The Registered Nurse serves as a case manager for assigned patients and as a teacher for their caregivers. Using the nursing process and the six phases of the Alive CARE visit, the RN case manager provides safe end-of-life care to terminally ill patients and their families. The role coordinates and provides hospice care for home-care patients by developing, initiating, and updating an individualized plan of care in collaboration with the patient and family. The RN provides direct patient care, oversees the interdisciplinary team, and teaches patients and families about the disease process and symptom management while offering support during difficult times. Care is delivered in the patient’s home or another facility where the patient resides or receives care. The RN case manager is accountable for meeting Alive Care Standards. The Alive CARE visit includes presenting a professional image; providing excellent customer service; assessing, planning, intervening, and educating; documenting at the point of care; creating a lasting impression; and completing post-visit follow-up. This includes coordinating with facility staff, patients, families, and team members; documenting the patient’s condition and updating the plan of care; educating caregivers about care, medications, equipment, and supplies; and ensuring needed contact information and supplies or medications are available.
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Job Type
Full-time
Education Level
No Education Listed