Hospice RN Case Manager - Hospital Setting (Gwinnett, Georgia)

Ennoble Care•Gwinnett, GA, GA

24d•Hybrid

About The Position

Ennoble Care is hiring for a Full-time Hospice Registered Nurse Case Manager to work within and around hospitals in Gwinnett, GA and surrounding areas. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Responsible for identifying patient and loved ones/caregiver needs and for providing supportive care in accordance with the attending physician’s orders and plan of care and the policies and procedures. This role includes specific responsibilities for a hospital setting, such as Goals of Care discussions, participating in discharge planning for GIP and/or RHC discharges, working with case managers and physicians to identify potential hospice-eligible patients, educating hospital employees about service lines, providing hospice evaluations, daily visits for GIP level of care, and supporting Routine home visits (RHC) and/or admissions in the field as needed. The schedule is Tuesday through Saturday, 10 AM-6 PM, with flexibility for patient needs.

Requirements

Current license to practice as a registered nurse in the State of GA
At least 1-2 years of work experience as a professional nurse preferably at least one of the years in hospice care
Ability to assess and respond to the needs of patients and loved ones/caregivers in varied settings.
Skilled in nursing practice, able to cope with loved ones/caregivers’ emotional stress and tolerant of individual lifestyles
Ability to make meaningful observations, skilled assessments, and write comprehensive, accurate reports
Must be a team player who supports an interdisciplinary team concept of caring for patient and loved ones/caregivers
Must have a valid driver’s license, a good driving record, the use of a reliable vehicle, and the ability to drive year-round to locations
Must be able to take direction, work independently and effectively as part of a multidisciplinary team in a positive, professional manner which supports the mission of the organization

Responsibilities

Assume primary responsibility for a patient caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process
Initiate communication with attending physicians, Hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient and loved ones/caregivers
Maintain regular communication with the attending physician concerning patient and loved ones/caregivers
Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support
Provide accurate and timely documentation in electronic medical records.
Participates in and contributes appropriate information for Interdisciplinary Group meetings
Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, and employed caregivers or by providing direct care as appropriate
Meet regularly with the Hospice nursing staff to review problems or unique issues from caseloads; share professional support; and exchange feedback aimed toward enhancing professional growth
Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation
Supervise and document the NAC every two weeks or as assigned
Inform the Patient Care Coordinator of unusual or potentially problematic patient/family issues
Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off-hour times or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses
Provide appropriate support at time of death and period of bereavement
Participate in the Hospice orientation and in-service training programs for professional staff
Participate in agency and community programs as required to promote professional growth and understanding of hospice care
Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice
Accept other assignments as appropriate
Goals of Care discussions with identified patients
Participate in discharge planning for GIP and/or RHC discharges into the community
Work with case managers and physicians to identify potential hospice eligible patients
Interact, educate and discuss Primary Care, Palliative and Hospice service lines with hospital employees
Provide hospice evaluations (including RHC and GIP level of care)
Provide GIP level of care daily visits and updating the plan of care
Support Routine home visits (RHC) and/or admissions in the field as needed