RN Case Manager - Hospice
Heartland Home Health Care and Hospice is part of the HCR ManorCare family, a leading provider of home health care, hospice care, skilled nursing, memory care and post-acute care.
As a RN Case Manager, your ability to manage client care with specific knowledge and experience in bedside care, symptom management, crisis intervention and family intervention are feature assets for this high-profile nursing position. In addition to excellent written/verbal communication, problem solving and decision making abilities, our candidate has a demonstrated experience developing and maintaining rapport with patients and families, and the ability to work well with an interdisciplinary team.
In return for your expertise, you'll enjoy excellent training, industry-leading benefits and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.4708 - Heartland Hospice - Serving Fairview Heights, Illinois
A minimum of 6 months nursing experience within the past 3 years unless state regulations differ. Travel is necessary on a daily basis.Job Specific Details:
Manages a Patient and family caseload which includes assessing, planning, implementation, evaluating and documenting the care provided.
Plans, coordinates and delivers nursing care to Patients and families.
Supervises and documents home health aide/licensed practical nurse plans of care and documents supervisory visits.
Participates in on-call coverage.
Submits paperwork in a timely manner and updates and maintains Patient medical records.
Participates in regularly scheduled interdisciplinary team meetings to coordinate the care of the Patient and family, exchange information and problem solve, and receive staff support and education.
Applies the policies and procedures of the agency and the rules and regulations of Federal and State regulatory agencies and other certifying agencies in providing care.
Coordinates and develops Patient/family plan of care and ensures the care plan is current, up to date and reviewed at every team meeting.
Assesses & evaluates Patients level of care, needs and requirements.
Participates in agency quality assessment performance improvement (QAPI) programs.
Ensure growth & profitability of the company through the responsible use of company resources and educating the community to our services.
Assesses the Patient?s response to the Plan of Care and recommends changes as needed.
Meets or exceeds established productivity standards.
Provides education to the Patient/family regarding the disease process, self care techniques, prevention strategies, rehab nursing procedures and community resources for discharge planning
Initial and ongoing comprehensive assessment of patient?s needs including Outcome and Assessment Set (OASIS) at appropriate time sets.
Evaluating Outcomes of Care.
Provide counseling to Patient/family regarding disease process, end of life and ethical issues.
Willingly accepts direction from Director of Professional Services/PCC.
Participates in community programs and committees, as requested.
Supervises LPNs, home health aides and paraprofessionals providing services to the patient according to regulatory guidelines. General Responsibilities, continued
Monitors that documentation from LPNs, home health aides are complete.
Participates in in-service programs
Assesses the ability of the caregiver to meet the patient?s needs at admission and throughout care.
Evaluates patient/family response to care on an on-going basis. Communicates information using current process and technology available to the organization
Ensures that employees are adequately oriented and trained to assignment; assists and encourages employees in developing their skills and self confidence.
Initiates appropriate preventive and rehabilitative nursing procedures. Prepares clinical progress notes that demonstrate progress towards goals. Coordinates patient/family services and prioritization of needs with members of the interdisciplinary team. Uses case management approach and refers to other services as needed. Informs the physician and other personnel of changes in the patient?s needs and outcomes of intervention. Determines scope and frequency of services needed based on acuity and patient/family need.
Adheres to established personnel policies.
Accepts other assignments deemed appropriate. General Responsibilities (Hospice Only)
Attends deaths of Patients to assist and support the family.
Initial and ongoing assessment of the impact of the terminal diagnosis on the Patient?s physical, functional, psychosocial and environmental needs and activities of daily living including risk for pathological grief, cultural and spiritual implications and verbal and non-verbal communication patterns.
Implements the individualized plan of care and recommends revisions to the plan as necessary including managing discomfort and providing symptom relief and specialized nursing skills related to palliative and end-oflife care.
Consults with and educates the Patient/family regarding the disease process, self-care techniques, end-of-life care and the processes for dealing with issues of ethical concern.
Initiates appropriate preventive and rehabilitative nursing procedures.
Prepares clinical and progress notes that demonstrate progress toward established goals.
Coordinates all Patient/family services and prioritization of needs with the members of the interdisciplinary team.
Uses case management approach and refers to other services as needed.
Informs the physician and other personnel of changes in the Patient?s needs and outcomes of intervention.
Determines scope and frequency of services needed based on acuity and Patient/family needs.
Supervises LPNs and paraprofessionals providing services to the Patient according to regulatory guidelines.
Participates in in-service programs.
Provides specialized hospice training to other staff, family members and informal caregivers to insure adequate care.
Assesses the ability of the caregiver to meet the Patient?s immediate needs upon admission and throughout care.
Evaluates family/Patient response to care on an ongoing basis.
Evaluates own needs for support and uses identified systems to meet the need.
Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the Patient?s eligibility.
Communicates information using current process and technology available to the organization
EducationLevel : Currently licensed as a Registered Nurse (RN) in the state and in good standing with the Board in which he/she will practice.
Shift : -not applicable-