RN Case Manager - Hospice

Provide prescribed medical treatment and personal care services to terminally ill persons in collaboration with the transdisciplinary team in a variety of settings. Coordinates the implementation of the Plan of Care for each patient.

Requirements

• Responsible to practice in accordance with Hospice clinical standards of practice, policies and procedures.
• Assess physical, psychosocial, and spiritual needs of the patient and family/caregivers.
• Provide intermittent skilled nursing services to the patient under the patient's physician's direction.
• Monitor and evaluate pain and symptoms and provide information and assistance to the patient and family to manage those problems.
• Serve as a liaison to the patient's physician(s) when needed; provide information to the physician based on knowledge relating to the patient's needs.
• Provide emotional support to the patient and family/caregiver.
• Refer patients and/or family members to other services when appropriate and follow-up as necessary.
• Provide instruction (health teaching) to the patient and family.
• Maintain and promptly complete all necessary plans and reports related to hospice care.
• Participate in care conferences and bereavement follow-up.
• Participate in case review, quality improvement activities and other meetings as assigned.
• Plan and clinically supervise activities of Hospice Aide related to patient care.
• Participate in discharge planning in collaboration with other team members.
• Communicate by phone or in writing to case managers as determined case by case.
• Assist team with coordination of the Plan of Care which includes all disciplines including volunteer staff.
• Demonstrate positive customer-service responsiveness according to agency standards.
• Flexible in meeting patient/family needs that require variable hours.
• Participate in coordination of and communication with volunteer staff.
• Complete annual competency requirements.