RN Case Mgr Hospice

Hospice RN Case Manager

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

The Hospice RN Case Manager utilizes the nursing process to assume primary responsibility for the care of terminally ill patients and their caregivers in consultation with the primary physician, Hospice Medical Director and the Hospice interdisciplinary team. The hospice nurse provides physical and psychosocial support to the patient and supportive care to the caregiver and family that will assist them in accepting and preparing for the death of the patient. RN Case Manager reports to the Hospice Nurse Manager. Use of personal vehicle required. Mileage reimbursed.

Core Responsibilities and Essential Functions:

• Provides ongoing patient care according to the interdisciplinary care plan.
• Maintains ongoing contact with patients/families.
• Provides instruction regarding disease processes, symptom management, medication administration, and nutrition.
• Manages medications, ensuring they are available as ordered, administered correctly by family, stored correctly and safely, encourages compliance.
• Assess symptoms and medication effectiveness, reports response to physician.
• Assess need for change in level of care, based upon symptoms, caregiving fatigue and the patient/family plan for death.
• Assess for patient safety, adequacy of caregiving, signs of abuse or neglect, suicide risk.
• Updates plan of care with goals, interventions and services that are individualized to each patient/family need.
• Prepares the Patient and Family for death.
• Conducts ongoing physical assessments of patients and anticipates changes.
• Advises caregivers of anticipated changes, educates about the signs and symptoms of impending death and interventions to relieve symptoms.
• Pronounces the patient at time of death.
• Collaborates with members of the interdisciplinary team.
• Participates in interdisciplinary team meetings, family conferences and case studies.
• Maintains ongoing communication with other members of the interdisciplinary team.
• Develops the hospice aide (CCP) personal care plan and supervises their implementation.
• Serves as resources to staff with regard to medical issues.
• Coordinates care and transfer to in-patient hospice facility.
• Reads all communications and e-mails from team members.
• Maintains current documentation in electronic medical record.
• Monitors the quality of nursing care provided to patients.
• Performs customer satisfaction/complaint resolution activities.
• Communicates appropriately with contracted personnel and agencies.
• Provides pertinent information to contracted personnel as needed.
• Assesses need for DME Supports and participates in performance improvement activities.
• Participates in department performance improvement activities.
• Participates in system-wide committees as requested.
• Identifies methods for improving department performance/care.
• Assists in implementing performance improvement opportunities.
• Demonstrates leadership skills.
• Serves as a clinical resource for PRN RNs, on-call RNs, LPNs and CCPs.
• Participates in the hiring and orientation of new nursing staff.
• Assumes additional responsibilities.
• Complies with all Wellstar Health System policies, standards of work, and code of conduct.

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