RN Case Manager Homecare - Jefferson

Agrace • Oconomowoc, WI

3d

About The Position

Make a lasting impact with Agrace Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. If you are a skilled RN who values meaningful, patient-centered care, this is your opportunity to make a difference! How You’ll Make a Difference (Essential Functions) As a Nurse Case Manager (RN Case Manager) you will be responsible for patient and family satisfaction through the provision of nursing care and case management by conducting assessments, creating and updating the plan of care, providing interventions, communicating, and documenting. The Nurse Case Manager provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations, and policies.

Requirements

• ADN or BSN required
• Current, unrestricted Registered Nursing License in state of employment
• Valid driver’s license, auto insurance, and access to a reliable vehicle
• Must be at least 18 years of age
• Basic Microsoft Office Skills
• Intermediate electronic health records skills
• Ability to use proper body mechanics, safe patient handling, and standard precautions

Nice To Haves

• One-year nursing experience, preferred

Responsibilities

• Assess patient’s and family’s physical, pain, psychosocial, emotional, spiritual, environmental and educational needs as outlined by the plan of care (POC).
• Collect data from the patient, family, significant other or other members of the interdisciplinary team and other health care professionals.
• Identify, interpret, and document assessment data collected in the nursing interview, physical assessment and other health data.
• Document and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms or violence, etc.
• Collaborate with IDT and primary care provider to create HES for determination of hospice eligibility.
• Respond to patient and family needs or change in condition or need for acute patient intervention.
• Provide interventions, treatments, and pain management to patient and family to meet needs. Evaluate the effectiveness of pain management or other intervention and adjust to meet needs.
• Provide patient and family education on pain, symptom management, end of life, etc. Evaluate the effectiveness of education and adjust to meet needs.
• Formulate, implement, and revise individualized POC in collaboration with Interdisciplinary Team (IDT), patient, and family. The POC to include goals, pain management, interventions, education, discharge plan, etc.
• Develop reasonable and achievable outcome measures and establish priorities in the planning and provision of care.
• Read, understand, and follow the plan of care. Document interventions, outcomes, and changes in patient condition in electronic health record (EHR).
• Delegate visits to appropriate disciplines and manage visit sets.
• Oversee work of Certified Nursing Assistants (CNA) and Licensed Practical Nurses (LPN).
• Participate in meetings to plan and evaluate patient/family services.
• Precept new staff and students.

Benefits

• Competitive salary with mileage reimbursement
• Health, dental, and vision insurance for employees who are hired for 28 or more hours per week (.7 FTE +)
• Retirement plans with employer matching
• Generous Paid Time Off (PTO) and holiday paid time off
• Comprehensive onboarding, mentorship, and career development

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees