Registered Nurse Case Manager

Treasure Coast Hospice•Titusville, FL
•$75,000 - $80,000

About The Position

The Registered Nurse Case Manager plans and delivers patient care, providing skilled nursing care and oversight in accordance with organizational policies and the Florida Nurse Practice Act. The role uses the nursing process of assessment, planning, intervention, implementation, and evaluation, and combines skilled professional nursing tasks with palliative and supportive care for patients and their families. The nurse provides comprehensive assessments and individualized plans of care in collaboration with the interdisciplinary team (IDT), the patient and family, and the attending physician. The role includes direct clinical care, medication administration and evaluation, wound care, assistance with activities of daily living, patient and family education, documentation, and supervision of certified nursing assistants and licensed practical nurses. The position also supports hospice program development, organizational standards and strategic plans, and compliance with applicable laws and policies. The position involves routine exposure to blood and body fluids or tissues. Work may include emergency duties before, during, or beyond normal work hours or days during emergencies, crises, or disasters, including at evacuation sites. The position works in a smoke-free location and must adhere to smoking restrictions. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

  • Current and active Florida RN license.
  • Must obtain Certified Hospice and Palliative Registered Nurse (CHPN) certification within 12 months.
  • Current and valid Florida driver’s license and automobile insurance.
  • Current CPR certification.
  • Must handle sensitive issues appropriately using sound judgment, maintain professional boundaries, and maintain confidentiality.
  • Must effectively plan, organize, and prioritize work.
  • Must be self-directed and able to work independently in the field.
  • Attendance is a condition of employment.
  • Must be able to perform each essential duty satisfactorily; listed requirements represent the knowledge, skills, and abilities required.
  • Physical abilities include standing, sitting, walking, lifting or lowering up to 50 pounds without mechanical aids, pushing or pulling, carrying objects, climbing, crouching, kneeling, crawling, stooping, reaching, handling objects, fine-finger work such as typing and pinching, frequent use of arm and leg muscles, and transferring patients between beds, chairs, and toilets.
  • Routine exposure to blood and body fluids or tissues.

Nice To Haves

  • At least one year of RN experience using physical assessment skills is preferred.
  • Experience in oncology, home health, hospice, or palliative care is preferred.
  • Basic computer skills and experience with electronic medical record (EMR) software are preferred.

Responsibilities

  • Plan and deliver patient care, providing skilled nursing care and oversight in accordance with policies and the Florida Nurse Practice Act.
  • Provide palliative and supportive care to patients and their families.
  • Contribute to hospice program development and collaborate with other departments to support cohesive team development and a comprehensive approach to program development.
  • Model the organization’s mission, vision, values, and commitment, and support staff in doing so.
  • Stay current on legal and compliance issues related to hospice care and meet or exceed position standards.
  • Uphold St. Francis Hospice/Model Standards for patient visits and compliant documentation, and understand and adhere to each standard.
  • Apply hospice nursing skills including case management, crisis intervention, communication, teaching, and understanding of thanatology and associated needs.
  • Perform comprehensive assessments of patients’ physical, emotional, spiritual, and psychosocial needs, including the needs of the family unit.
  • Establish and update plans of care based on clinical assessment and the goals and needs of the patient and family, in collaboration with the IDT and attending physician.
  • Provide direct patient care, including assessments, medication administration by oral, sublingual, subcutaneous, intravenous, and rectal routes, wound care, and assistance with activities of daily living.
  • Administer medications according to policies and procedures, evaluate patient response and effectiveness, and document accordingly.
  • Administer controlled substances according to physician orders and policies and procedures.
  • Dispose of narcotic and other medications that are no longer in use in accordance with policy.
  • Communicate pertinent patient and family information to the IDT and actively participate in review and revision of plans of care.
  • Document changes in patient condition, interventions, outcomes, progress toward care-plan goals, and education provided to patients and families, including topics and their understanding.
  • Supervise certified nursing assistants and licensed practical nurses.
  • Provide and update required credentialing information for area healthcare facilities and hospitals, and maintain good standing with each.
  • Actively support the St. Francis Hospice compliance program, report concerns as required, and comply with federal, state, and local laws and organizational compliance requirements.
  • Fulfill responsibilities assigned in support of the organization’s strategic plan.
  • Perform emergency duties as required during emergencies, crises, or disasters, including at evacuation sites.
  • Adhere to smoking restrictions in the smoke-free work location.
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