RN Case Manager-Hospice

Overview

The RN Case Manager uses clinical nursing knowledge, physical assessment, teaching and procedural skills to deliver high quality patient care in the patient's place of residence. The RN Case Manager develops and oversees the Hospice plan of care under the direction of the physician and ensure appropriate interdisciplinary involvement to ensure the best outcome for each patient. The RN Case Manager delivers patient care directed by the physician as established in the hospice plan of care that is consistent with clinical best practices and results in high quality, improved outcomes and exceptional patient experience.

Responsibilities

• Ensures compassionate, empathetic quality and safe delivery of services to patients according to care plan.
• Consistently utilizes a patient-centered approach considering physical, psych/social, spiritual, educational, safety and related criteria appropriate to the age of the patients served in hospice.
• Integrates and coordinates the care of the at-risk population across the healthcare continuum making assessments, planning interventions working closely with providers and overall patient care team.
• Facilitates the interdisciplinary plan of care to meet multiple service needs as well as promote continuity through elimination of fragmentation of care/service.
• Delivers quality care consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of care to honor patient/ family values/ wishes
• Makes visits to the homes of patients and assumes responsibility for an ongoing interdisciplinary assessment of the patient.
• Performs initial, comprehensive, and recertification assessments on all patients in accordance with agency policies and procedures.
• Performs nursing assessment at each visit

Qualifications

Education

• Graduate of State Board approved program for Registered Nurses

Experience

• One year nursing experience caring for similar patient population as to be assigned.

Licensure/Certification

• Valid RN license in the state(s) of practice, including eligibility under a NLC multistate license.