Pediatric RN Case Manager (Hospice)

ProCare Hospice of Nevada•Paradise, NV

53d•$85,000 - $90,000

About The Position

Provides direct palliative care to terminally ill pediatric patients and their families under a medically approved plan of care. The role includes triaging emergencies in person and by phone, communicating patient needs to the appropriate hospice team members, and coordinating care across hospice disciplines during business and non-business hours. The position also provides clinical, emotional, and spiritual support to patients and families, supervises and delegates duties to Certified Nurse Aides and Licensed Practical Nurses, and completes required documentation and reporting.

Requirements

Current Registered Nurse license from the Nevada State Board of Nursing.
Ability to read, speak, write, and understand English.
CPR/First Aid certification.
Ability to handle frequent interruptions and emotionally charged situations involving patients, families, and caregivers.
Availability for prescheduled on-call hours, weekends, and holidays.
Valid driver’s license, reliable transportation, and current auto insurance.
Successful completion of a background check under NRS 449.188 and NRS 179A.100, pre-employment drug screen and physical, TB testing, prior employment and reference checks, and an MVR; education may also be verified.
Ability to meet the physical demands of standing, walking, lifting, bending, pushing, pulling, and using stairs consistently, including handling up to 50 pounds.
Ability to use appropriate durable medical equipment, body mechanics, and PPE safely.

Nice To Haves

One year of experience as a registered nurse in hospice, home health, or pediatric care.

Responsibilities

Foster effective working relationships with coworkers, pediatric patients, and professional members of the community.
Follow each patient's individualized Plan of Care established by the interdisciplinary team.
Gather, report, and analyze patient care data and implement care accordingly.
Manage assigned patients’ overall care and coordinate hospice disciplines during business and non-business hours; report issues and significant changes to the RN Case Manager.
Use the appropriate chain of command.
Participate in interdisciplinary team meetings and performance improvement activities.
Pronounce death when authorized by previously established physician orders.
Contact the coroner and/or mortuary of choice and complete procedures related to removal of the body from the location of death.
Provide interventions and support related to terminal illness and loss, including emotional and spiritual support and appropriate referrals.
Assess and address depression and fear related to terminal illness.
Identify caregiver strain that may require respite care or other support.
Facilitate communication among patients, families, and the hospice team.
Immediately report patient changes to the physician, Director, RN Clinical Coordinator(s), RN Case Manager, or other appropriate hospice team member.
Report unusual conditions, observations, and pertinent information to the physician, Director of Pediatrics and Specialized Services, or an appropriate hospice team member.
Provide adequate reports on patient condition to physicians, interdisciplinary team members, nurses, and supervisors as needed.
Apply basic principles of palliative care and pain management within the scope of practice.
Supervise and delegate duties to Certified Nurse Aides and Licensed Practical Nurses.
Comply with documentation policies and procedures and complete documentation legibly and promptly.
Educate and assist patients and families with Advance Directives upon request.
Provide personal care as assigned by the interdisciplinary team, physician, and/or Director of Pediatrics and Specialized Services.
Assist with patient admissions when adequate triage coverage has been provided.
Provide telephone triage and patient visits, and perform nursing assessments and reassessments.
Manage, administer, and teach about medications; provide comfort measures.
Insert, maintain, and remove Foley catheters and various IV catheters for pain control or comfort.
Apply and adjust oxygen, IV, NG, G-tube, and other invasive lines as ordered by the physician.
Measure vital signs and assist with ambulation and transfers.
Follow the State of Nevada Nurse Practice Act and applicable policy and Lippincott Manual of Nursing Practice guidance.
Adhere to patient rights, abuse reporting, confidentiality, dress code, staff meeting, and in-service requirements.
Demonstrate reliability, sound problem-solving and decision-making, time management, and flexibility in work schedules.
Maintain personal development and continuing education, stay current with mandatory agency and regulatory requirements, and complete assigned projects on time.
Follow safe patient-care practices, use durable medical equipment and PPE as needed, and follow emergency and disaster procedures.
Perform other duties as assigned.