Nurse Case Manager, Pediatrics (Bilingual e/s highly desired)

Hospice of Santa Cruz County•Santa Cruz, CA

22d

About The Position

The Nurse Case Manager (NCM) is a member of the core interdisciplinary team responsible for the care and case management of patient/families admitted to Kid WISE service. The NCM in collaboration with pt/family, physician and interdisciplinary team, develops and coordinates an individualized Plan of Care (POC) that reflects pt/family goals related to safe and comfortable pediatric life limiting Illnesses, enhancing quality of life for child and family, promoting self-determined life closure and effective bereavement. The NCM demonstrates: sensitivity and compassion for the issues involved with serving patients and families facing a terminal illness, death and bereavement; clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services. The Nurse Case Manager provides direct supervision for Hospice Aides and LVNs, when utilized. The Nurse Case Manager will be cross-trained in adult hospice/palliative care, and provide adult hospice nursing care when reasonable and necessary.

Requirements

Require current California RN license
Valid state driver's license and liability auto insurance
Pass OIG/GSA review and all required background checks
Degree in Nursing from an accredited college
2 years of pediatric nursing experience or 2 years of hospice or home health nursing experience
Requires ability to effectively manage self and stress related to pediatric life limiting illnesses /end-of-life /death and dying experiences.
Experience in handling emotionally charged situations in calm, respectful manner.
And has strong coping skills
Sufficient dexterity to utilize electronic record keeping systems, computers/keyboards and or laptops and other related equipment
Ability to travel to patient locations; includes ability to drive, negotiate stairs and walkways including uneven surfaces at private homes or facilities
Vision ability to read manual and electronic documentation, medications, charts, office related equipment, and instructions
Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team
Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team

Nice To Haves

Previous experience working with electronic medical record charting is desirable
End-of-life, pain management, complex care experience preferred
Prefer technical experience with Ports, IV's, TPN, Trachs, Oncology, Medsurg, NICU/PICU or Homecare
Previous experience working with end of life is desirable
Bilingual in English/Spanish highly desired

Responsibilities

Recognizes the patient and family as the "unit of care" and active members in the development of the POC
Respects patient right to self-determination and acts as advocate within the context of the values and ethical standards of HSCC.
Meets pt/family where they are
Utilizes nursing process in providing primary care to pt/families
Documents all care and care planning per agency policy
Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC, safe nursing practice and the policies and procedures of HSCC
Assesses and monitors management of pain and symptoms in collaboration with patient/family, IDG and physician to achieve maximum comfort
Exercises good clinical judgment
Administers medications and treatments as ordered prn
Demonstrates the ability to articulate the parameters of Kid WISE services.
Demonstrates the ability to work with pt/families under stress & in crisis
Develops, manages, reviews & revises HA POC & supervises HA performance per HSCC policies & procedures
Reviews and considers patient data gathered by LVN/HHA when developing and revising the plan of care.
Instructs and supports pt/family unit re: symptom management, patient care, disease process & death/dying
Participates in providing after-hours coverage to pt/family as needed
Participates in coverage of adult hospice care when reasonable and necessary.
Visit frequencies are appropriate to patient status
Plans & provides care within the structure of the Conditions of Participation & the Hospice Medicare/Medi-Cal / Concurrent Care Benefit
Collaborates with IDT & Attending Physician to develop, manage, review and revise a written POC that includes identified goals, interventions and outcomes that address pt/family physical, psychosocial and spiritual goals related to Safe & Comfortable Dying, Self-Determined Life Closure and Effective Grieving
Opens, closes & revises POC per HSCC guidelines
Documents all contacts/instructions/ interventions per HSCC policies & procedures
Obtains medications, medical supplies and equipment per pt need/physician order
Demonstrates understanding of pharmacy-related policies & procedures
Assess patient's continued appropriateness for Kid WISE services per HSCC Recertification protocols
Completes Recertification documentation in a timely and accurate manner
Exercises professional management and coordinates care between and among involved parties in home, community providers and pediatric tertiary specialist.
Conducts information visits and discusses Kid WISE services, explain benefits and eligibility, and answer questions
Admit patients on to Kid WISE services, coordinate services, order DME and medications
Develops and implements individualized POC based on patient and families goals
Review consents with patient/family and obtain signatures
Meets all standards and requirements as indicated by licensing and accrediting agencies
Submits verification of current employment related documents per HSCC policies, procedures and licensing agencies
Completes and submits all documentation in accordance with policies and procedures
Participates in activities that affirm, enhance and develop the highest quality standards for HSCC
Participates in developing standards for quality patient care within HSCC
Participates in Quality Assessment & Improvement activities as requested
Verbal communication is concise, organized and timely per HSCC guidelines
Completes and submits all documentation in accordance with policies and procedures
Submits completed paperwork & time sheets within the timeframes per HSCC policies & procedures
Submits verification of current RN License, TB status, passes OIG/GSA checks, proof of auto insurance/good driving record in a timely manner per HSCC policies, procedures and licensing agencies
Participates in special projects as requested
Performs other related job duties as assigned by Supervisor
Ensures all HIPAA Privacy and Security Regulations, Medicare Conditions of Participation, and all other regulatory/compliance requirements are understood and followed
Submits verification of current RN license
Submits proof of auto insurance annually; keeps driver's license current and maintains a good driving record
Ensures TB checks are completed in a timely manner; at least annually