Registered Nurse Case Manager, Adena Hospice

Adena Home Health and Hospice•Chillicothe, OH

About The Position

The Registered Nurse Case Manager (RNCM) for Adena Hospice is accountable for leading and assessing patient care and developing and coordinating individualized plans of care. The role provides case management and clinical care, and coordinates and supervises the disciplines involved in delivering quality, cost-effective, billable care under the direction of the physician. The RNCM provides hospice care in patients’ homes and supports patients and families through end-of-life care.

Requirements

At least one year of RN experience in an acute care or home care setting.
Active RN license in the state of employment.
Valid driver’s license and auto insurance in the employee’s name as a driver.
Knowledge of nursing best practices and ability to make appropriate nursing judgments.
Ability to identify situations and handle them with an appropriate solution.
Ability to remain calm, patient, and accommodating, and to show compassion and care when working with patients and families.
Detail-oriented and observant, with a disciplined work ethic and the ability to prioritize, be timely, and work efficiently.
Ability to follow directions and work as a team member.
Ability to understand and practice agency policies and procedures and maintain a professional appearance as a company representative.

Nice To Haves

Hospice experience.

Responsibilities

Oversee the patient’s care throughout the course of illness and end of life.
Conduct initial, comprehensive, and ongoing skilled nursing visits for patients and families according to the plan of care.
Update physician orders in patient charts and notify physicians of significant changes in patient condition.
Coordinate interdisciplinary care as applicable.
Provide end-of-life care in patients’ homes as ordered by the attending physician.
Observe and monitor patient conditions, evaluate treatments and medical conditions against the plan of care, and determine whether the level of care meets patient needs.
Individualize and adjust plans of care as patient needs change, incorporating patients and families in their development.
Administer medication as prescribed by the physician.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families about the disease and its progression.
Maintain effective communication with patients, families, physicians, and coworkers.
Oversee and supervise care provided by nurse aides and LPNs, and communicate supervisory visit results to them.
Complete clinical documentation in accordance with agency protocols and Medicare and federal guidelines, documenting treatment, assessments, and patient education.
Notify the scheduler of changes outside the normal schedule.
Participate in on-call requirements and case conferences.
Attend in-service training and mandatory agency meetings.
Perform other duties as assigned.