Registered Nurse Case Manager Hospice Bristol, Salem, Twin Lakes

Advocate Health • Racine, WI

4d • $38 - $57

About The Position

The Registered Nurse Case Manager provides and coordinates care for terminally ill patients and their families across hospice settings. The Case Manager assesses patient and family needs, makes contacts at least every 15 days, and uses teaching, assessment, and intervention skills to provide comfort care and maximize quality of life. The role includes educating patients and families about disease processes, disease management, hospice, signs of decline, and end-of-life care; updating physicians as required; and continually reviewing each patient’s needs, service utilization, and eligibility for the appropriate hospice level of care.

The Case Manager leads the interdisciplinary care group for each assigned patient and family, developing, revising, and implementing the Plan of Care in collaboration with the interdisciplinary team. Duties include administering prescribed medications and treatments, arranging equipment and supplies, documenting care in the electronic health record, monitoring patient responses, updating care plans, and communicating changes to physicians, supervisors, and team members. The role also includes supervising Home Health Aide and licensed practical nurse visits, supporting discharge planning and continuity of care, and orienting or mentoring new staff as requested.

In Wisconsin, the Case Manager may perform OASIS assessments for palliative care patients and initial and comprehensive hospice assessments, establish and update plans of care, confirm continued skilled nursing and homebound criteria, and initiate preventive and rehabilitative nursing procedures. The position requires age-appropriate care knowledge and the ability to assess and respond to patients’ needs across the lifespan.

The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., for 40 hours per week. The primary service area includes Bristol, Salem, and Twin Lakes. There are currently no weekends or call; the role includes a rotation of one to two holidays per year. The listed pay range is $38.20–$57.30.

Requirements

• 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 requires 1–2 years of nursing experience, including experience in home health, hospice, medical/surgical, long-term care, emergency care/ICU, oncology, or similar related work.
• Competence in deformity prevention, normal range of motion, body mechanics, body alignment, fundamental human behavior, and the 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. overhead; carry up to 40 lbs. a reasonable distance; 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 varying sizes and weights and with diverse, complex medical conditions and physical limitations.
• Physical agility and stamina to move in confined spaces and perform bending, kneeling, squatting, and occasional overhead reaching for extended periods.
• Ability to work with functional speech, vision, hearing, and touch, including fine-hand manipulation skills.
• Ability to wear protective clothing and equipment as needed while exposed frequently to mechanical, electrical, chemical, blood, and body-fluid hazards.

Responsibilities

• Identify and coordinate patient and family care in hospice settings, with patient and family contacts at least every 15 days.
• Assess needs and provide teaching, interventions, and comfort care to maximize quality of life for terminally ill patients and their families.
• Educate patients and families about disease processes and trajectory, disease management, hospice philosophy, signs and symptoms of decline, and end-of-life care.
• Update the primary physician as indicated and in accordance with agency, accreditation, state, and federal requirements.
• Continuously review patients’ care, service utilization, and eligibility for the appropriate hospice level of care; refer to other team members as appropriate.
• Administer medications and treatments as prescribed by the physician.
• Lead the interdisciplinary care group for assigned patients and families and collaborate with the team to develop, revise, and implement each patient’s Plan of Care.
• Coordinate services and arrange or recommend equipment, medical supplies, and other necessary items and services.
• Enter, complete, and update required documentation in the electronic health record in accordance with applicable standards and guidelines.
• Assess patient responses to treatments, medications, and teaching; adjust interventions and follow-up, update the Plan of Care, and document changes.
• Communicate problems and changes in condition to physicians, supervisors, and interdisciplinary team members; enter verbal orders from physicians or APNs into the electronic health record.
• Supervise and perform Home Health Aide and licensed practical nurse supervisory visits, and provide timely instruction to paraprofessional staff.
• Facilitate discharge planning and use interagency, system, and community resources to support 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 and homebound criteria are met, and initiate preventive and rehabilitative nursing procedures.
• Use proper body mechanics, assistive devices, and safety techniques when positioning, repositioning, and transporting patients, including duties involving lifting and pushing or pulling.
• Orient and mentor new staff as requested.
• Demonstrate knowledge of growth and development across the lifespan and provide care appropriate to the age-specific needs of patients.
• Operate the equipment necessary to perform the job and use protective clothing and equipment as needed.

Benefits

• 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

What This Job Offers

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