Hospice RN Case Manager

Registered Nurse Case Manager

Under the direction of the Medical Director and the interdisciplinary team, the Primary Nurse is responsible for identifying and coordinating patient/family Hospice care needs, providing preventative and supportive care to terminally ill patients and their loved ones. The Primary Nurse utilizes teaching, assessment, observation, and intervention skills to provide palliative care and maximize quality of life for the patient and their family.

Essential Functions:

1. Complete the initial assessment of care needs for the patient and family, including physical, emotional, and mental status. Assesses, when indicated, cultural, religious, motivational, physical, cognitive, language, or emotional challenges to the provision of care, and plans for appropriate accommodation.
2. Provide education to patients and loved ones consistent with their learning needs, abilities, and readiness related to the patient's health care needs, plan of care, and family's coping styles and abilities.
3. Participate in the admission process, including meeting patients and loved ones, providing hospice benefit information, explaining and obtaining signed consents, and assessing patient/family needs. Coordinate staff and community services as needed.
4. Follow through and modify the initial care plan as patient/family needs change, under the direction of the IDT.
5. Attend and participate in patient care conferences, staff support meetings, and staff meetings.
6. Maintain availability for on-call visits to assist and support patient/caregiver through physical and/or emotional crises, 24/7 on a rotating basis (one night per week and one weekend per month).
7. Offer optimal symptom management, emotional support, and energy-saving techniques to patients and caregivers. Support caregivers to keep the patient at home or in the home setting as long as desired.
8. Delegate tasks, conduct regular on-site evaluations, and supervise Hospice Aides. Review documentation and care plans. Complete annual competency checklists and evaluate tasks monthly.
9. Communicate with physicians, Director of Clinical Services, and IDT concerning patient care and document communication in the patient record or care plan.
10. Maintain current patient records, ensuring problems, actions, and goals are accurate and clearly stated.
11. Perform nursing skills according to standards accepted within the State of Oregon.
12. Demonstrates familiarity with Hospice policies, state and federal regulations, and standards for performance improvements and competencies.
13. Attend conferences/seminars offered by Hospice of Redmond to enhance competency and skill. Attend required in-service education.
14. Request referrals to other disciplines as needed to enhance team effort and quality of care.
15. Update volunteers as needed with patient condition or delegate this to the Volunteer Coordinator.
16. Coordinate transfer and/or discharge of patient under the direction of IDT/Director of Clinical Services, ensuring continuity of care.
17. Demonstrate respect for and promote the dignity of patients in all interactions. Maintain confidentiality.

Qualifications:

1. Current Oregon licensure as a Registered Nurse.
2. At least two years of experience as a staff nurse in an acute care setting, Home Health Agency, or Hospice.
3. Reliable automobile, current liability insurance, and Oregon driver's license.
4. Satisfactory results from a background check and drug screen.

Working Conditions/Personal Demands:

• Ability to function effectively in high-stress and crisis situations.
• Ability to manage multiple priorities and work as a team participant.
• Ability to assess and respond to the needs of a patient and their loved ones in any setting.
• Demonstrate self-management skills related to personal loss issues to be an effective participant in the Hospice setting.
• Demonstrate computer literacy to accurately document patient visits as necessary.

OSHA Category: Category I: Tasks that involve potential exposure to blood, body fluids, or tissues.

ClearPath Healthcare is a drug free workplace.

ClearPath Healthcare is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.