Registered Nurse Case Manager - Hospice

Pathways Home Health & Hospice•Oakland, CA

6d•$57 - $78

About The Position

The Hospice Nurse admits patients to service and assesses the patient’s and family’s physical, psychosocial, environmental, safety, and developmental needs. The nurse develops an individualized plan of care based on the assessment and documents observations and interventions related to the patient’s environment. The role coordinates care with a multidisciplinary team, participates in the hospice program’s quality assessment performance improvement program, and conducts follow-up visits as needed. The position is based in Alameda and serves patients in Alameda County. It is full-time, with a 9:30 a.m.–6 p.m. shift and rotating weekends and holidays. A $9,000 sign-on bonus is offered, subject to conditions. The posted compensation range is $56.95–$78.30 per hour.

Requirements

Current California RN license.
Minimum of one year of nursing experience.
Current CPR Certificate.
Current California driver’s license and automobile insurance.

Nice To Haves

Bilingual proficiency in Mandarin and English is highly preferred to support the local Mandarin-speaking client base, but is not required for consideration.

Responsibilities

Perform an initial, comprehensive assessment.
Document observations, clinical findings, problems, skilled interventions, goals, and discharge plans.
In consultation with the assigned Clinical Team Manager, initiate and regularly reevaluate and revise the plan of care.
Assess the need for services from other team members, including PT, OT, ST, MSW, and HHA.
Provide and document skilled care on all visits, including skilled observation of the patient’s condition, skilled care and procedures, and teaching for the patient and/or family.
Obtain and document physician orders.
Perform Home Health Aide supervisory visits in accordance with regulatory requirements.
Coordinate care with the assigned Clinical Team Manager, physician, and other home care team members; inform them of significant changes in the patient’s condition and needs, and document these communications.
Follow established standards for point-of-service technology, documentation, and synchronization.
Submit a weekly visit schedule for assigned patients and collaborate with the Clinical Team Manager to address scheduling needs.
Perform recertifications, resumptions of care, transfers, and discharges as requested by the assigned Clinical Team Manager, and complete and submit related documentation.
Attend and actively participate in the clinical team multidisciplinary patient conference.
Demonstrate established clinical competencies.
Participate in agency-sponsored in-service education.
Participate in quality improvement activities.
Assist in developing agency protocols, procedures, and policies as requested.
Assess, develop, organize, and deliver teaching materials for assigned home care patients as appropriate.