RN, Care Coordinator LifePath Hospice

Chapters Health•Sun City, FL

About The Position

The RN, Case Manager is responsible for assessing and identifying patient and family needs, using the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative, and supportive care to help participants remain in their home environment as long as possible. The position involves direct patient and family care, home visits, coordination with physicians and other IDT members, and representation of the Company at assigned facilities. The stated schedule is Monday through Friday, 8 a.m. to 5 p.m. A sign-on bonus is available, and benefits begin on the first day. Compensation is $61,860.66–$96,657.28. Employment is contingent on consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy. Employees serving Florida affiliates are subject to background screening through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and ongoing eligibility checks.

Requirements

Current registered nurse (RN) license in the state where the employee will work.
At least one year of nursing experience; hospice or hospital experience is preferred.
Experience working with an electronic medical or health record (EMR/EHR) system.
Valid driver’s license and automobile insurance in accordance with Company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Ability to visit participants in their homes to conduct assessments.
Ability to perform essential job functions and physical requirements, with or without reasonable accommodation, including lifting patients and/or equipment, bending, pushing, pulling, and kneeling.
Active BLS for healthcare professionals certification from the American Heart Association or Red Cross.
Must satisfactorily complete the competency requirements for the position.
Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
For employees performing services for Florida affiliates, eligibility for required background screening through the Florida Care Provider Background Screening Clearinghouse.

Nice To Haves

Hospice or hospital nursing experience.
For employees working at PACE: certificate of completion of Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.

Responsibilities

Provide and manage direct care to patients and families as part of the Interdisciplinary Team, addressing psychosocial, spiritual, cultural, physical, and biological needs with appropriate nursing interventions and follow-up.
Assess and identify patient and family needs and coordinate an individualized Plan of Care that reflects the patient’s evolving needs.
Provide reassurance and support to patients and families by phone, help resolve questions, identify when an in-person visit is needed, coordinate visits, and document contacts in the EMR.
Complete initial and semi-annual assessments for Company services; explain services and address patient and family questions and concerns empathetically.
Initiate skilled nursing interventions to support prevention, prevent complications, alleviate symptoms, and maximize physical and emotional comfort.
Obtain physician orders and complete documentation according to Company policy.
Educate patients, families, caregivers, and health professionals about disease progression, prevention, palliative interventions, caregiving, the dying process, and safety practices.
Conduct participant visits as determined by risk score and needs, including home assessments of safety, medication and nutritional compliance, durable medical equipment compliance, and ability to live safely in the community.
Report changes in patient condition to appropriate IDT members and other health professionals.
Participate with the IDT in evaluating hospice referrals and admissions for appropriateness of level of care; attend daily IDT collaboration meetings.
Provide concise and pertinent oral and written reports to the IDT, encourage input from all disciplines, and communicate accurately and completely with physicians, staff, patients, families, and supervisors.
Use SBAR for timely clinical communication and discuss potential needs with after-hours staff.
Act as the Company representative at assigned facilities and facilitate referrals to all service lines; work with referring hospitals, physicians, facilities, patients, families, and the public.
Develop strong relationships with case managers, physicians, and other facility contacts.
Supervise care provided by Community Health Workers and Home Health Aides when requested.
Use appropriate support resources or personnel to address complex or difficult situations.
During emergencies such as hurricanes, report to a company-designated location as required, potentially before scheduled work time and remaining overnight during the emergency.
Represent the Company professionally; follow applicable regulations, Company policies, safety and security practices, and confidentiality requirements.
Use resources responsibly, participate in community and professional organizations, contribute to performance improvement and quality activities, maintain professional skills, support research and education, share expertise, and advance electronic media skills.
Perform other duties as assigned.