competitive pay with shift/weekend differentials
• Employee discounts at the cafeteria gift shop pharmacy and local entertainment venues (i.e. movie tickets)

Job Summary

The Registered Nurse Care Manager is responsible for managing and coordinating the plan of care for hospice patients in their place of residence and to coordinate care with the Interdisciplinary Team patients families referring agency/facility and/or caregivers. The RN administers nursing care for patients utilizing all aspects of the medical plan and nursing standards of care. Directs and guides patient/family education and the activities of other personnel while maintaining standards of professional nursing. Must possess the ability to assess data reflective of the patients status and interpret the information to formulate a plan of care based on the patients age-specific needs. Must be able to provide the care needed as described in the departments policies and procedures.

This position plays a critical role in supporting Augusta Healths mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative patient-centered environment and helps drive outcomes aligned with organizational priorities.

Essential Job Duties

Medications

• Completes 5 Rights with 100 compliance. Knowledge of medications used.
• Knowledge and use of high-risk medications.
• Ability to perform calculations for mixtures/solutions.
• Reconciles patient medications and changes in medications with physician/provider.

Evaluation-

• Evaluate patient outcome:
• Implements/develops/documents the plan of care to ensure quality and continuity of care and recommend revisions to the plan as necessary.
• Documentation reflects nursing interventions patient responses as well as follow through with patient outcomes.
• Consults with and educates the patient and family regarding disease process self-care techniques end-of-life care nutrition and dietary needs.
• Prioritize any needs with the members of the IDT. Provide training to other staff as needed.
• Determines scope and frequency of services needed based on acuity and patient/family needs. Assess the ability of the care giver to meet the patients immediate needs upon admission and throughout care.
• Prepares clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate documentation.
• Evaluation of age specific instruction/teaching is demonstrated and documented through monitoring of the learning process seeking feedback from patients and family and return demonstration if appropriate.
• Responsible for improving patient outcomes and comfort at end-of-life.
• Responsible for fiscal utilization of services/supplies per patient.

Assess/Plan-

• Initial and ongoing comprehensive assessments are complete and appropriate for patients age special care needs patients knowledge level and psychosocial emotional physical functional environmental and spiritual needs.
• Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patients eligibility.
• Reassessment is timely and performed as patient condition warrants.
• Informs physician/provider and other team members of changes in the patients needs and outcomes of intervention while evaluating patient and family response to care.
• All documentation is submitted in a timely manner and per documentation policy.
• Communicates patient information as necessary to the interdisciplinary team and other nurses as required. Appropriate referrals are made with evidence of follow-up documentation in the medical record.

Personal Growth

• Assumes responsibility for own personal education and developmental needs.
• Assesses personal learning needs and initiates methods to meet the identified needs through formal or informal education.
• Displays positive attitude and flexibility toward work unit.
• Cooperates with interdisciplinary team members and other units to meet the needs of the patient.
• No complaints from patients/family other units physicians or staff.
• Attends 50 of staff meetings.
• Attends in-services as required or requested by clinical manager.
• Maintains clinical competency.
• Abides by AH service standards.
• Participate in quality improvement processes.
• Participates in staff satisfaction projects.
• Assist Clinical Manager on quality improvement projects when requested.
• Knowledge of department QAPI projects.
• Provides suggestions for cost containment.
• Assist unit in ACHC preparedness by maintaining environment and practicing within established standards.
• Knowledge of ACHC standards as it relates to everyday work practices.
• Awareness of patient satisfaction goals to meet individual patient/family needs on a daily basis.

Leadership-

• Demonstrates effective skills to be a leader within the department.
• Provides clinical directions to the Hospice Aide and LPN to ensure quality and continuity of service provided.
• Completes Hospice Aide and LPN supervisory visits as required.
• Able to function as a team leader ensuring optimal patient care while supervising the work of other supportive nursing staff.
• Demonstrates ability and knowledge to be a resource and mentor for other staff.
• Minimizes absences and reports to work in a dependable manner.
• Communicates effectively with physicians/providers utilizing SBAR approach.
• Able to function calmly and promptly while demonstrating appropriate knowledge and skill in emergency situations.
• Promotes the Hospices philosophy.
• Maintains responsible attitude towards management and cost containment.
• Serves on organizational committees as requested by Clinical Manager.
• Provides mentoring and orients new nurses students and aides as assigned.

Implement-

• Clinical and technical aspects of care in accordance with established standards policies and practice guidelines.
• Anticipate patients potential complications and need for appropriate preventive measures.
• Demonstrates strong clinical skills in technical aspects of care pain management systems assessment and patient satisfaction.
• Demonstrates efficiency in documentation by documenting at least 75 at the point of care.
• Demonstrates proficiency in starting IVs and phlebotomy and follows policies and procedures.
• Maintains patient safety.
• Maintains patient confidentiality.
• Provides patient education appropriate to age and knowledge level of patient.
• Demonstrates proficiency in computer applications necessary to perform the job.
• Coordinates care through use of interdisciplinary services as needed.
• Maintains equipment as assigned. Reports damages/problems to manager quality controls are done per department policy when indicated.

Personal Safety

• Follows departments infection control policies.
• Consistently uses Personal Protective Equipment including eye protection when appropriate.
• Maintains organization and safety in the physical environment of care.
• Demonstrates knowledge of proper body