Registered Nurse (RN) - Hospice Case Manager - Southeast City/Suburbs

Advocate Health and Hospitals Corporation•Hazel Crest, IL

About The Position

The Registered Nurse (RN) Hospice Case Manager identifies and coordinates patient and family care to support terminally ill patients in all hospice settings. The case manager assesses patient and family needs, provides comfort-focused care, and works to maximize quality of life. Patient and family contact frequency is based on the case manager’s assessment of need, with a minimum of every 15 days. The role includes educating patients and families about disease processes and progression, disease management, hospice philosophy, signs and symptoms of decline, and end of life. The case manager leads the interdisciplinary care group for assigned patients and families, develops and updates plans of care, coordinates services, administers prescribed medications and treatments, and collaborates with physicians and other team members. The case manager monitors patients’ responses to care and revises interventions as needed, maintains required electronic health record documentation, and supports continuity of care and discharge planning. The position is full time, 40 hours per week, with weekday hours of 8:00 AM to 4:30 PM. On-call coverage is required for one winter holiday and one summer holiday, each for 12 hours from 8:00 AM to 8:00 PM. Blue Team service territories include, but are not limited to, Worth, Palos Heights, Palos Park, Crestwood, Orland Park, Orland Hills, and Alsip, Illinois. External candidates may be eligible for a $3,000 sign-on bonus. The listed pay range is $38.20–$57.30.

Requirements

  • Registered Nurse license issued by the state in which the team member practices.
  • Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association, to be obtained upon hire unless the department leader determines it is not required.
  • Valid driver’s license issued by the Division of Motor Vehicles.
  • Completion of an accredited or approved nursing program.
  • Typically, 1–2 years of nursing experience, including experience in home health, hospice, medical/surgical, long-term care, emergency care/ICU, oncology, or similar related experience.
  • Competence in deformity prevention, normal range of motion, body mechanics, body alignment, fundamental human behavior, and the effects of stress on individuals and groups.
  • Strong awareness and perception skills to assess patient needs and concerns and recognize changes in health condition.
  • Excellent communication and interpersonal skills.
  • Excellent decision-making and critical-thinking skills, with the ability to work independently and make sound judgments.
  • Excellent prioritization and organizational skills.
  • Ability to lift up to 50 pounds from floor to waist, lift up to 20 pounds overhead, and carry up to 40 pounds a reasonable distance.
  • Ability to push or pull with 30 pounds of force and perform a sliding transfer of 150 pounds with a second person present.
  • Ability to work safely with people of various sizes and weights and with diverse, complex medical conditions and physical limitations.
  • Physical agility and stamina to move in confined spaces, including bending, kneeling, squatting, and occasionally reaching one or both arms overhead for extended periods.
  • Ability to work with frequent exposure to mechanical, electrical, and chemical hazards and to blood and body fluids; must wear protective clothing and equipment as needed.
  • Functional speech, vision, hearing, and touch, with fine-hand manipulation skills.
  • Ability to operate all equipment necessary to perform the job.

Responsibilities

  • Identify and coordinate patient and family care for terminally ill patients in hospice settings, with contact at least every 15 days and more often as assessed necessary.
  • Use teaching, assessment, and intervention skills to provide end-of-life comfort care and maximize quality of life.
  • Educate patients and families about disease processes and trajectory, disease management, hospice philosophies, signs and symptoms of decline, and end of life.
  • Update the primary physician as indicated and in accordance with agency, accreditation, state, and federal requirements.
  • Continuously review each caseload patient’s care, service utilization, and eligibility for the appropriate hospice level of care.
  • Make referrals to other team members as appropriate.
  • Administer medications and treatments as prescribed by the physician.
  • Lead the interdisciplinary care group for each assigned patient and family; develop, revise, and implement the patient’s plan of care with the group.
  • Coordinate services and collaborate with the interdisciplinary team to provide consistent patient care.
  • Arrange or recommend equipment, medical supplies, and other necessary items and services.
  • Complete and update electronic health record documentation according to agency and department standards and applicable accreditation, state, and federal guidelines.
  • Assess patient responses to treatments, medications, and teaching; adjust interventions and follow-up to meet patient needs.
  • Update and revise plans of care as indicated and document supporting information.
  • Communicate patient problems and changes in condition to physicians, the supervisor, and other interdisciplinary team members.
  • Enter verbal orders from physicians or advanced practice nurses into the electronic health record.
  • Supervise and perform Home Health Aide and licensed practical nurse supervisory visits according to agency standards.
  • Instruct paraprofessional staff in a timely manner and in accordance with agency, state, and federal regulations.
  • Facilitate discharge planning and use interagency, system, and community resources to support continuity of care after discharge.
  • In Wisconsin only, conduct OASIS assessments for palliative care patients and establish or update plans of care; conduct hospice initial and comprehensive assessments and establish or update plans of care; and ensure continued skilled nursing and homebound criteria are met.
  • Initiate appropriate preventive and rehabilitative nursing procedures.
  • Use proper body mechanics, assistive devices, and safety techniques for patient positioning, repositioning, and transportation tasks involving lifting and pushing or pulling.
  • Orient and mentor new staff as requested.
  • Provide age-appropriate care by applying knowledge of growth and development across the lifespan and interpreting patient assessment data in relation to age-specific needs.

Benefits

  • Comprehensive Total Rewards and well-being programs.
  • Competitive compensation, with base compensation determined by qualifications, skills, relevant experience, and/or training.
  • Premium pay, such as shift and on-call pay, based on the teammate’s role.
  • Incentive pay for select positions.
  • Opportunity for annual increases based on performance.
  • Paid time off programs.
  • Medical, dental, vision, life, and short- and long-term disability benefits.
  • Flexible spending accounts for eligible health care and dependent care expenses.
  • Adoption assistance and paid parental leave.
  • Defined contribution retirement plans with employer match and other financial wellness programs.
  • Educational Assistance Program.
  • External candidates may be eligible for a $3,000 sign-on bonus.
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