Hospice RN Case Manager

Overview

Join our compassionate healthcare team as a Hospice RN Case Manager, where you will play a vital role in delivering personalized end-of-life care that honors patient dignity and comfort. This dynamic position offers the opportunity to collaborate with multidisciplinary teams, coordinate comprehensive care plans, and provide emotional support to patients and their families during challenging times. As a key member of our hospice services, you will utilize your clinical expertise to assess patient needs, manage complex cases, and ensure seamless transitions across care settings. Your dedication will help improve quality of life for those facing serious illness while fostering a supportive environment for both patients and their loved ones.

POSITION SUMMARY:

Coordinates the overall plan of care for each patient in conjunction with the attending physician.

QUALIFICATIONS:

• Graduate of an NLN accredited school of professional nursing, BSN preferred.
• Current RN license by Wisconsin State Board of Nursing.
• Two (2) years of general nursing experience preferred to include current experience and at least one (1) of the following: hospice, home care, med/surg or critical care. IV skills and/or certification preferred.
• Excellent nursing judgement, assessment skills and documentation skills.
• Excellent oral and written communication and interpersonal skills.
• Demonstrated clinical competency in applying principles, methods and equipment used in nursing and appropriate specialty. Identified interest to work in specialty area.
• Current BLS certification.
• Demonstrates sensitivity to the needs of the patients and caregivers (families, friends and significant others).
• Ability to function as an effective member of an integrated healthcare team.
• Ability to work flexible hours and “off hours” and to meet weekend, holiday and on-call work requirements.
• Licensed driver with an automobile that is insured in accordance with state law and maintained in good working order.

RESPONSIBILITIES AND DUTIES:

• Initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychological and environmental needs and activities of daily living. Observes risk for pathological grief, cultural and spiritual implications and verbal/non-verbal communication patterns.
• Implements the individualized plan of care and recommends revisions to the plan as necessary.
• Determines scope and frequency of services needed based on acuity and patient/family needs. Facilitates the implementation of another level of hospice care when necessary.
• Applies specific criteria for admission and recertification to hospice to establish appropriate levels of care and the patient’s eligibility.
• Assesses the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care provision.
• Provides symptom management for discomfort and those services requiring current substantial and specialized nursing skills related to end of life care.
• Prepares clinical and progress notes that demonstrate progress toward established goal(s).
• Coordinates pain management in concert with the physician, pharmacy, patient and family.
• Initiates appropriate preventative and rehabilitative nursing procedures.
• Active care management utilizing interdisciplinary approach.
• On-going evaluation of patient/family response to care.
• Completes all documentation as required by organization in compliance with legal and governmental requirements.
• Knowledge of and adherence to all organizational policies.
• Follows nursing standards in accordance with accepted standards of practice.
• Accepts responsibility for updating and maintaining nursing skills.
• Attends and participates in all mandatory in-services, workshops and conferences.
• Takes full advantage of all opportunities to participate in continuing education.
• Attends team meetings and maintains effective communication with other team members.
• Consults with and educates patients/family regarding:
• The disease process;
• Self-care techniques;
• End-of-life care;
• The processes for dealing with issues of ethical concern.
• Provides specialized hospice training to other staff, family members and informal caregivers to ensure adequate care.
• Assists/recommends appropriate referrals for other professional interventions in a timely fashion.
• Coordinates all patient/family services and prioritization of needs.
• Participates in Quality Assessment and Performance Improvement activities.
• Ongoing communication with attending physician/designee/medical director and the Clinical Director and other personnel to ensure updates on all pertinent patient condition changes/needs and outcome of intervention.
• Takes “call” as assigned by the Clinical Director including weekends and holidays as dictated by organizational needs.
• Provides direct supervision/instruction/orientation to LPNs and paraprofessional providing services to the patient according to regulatory guidelines.
• Evaluates own needs for support and pursuing identified system to meet the need.
• Communicates information using current process and technology available to organization. Coordinates all patient/family services and prioritizes need with IDG members and other health care providers.
• Performs other related tasks as requested.
• Acts as team leader as delegated by Clinical Director in order to perform clinical/administrative support. This may include duties such as, but not limited to, staff assignments/evaluations, in-servicing/competencies duties, etc.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee in this position. The employee may be requested to perform job related tasks other than those stated in this description.

AGE SPECIFICS:

This position interacts with all ages of patients, family members and other staff members.

PHYSICAL REQUIREMENTS:

Strength:

Frequently required to push/pull and lift up to 50 pounds of weight. Occasionally required to push/pull more than 300 pounds and lifting in excess of 50 pounds.

Manual Dexterity:

Constantly required to perform simple motor skills and manipulative skills such as standing, walking, writing and use of various types of therapeutic and office equipment. Frequently required to perform moderately difficult manipulative skills such as positioning patients and use of more complex office and therapeutic equipment.

Coordination:

Constantly required to perform gross body coordination such as walking, stopping, standing while performing tasks, carrying and lifting objects.

Mobility:

Frequently required to walk and stand, including for long periods of time. Frequently required to remain in uncomfortable positions for long periods of time, such as bending over equipment, counter, tables, etc.

Visual Discrimination:

Constantly required to see objects closely to allow reading instructions, physician orders, computer screen and measurement tools. Frequently required to discriminate colors on charts, equipment panels, or warning lights. Occasionally required to use depth perception and judge distance, size, color and shape of an object.

Hearing:

Constantly required to hear normal sounds with some background noise as in answering phone, intercom and other equipment sounds/alarms, etc.

MENTAL REQUIREMENTS:

Constantly required to concentrate on fine details with continual interruptions; attend to a task/function for more than 60 minutes at a time; understand and relate to specific ideas; remember tasks/assignments given at the beginning of a period of time extending several days. Constantly required to demonstrate good judgement and safety.

POST-OFFER HEALTH STATUS:

Meets the posts-offer physical requirements regarding infectious/contagious disease, including TB screening and other regulatory requirements.

ENVIRONMENTAL REQUIREMENTS:

Potential exposure to occupational hazards which may include, but are not limited to: infections/contagious diseases, heat, cold, noise, hazardous substances, uncontrolled home environments, varying weather conditions and other hazards which may be located at various work sites.

TRAVEL REQUIREMENTS:
Required to drive a car long distances from one location to another.

CONTNIUING EDUCATION REQUIREMENTS:

Employees are expected to participate in appropriate continuing education as may be requested and/or required by organization. In addition, employees are expected to accept personal responsibility for other education activities to enhance job-related skills and abilities. All employees must attend mandatory educational programs.

OSHA CATHEGORY FOR BLOODBORNE PATHOGEN EXPOSURE:

Category I: Tasks and procedures involve occupational exposure to blood, body fluids and/or tissues.

JOB DESCRIPTION REVIEW:

I have read and understand the job description for the position of Registered Nurse.

Pay: $80,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Mileage reimbursement
• Paid time off

Work Location: In person