Hospice RN Case Manager

Requirements

• Provides care according to and is able to articulate hospice philosophy
• Functions as a member of an interdisciplinary team
• Performs RN pronouncement in all settings except the acute care hospital
• Provides an initial assessment in conjunction with established LCD guidelines to ensure patient meets criteria for admission to hospice
• Provides assessment and clear documentation in the EMR (PTCT) to demonstrate patient continues to meet hospice eligibility utilizing appropriate scales
• Seeks input from other members of the team to increase knowledge and support
• Provides skilled service that ensures the nursing needs of the patient are met as identified in the patient’s initial assessment, comprehensive assessment and updated assessments
• Prepares and submits updates to patient care plan for review by the Interdisciplinary Group at least every 14 days and prior to each recertification period
• Assumes primary responsibility for the coordination and management of all aspects of the patient’s plan of care
• Initiates and maintains consistent communication with the attending physician, the Hospice Medical Director, the hospice pharmacist(s), other members of the IDG, hospice office staff, clinical supervisors and directors, other agencies and facilities as needed to coordinate optimal care and use of resources for the terminally ill patient and family
• Considers factors related to safety, effectiveness and cost in planning and delivering patient and family care
• Proactively informs Clinical Supervisor or Clinical Director of unusual or potential problems
• Works with pharmacist and primary care physician to utilize medications that are optimal and yet cost-effective
• Follows process to arrange for the delivery of medications as ordered, understanding the variation in the process for each care location
• Educates patient, family and contracted caregivers on medications and other care processes to maximize patient comfort
• Documents patient care issues, goals and plans in the electronic medical record and exports data to be shared with other clinicians in a timely manner
• Maintains competency in all end-of-life issues, pain and symptom management
• Participates in agency programs and community education as required to promote growth and understanding of hospice care
• Demonstrate knowledge of agency policies, State Regulations, the Medicare Conditions of Participation, Joint Commission requirements, Long Term Care Facility regulations, and Assisted Living regulations.
• Participates in Quality and Performance Improvement Activities

Benefits

• Health insurance
• Paid time off
• 401k
• Tuition reimbursement
• Relocation assistance