Hospice Registered Nurse - Case Manager

Excelin Health Services • Irving, TX

4d

About The Position

The registered nurse plans, organizes, and directs home care services, drawing on nursing experience with an emphasis on community health education and experience. The nurse uses community resources to plan and direct services that meet the needs of individuals and families in their homes and communities.

The nurse completes and updates patient and family assessments, develops and revises plans of care, administers prescribed medications and treatments, provides counseling and health instructions, and identifies and implements discharge-planning needs. When assigned by the Clinical Manager, the nurse acts as Case Manager and coordinates care for an assigned caseload. The role also includes communicating with physicians and community health-related personnel, participating in on-call duties, arranging equipment and services, and instructing, supervising, and evaluating home health aide care.

Requirements

• Current state licensure to practice professional nursing as a registered nurse.
• Graduate of a National League for Nursing-accredited school of nursing.
• Current CPR certification.
• Licensed driver with an automobile that is insured according to state or organizational requirements and in good working order.
• Self-directed and able to work with minimal supervision.
• Excellent observation, problem-solving, verbal and written communication, and nursing skills as defined by the competency checklist.
• Ability to organize and prioritize workload independently.
• Ability to supervise home health aides.
• Ability to perform prolonged or considerable walking or standing; lift, position, or transfer patients; lift supplies and equipment; and reach, stoop, bend, kneel, or crouch considerably.
• Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

• At least two years of experience, with at least one year in public health or home care nursing, is preferred.

Responsibilities

• Complete an initial assessment of the patient and family, including a physical assessment and history of current and previous illnesses, to determine home care needs.
• Regularly reevaluate the patient's nursing needs.
• Initiate and revise the plan of care as the patient's status and needs change.
• Use health assessment data to determine nursing diagnoses.
• Develop a care plan with goals based on nursing diagnoses and therapeutic, preventive, and rehabilitative nursing actions, including the patient and family in the planning process.
• Initiate appropriate preventive and rehabilitative nursing procedures, and administer medications and treatments as prescribed by the physician.
• Counsel patients and families on nursing and related needs.
• Provide health care instructions to patients as appropriate to the assessment and plan of care.
• Identify discharge-planning needs as part of care-plan development and implement them before discharge.
• When assigned by the Clinical Manager, act as Case Manager and coordinate care for an assigned caseload.
• Prepare clinical notes and update the primary physician when necessary and at least every 60 days.
• Communicate with physicians about patient needs and condition changes, and obtain or receive physician orders as required.
• Communicate with community health-related personnel to coordinate the care plan.
• Participate in on-call duties as defined by the on-call policy.
• Ensure arrangements are made for equipment and other necessary items and services.
• Instruct, supervise, and evaluate home health aide care every two weeks.
• Comply with the Code of Conduct and Compliance Policies.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed