Registered Nurse Case Manager, Adena Hospice

Alternate Solutions Health Network•Chillicothe, OH

About The Position

The Registered Nurse Case Manager (RNCM) – Hospice has overall accountability and leadership for assessing patient conditions and developing plans of care. The RNCM provides case management and clinical care, and coordinates the disciplines involved in delivering quality, cost-effective, billable care through direct care and supervision under the direction of a physician. The role follows the RN scope of practice established by the state for licensed RN personnel. The position oversees patient care from admission through end of life, including skilled nursing visits, care coordination, medication administration, patient and family counseling, and supervision of nurse aides and LPNs. The RNCM evaluates patient needs and treatment, adjusts individualized care plans as conditions change, and completes clinical documentation in accordance with agency protocols and Medicare/Federal guidelines. The position serves the Chillicothe, Ohio area. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., with on-call duties every 20th weekend and one holiday every two years.

Requirements

At least one year of RN experience in an acute care or home care setting.
Maintain an active RN license in the state of employment.
Be a registered nurse with a current license in the state of employment.
Understand and follow agency policies and procedures.
Maintain a professional appearance as a company representative.
Demonstrate patience, composure, accommodation, compassion, and care when working with patients and families.
Knowledge of nursing best practices and the ability to make appropriate nursing judgments.
Ability to identify situations and handle them with an appropriate solution.
Be detail-oriented and observant.
Demonstrate a disciplined work ethic, prioritize effectively, work promptly and efficiently, follow directions, and work as a team member.
Have a valid driver’s license and auto insurance in the employee’s name as a driver.

Nice To Haves

Hospice experience.

Responsibilities

Oversee the overall care of patients from beginning to 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 the patient chart and notify the physician of significant changes in patient condition.
Manage interdisciplinary care as applicable.
Provide end-of-life care in patients’ homes as ordered by the attending physician.
Observe and monitor patient conditions.
Individualize plans of care and adjust them as patient needs change.
Administer medications as prescribed by the physician.
Promote continuity of care through appropriate admissions, transfers, and discharges.
Counsel patients and families on disease progression and involve them in developing plans of care.
Maintain effective communication with patients, families, physicians, and coworkers.
Oversee and supervise the total care provided by nurse aides and LPNs.
Evaluate treatments and patients’ medical conditions according to their plans of care.
Determine whether the level of care provided meets patients’ needs.
Communicate supervisory visit results to LPNs and nurse aides.
Complete clinical documentation in accordance with agency protocol and Medicare/Federal guidelines.
Document 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 trainings and mandatory agency meetings.
Perform other duties as assigned.