Home Hospice RN Case Manager - Oshkosh

Advocate Health • Oshkosh, WI

1d • $38 - $57

About The Position

Advocate Health is seeking a Registered Nurse (RN) Case Manager for its Oshkosh Hospice team. The position primarily supports the Oshkosh market and requires flexibility to assist neighboring teams and territories when coverage or patient care needs arise. The Case Manager coordinates patient and family care for terminally ill patients across hospice settings, providing comfort-focused care that supports quality of life. Patient and family contact frequency is determined by assessed need, with contact required at least every 15 days.

The Case Manager assesses patient needs, educates patients and families, administers prescribed medications and treatments, and coordinates services with physicians and the interdisciplinary team. The role includes developing and updating plans of care, maintaining electronic health record documentation, supervising home health aides and licensed practical nurses, and supporting discharge planning and continuity of care. In Wisconsin, the role may also include OASIS assessments for palliative care patients and hospice assessments.

The current schedule is Monday through Friday, 8:00 a.m.–4:30 p.m., with participation in a rotating holiday schedule. This is a full-time position, 40 hours per week. External candidates may be eligible for a $3,000 sign-on bonus. The listed pay range is $38.20–$57.30.

Requirements

• Active Registered Nurse license issued by the state in which the team member practices.
• Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association; must be obtained upon hire unless the department leader determines it is not required.
• Valid driver’s license issued by the Division of Motor Vehicles.
• Completion of an accredited or approved nursing program.
• Typically 1–2 years of nursing experience, including experience in home health, hospice, medical/surgical, long-term care, emergency care/ICU, oncology, or similar related experience.
• Competence in deformity prevention, normal range of motion, body mechanics, body alignment, fundamental principles of human behavior, and effects of stress on individuals and groups.
• Strong awareness and perception skills to assess patient needs and concerns and recognize changes in health condition.
• Excellent communication and interpersonal skills.
• Excellent decision-making and critical-thinking skills, including the ability to work independently and make sound judgments.
• Excellent prioritization and organizational skills.
• Ability to lift up to 50 lbs. from floor to waist and up to 20 lbs. over the head, and carry up to 40 lbs. a reasonable distance.
• Ability to push or pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present.
• Ability to work safely with people of varied sizes and weights and with diverse, complex medical conditions and physical limitations.
• Physical agility and stamina to move in confined spaces, including bending, kneeling, squatting, and occasionally reaching one or both arms overhead for extended periods.
• Ability to use functional speech, vision, hearing, touch, and fine-hand manipulation skills.
• Ability to work with frequent exposure to mechanical, electrical, chemical, blood, and body-fluid hazards, and wear protective clothing and equipment as needed.

Responsibilities

• Identify and coordinate patient and family care for terminally ill patients in hospice settings, with contact at least every 15 days and more frequently as assessed need indicates.
• Use teaching, assessment, and intervention skills to provide end-of-life comfort care and maximize quality of life.
• Educate patients and families about disease processes and trajectory, disease management, hospice philosophy, and signs and symptoms of decline and end of life.
• Update the primary physician as indicated and in accordance with agency, accreditation, state, and federal requirements.
• Continuously review each caseload patient's care, service utilization, and eligibility for the appropriate hospice level of care; make referrals to other team members as appropriate.
• Administer medications and treatments as prescribed by the physician.
• Lead the interdisciplinary care group for each patient and family on the caseload, and collaborate with the team to develop, revise, and implement the plan of care.
• Coordinate services and arrange or recommend equipment, medical supplies, and other necessary items and services.
• Enter, complete, and update electronic health record documentation according to applicable agency, accreditation, state, and federal requirements; accurately record patient experience through assessments and narrative documentation.
• Assess patient responses to treatments, medications, and teaching; adjust interventions and follow-up, update plans of care with supporting documentation, and communicate problems or condition changes to physicians, supervisors, and the interdisciplinary team.
• Enter verbal orders from the physician or APN into the electronic health record.
• Supervise and perform home health aide and licensed practical nurse supervisory visits according to agency standards; instruct paraprofessional staff in a timely manner and in accordance with regulations.
• Facilitate discharge planning and use interagency, system, and community resources to ensure continuity of care after discharge.
• In Wisconsin, may conduct OASIS assessments for palliative care patients and hospice initial and comprehensive assessments, establish and update plans of care, ensure continued skilled nursing/homebound criteria are met, and initiate appropriate preventive and rehabilitative nursing procedures.
• Use proper body mechanics, assistive devices, and safety techniques when positioning, repositioning, and transporting patients, including duties requiring lifting and pushing or pulling.
• Orient and mentor new staff as requested.
• Demonstrate knowledge and skills to provide age-appropriate care, assess patient status, interpret age-specific needs, and provide care according to departmental policies and procedures.
• Operate equipment necessary to perform the job and use protective clothing and equipment as needed.

Benefits

• Potential $3,000 sign-on bonus for eligible external candidates.
• Paid Time Off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for eligible work, incentive pay for select positions, and opportunity for annual performance-based increases.
• Career development programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree