Field RN, Care Manager (Hospice) Full Time

Adventist Health•Portland, OR

10d

About The Position

Plans, organizes, and directs home care services to meet patients’ needs in their homes. Manages a patient caseload effectively and efficiently, provides care independently, and collaborates with other core disciplines in accordance with the patient’s plan of care and goals. Serves as a resource to patients, family members, and other care team members. The role includes completing comprehensive initial and ongoing assessments, developing and updating plans of care, delivering and coordinating skilled nursing care, documenting care and patient responses, and educating patients and families. On-call duties may be assigned based on location and agency operational needs; if assigned by agency leadership, the incumbent is required to perform them. Adventist Health requires associates to receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply. The organization participates in E-Verify.

Requirements

Registered Nurse (RN) licensure in the state of practice.
Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from an approved vendor per AH policy.
Valid driver’s license and age 21 or older.
Current automobile insurance and a reliable automobile.
Receive all required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

Bachelor’s Degree in Nursing (BSN).
Acute care facility or home care experience.

Responsibilities

Complete initial and ongoing comprehensive assessments of patients’ needs at appropriate time points.
Complete nursing assessments for assigned patients.
Discuss and teach relevant aspects of nursing care and patient rights and responsibilities.
Identify and report problems, abnormal findings, and nursing diagnoses requiring follow-up.
Implement plans of care based on identified needs.
Work with patients to clarify mutually agreed-upon goals and incorporate them into plans of care.
Provide direct and/or indirect skilled, safe, quality care.
Coordinate patient care with other disciplines and integrate their input.
Perform ongoing nursing assessments and adjust plans of care as needed.
Accurately and legibly document patient care, status, response to treatment, and therapeutic interventions in accordance with policies and procedures.
Complete and submit documentation in a timely manner.
Update nursing plans and medication profiles when changes occur.
Counsel and educate patients and families about healthcare, nursing, and related needs.
Provide learning opportunities for patients and caregivers, including written materials as appropriate.
Initiate appropriate preventive and rehabilitative nursing procedures.
Comply with applicable legal requirements, standards, policies, and procedures, including the code of conduct, HIPAA, and documentation standards.
Demonstrate professional conduct, service excellence, and commitment to Adventist Health’s mission and values.
Perform on-call duties if assigned by agency leadership.
Perform other job-related duties as assigned.