Registered Nurse (RN) Hospice Case Manager
About The Position
The Registered Nurse Hospice Case Manager coordinates and directs care for an assigned caseload of patients receiving hospice services at home, in collaboration with physicians and the interdisciplinary care team. The role determines appropriate levels of care and skilled service needs in accordance with Conditions of Participation; develops, reviews, evaluates, and revises individualized plans of care; and conducts initial and ongoing assessments, skilled treatments, and interventions as ordered. The nurse provides patient and caregiver education and supports care progression toward patient goals, quality measures, and appropriate transitions in level of care. The position also completes required regulatory data collection accurately, communicates significant changes in patient status, and collaborates with other network entities to support appropriate care delivery. Patient and family education may address end-of-life issues, palliative care, advance directives, chronic disease and pain management, symptom control, home care, hospice, and discharge planning. The position is full-time, onsite, and scheduled for day shifts, Monday through Friday from 8:00 a.m. to 4:30 p.m., with weekend and holiday rotation.
Requirements
- Specialized diploma from an NLN-approved or accredited nursing program.
- One year of recent experience providing direct care in a healthcare setting.
- Knowledge of patient education techniques and principles.
- Ability to take initiative and work independently without direct supervision.
- Ability to participate actively as a member of a care team.
- Excellent time-management and organizational skills.
- Ability to manage a patient caseload according to agency standards.
- Ability to travel to patient-care assignments.
- Knowledge of Conditions of Participation.
- Knowledge and skill in accurately completing regulatory data-set collection.
- Highly developed verbal and nonverbal communication skills.
- Ability to facilitate difficult and complex communication related to goals of care.
- BLS—Basic Life Support, American Heart Association, within 30 days of hire.
- Pennsylvania RN license upon hire.
- Valid Pennsylvania or New Jersey driver’s license upon hire.
Nice To Haves
- Associate’s or bachelor’s degree in nursing.
- One year of experience as a home health or hospice registered nurse.
- Knowledge of and ability to navigate multiple computer applications and electronic medical record platforms.
- Ambulatory Care Nursing Board Certification (AMB-BC) or Certified Hospice and Palliative Nurse (CHPN), within three years.
Responsibilities
- Coordinate and direct care for an assigned caseload of patients receiving services in the home in collaboration with the interdisciplinary care team.
- Initiate, review, evaluate, and revise plans of care with the physician and interdisciplinary team to support patient goals, quality metrics, care progression, and level-of-care transitions.
- Collaborate with other network entities to ensure appropriate patient care delivery and progression.
- Complete CMS-regulated data collection accurately to reflect quality outcomes and support appropriate financial reimbursement for services.
- Formulate individualized plans of care based on physician orders, assessment data, and current scientific findings.
- Determine the appropriate level of care and skilled service needs in accordance with Conditions of Participation.
- Communicate significant changes in patient status to the physician and other interdisciplinary care team members in a timely manner consistent with patient needs.
- Deliver care according to the physician-established medical plan of treatment and protocols, using a patient- and family-centered approach.
- Provide education to patients, families, and clinical staff on end-of-life issues, palliative care, advance directives, chronic disease management, pain management, symptom control, home care, hospice, and discharge planning.
- Promote patient and caregiver autonomy; evaluate the effectiveness of teaching and adapt education to patient needs and goals.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
