Field RN Case Manager - Care at Home

Halifax Health•Port Orange, FL

1d•Onsite

About The Position

The Field RN Case Manager coordinates and implements the overall plan of care for assigned patients in various hospice settings to help them attain the best possible quality of life. The role provides nursing care to terminally ill patients and support and education to patients and families, completes hospice nursing regulatory requirements, performs assessments and documentation, manages symptoms, develops and updates a comprehensive Interdisciplinary Plan of Care, orients new staff, and participates in Quality Improvement activities. The case manager oversees care delivered by interdisciplinary team members and completes hospice intake and admission activities. The position requires accurate, timely clinical documentation and effective communication with patients, families, physicians, facilities, referral sources, coworkers, and other internal and external customers. The Field RN may be assigned to provide hospice services 24 hours a day, seven days a week, including holidays, and is expected to meet productivity standards and agency guidelines.

Requirements

Graduation from an accredited nursing program.
Valid Florida license to practice as a Registered Nurse.
At least one year of experience in Medical Surgical nursing or equivalent.
Valid driver’s license and a good driving record.
Ability to work within an interdisciplinary team framework.
Good oral and written communication skills.
Ability to provide nursing care to pediatric, adolescent, adult, and geriatric patients.
Good interpersonal skills and the ability to cope with stress, with maturity and emotional stability.
Must meet Halifax Health employment criteria.
Knowledge of clinical practice and ability to perform nursing procedures in accordance with current best practice standards and organizational policies and procedures.
Knowledge of best practices in end-of-life care and support, pain management, and symptom management.
Ability to document efficiently in an electronic medical record.

Nice To Haves

Hospice experience preferred.
Certification in Hospice/Palliative preferred.

Responsibilities

Coordinate and implement the overall plan of care for assigned hospice patients.
Provide nursing care to terminally ill patients, including patient assessment, nursing procedures, symptom management, and end-of-life support.
Educate patients, families, and community partners about identified educational needs and hospice services and benefits.
Complete hospice intake and admission activities and required regulatory requirements for hospice patients.
Perform and document comprehensive physical assessments that accurately reflect the patient’s current condition.
Develop, implement, document, and update the comprehensive interdisciplinary plan of care with input from the interdisciplinary team and attending physician.
Oversee care delivered by interdisciplinary team members and perform case management duties for hospice patients and families.
Maintain communication with physicians and build effective working relationships with patients, families, facility staff, referral sources, coworkers, and other customers.
Orient new staff and attend required in-services and general staff meetings.
Meet productivity standards and document direct patient contact and other work in the electronic medical record within agency guidelines.
Maintain company-owned equipment in good working order.
Participate in Quality Action Teams and other assigned Quality Improvement activities.
Complete education required for licensure and seek additional education to enhance job performance.
Work as assigned to help provide hospice services 24 hours a day, seven days a week, including holidays.