Registered Nurse Case Manager

Luminary Hospice•Cincinnati, OH

31d

About The Position

The Registered Nurse Case Manager plans, organizes, and directs hospice care, drawing on nursing experience with an emphasis on community health education and experience. The nurse uses community resources to plan and direct services that meet the needs of individuals and families in their homes and communities. Luminary Hospice provides personalized, compassionate care that preserves dignity throughout the end-of-life journey, including medical care, pain management, emotional and spiritual support, and resources for families and caregivers. The role includes assessing patients and families, developing and revising individualized plans of care, providing and coordinating nursing services, communicating with physicians and the interdisciplinary group, and supporting patients and caregivers. The nurse may manage an assigned caseload, supervise hospice aides, participate in on-call duties, and contribute to quality improvement and continuing education. The position reports to the Director of Clinical Services.

Requirements

Graduate of an accredited school of nursing.
Current state nursing licensure and CPR certification.
Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills as specified by the competency checklist.
Licensed driver with an automobile insured according to state or organizational requirements and in good working order.
Able to meet the physical demands of the role, including walking or standing, lifting, positioning, or transferring patients, lifting supplies and equipment, and reaching, stooping, bending, kneeling, or crouching.
Able to sit or stand frequently and occasionally lift or move up to 50 pounds.

Nice To Haves

One to two years of recent acute care experience in an institutional setting.
One to two years of recent home care experience.
Bachelor’s degree.
One year of hospice care experience.

Responsibilities

Complete initial and ongoing comprehensive assessments of patients and families, including physical assessments and illness histories, to determine hospice needs.
Provide professional nursing care using all elements of the nursing process.
Assess and evaluate patient status, initiate and revise plans of care, and regularly reassess patient and caregiver needs.
Use assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, involving patients and families in planning.
Initiate preventive and rehabilitative nursing procedures and administer medications and treatments as prescribed.
Counsel patients and families on nursing and related needs and provide health care instructions as appropriate.
Assist patients with activities of daily living and support self-sufficiency and comfort care.
When assigned, act as case manager and coordinate care for an assigned caseload.
Complete, maintain, and submit accurate clinical notes, including documentation of pain and symptom management changes and outcomes.
Communicate patient needs and changes in condition to physicians and obtain or receive orders as required.
Communicate with community health-related personnel to coordinate care plans.
Teach patients and caregivers self-care techniques and provide medication, diet, and other physician-ordered instructions.
Work with the interdisciplinary group and attend interdisciplinary group meetings.
Maintain a safe patient environment and help families, caregivers, and team members provide continuity of care.
Work cooperatively with families, caregivers, and the hospice interdisciplinary group to address emotional needs.
Participate in on-call duties as defined by policy.
Ensure equipment and other necessary items and services are available.
Supervise ancillary personnel and delegate responsibilities when required.
Maintain and develop professional knowledge and skills through continuing education and in-service classes.
Fulfill requested and accepted case assignments.
Participate in quality assessment and performance improvement teams and activities.