Registered Nurse Case Manager - Hospice

Pathways Home Health & Hospice•San Francisco, CA
•$57 - $78

About The Position

Pathways Home Health & Hospice is hiring a full-time Registered Nurse Case Manager for its hospice program. The office is in Sunnyvale, and the patient territory is San Francisco County. The schedule is 8:30 a.m. to 5 p.m., with rotating weekends and holidays. The Hospice Nurse admits patients to service and assesses patients’ and families’ physical, psychosocial, environmental, safety, and developmental needs. The nurse develops individualized plans of care, documents observations and interventions related to the patient’s environment, coordinates care with a multidisciplinary team, participates in the hospice program’s quality assessment and performance improvement program, and conducts follow-up visits as needed.

Requirements

  • Current California RN license.
  • At least one year of nursing experience.
  • Current CPR certificate.
  • Current California driver’s license and automobile insurance.

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 re-evaluate 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 as required by regulations.
  • 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 re-certifications, 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 with developing agency protocols, procedures, and policies as requested.
  • Assess, develop, organize, and deliver teaching materials for assigned home care patients as appropriate.

Benefits

  • $9,000 sign-on bonus, subject to conditions.
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