RN Case Manager Homecare - West Madison

Agrace • Madison, WI

1d • Hybrid

About The Position

Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. This is an opportunity for a skilled RN who values meaningful, patient-centered care to make a difference. 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. This includes 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
• One-year nursing experience, preferred
• 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

Responsibilities

• Conduct patient and family assessments, including 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, interdisciplinary team (IDT), and other healthcare 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 the appropriate IDT member, such as client abuse/neglect, suicidal intent, harmful coping mechanisms, or violence.
• Collaborate with the IDT and primary care provider to create HES for determination of hospice eligibility.
• Respond to patient and family needs or changes in condition or need for acute patient intervention.
• Provide interventions, treatments, and pain management to the patient and family to meet needs.
• Evaluate the effectiveness of pain management or other interventions 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 the Interdisciplinary Team (IDT), patient, and family.
• 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 the electronic health record (EHR).
• Delegate visits to appropriate disciplines and manage visit sets.
• Oversee the 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
• Sign on bonus: $6,000

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree