Registered Nurse RN Field Base Supportive Care Corpus Christi Texas

UnitedHealth Group•Portland, TX

10h•$60,200 - $107,400

About The Position

The Palliative Care RN / Case Manager coordinates care and provides initial and ongoing nursing assessments of patient and family needs. The role coordinates each patient’s plan of care with interdisciplinary team members and the palliative care attending physician. The nurse conducts medical home visits and urgent or acute visits for established Bridges in Complex Care patients, with the goal of providing appropriate care at home and avoiding hospitalization when possible. The position assesses the effects of life-limiting chronic illness on patients’ physical, functional, psychosocial, and environmental needs; evaluates caregiver burnout; and connects patients and families with community resources. The nurse implements and evaluates individualized care plans, provides education about disease processes, pain and symptom management, end-of-life care, and ethical concerns, and coordinates services according to patient and family needs. The role includes telephonic follow-up and case management, documentation in the electronic health record, collaboration with providers and the interdisciplinary team, and serving as a resource for LVNs. The position requires maintaining a patient caseload, completing daily visits and point-of-care documentation in accordance with standards, keeping current with palliative care education and licensing requirements, and performing other related nursing duties as assigned. The role requires reliable transportation and the ability to sit for extended periods, use fine motor skills to operate office equipment or machinery, comprehend instructions verbally or in writing, and use logical reasoning to solve simple and complex problems. The employer describes a comprehensive benefits package, incentive and recognition programs, an equity stock purchase program, and 401(k) contributions, subject to eligibility requirements. Salary is $60,200–$107,400 annually based on full-time employment.

Requirements

Current Registered Nurse license to practice in the state of employment.
At least 5 years of experience in a physician’s office, clinical, hospice, or hospital setting.
Experience with advanced care planning and discussions with patients about end-of-life wishes.
Experience interacting productively with individuals and multidisciplinary teams.
Experience conducting advanced care discussions with patients and families and documenting their wishes in the electronic medical record.
Experience performing procedures, including wound care and dressing changes, phlebotomy, and injections such as B12 and vaccines.
Demonstrated excellent nursing skills.
Proficient knowledge of palliative care and end-of-life symptom management.
Proficient computer skills, including Microsoft Word, Excel, Access, and Outlook.
Reliable transportation.
Tuberculosis screening and proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis, established by lab confirmation, vaccination records, or a doctor's diagnosis of disease.
Ability to sit for extended periods.
Ability to use fine motor skills to operate office equipment and/or machinery.
Ability to receive and comprehend instructions verbally and/or in writing.
Ability to use logical reasoning for simple and complex problem solving.

Nice To Haves

Hospice and Palliative Care Nursing certification.
At least 2 years of hospice experience.
Knowledge of palliative and hospice medicine.
Bilingual English/Spanish proficiency.

Responsibilities

Conduct hands-on medical home visits for established Bridges in Complex Care patients.
Conduct urgent or acute visits for established patients, aiming to provide appropriate care at home and avoid hospitalization when possible.
Assess the impact of life-limiting chronic illness on patients’ physical, functional, psychosocial, and environmental needs.
Assess caregiver burnout and provide community resources when appropriate.
Implement individualized plans of care and recommend revisions as necessary.
Educate patients, families, and caregivers about disease processes, pain and symptom management, end-of-life care, and ethical concerns.
Initiate appropriate preventive and rehabilitative nursing procedures.
Continuously assess patient and family needs from admission to Bridges in Complex Care throughout the course of care.
Evaluate patient, family, and caregiver responses to care and recommend changes to the plan when needed.
Attend interdisciplinary meetings and contribute as a team member.
Gather and review facts, select solutions, and apply reasoning to solve problems; devise or modify processes and write procedures as appropriate.
Conduct telephonic nursing follow-up and case management when necessary.
Serve as a resource or consultant for LVNs.
Attend educational offerings to stay current in palliative care and comply with licensing requirements.
Establish trusting relationships with patients, caregivers, clinic staff, and physicians.
Collaborate with providers on policies, procedures, and standards affecting care for Bridges in Complex Care patients.
Maintain professionalism and courtesy with patients, physicians, and coworkers.
Inform providers of patient needs and intervention outcomes in accordance with standards.
Determine the scope and frequency of services based on acuity and patient and family needs.
Coordinate patient and family services and prioritize needs with the interdisciplinary team.
Document progress toward established goals in the electronic health record in accordance with standards.
Use a case management approach and refer patients to other services as needed.
Maintain a patient caseload, daily visits, and point-of-care documentation levels in accordance with standards.
Perform other related nursing duties as assigned.