RN Case Manager, Hospice at Home, Fulltime, 32Hrs/Wk

VISITING NURSE dba Stillwater HospiceBluffton, IN
$33 - $43Hybrid

About The Position

In this role, you'll care for patients in the Wells and Adams County Area. You will work in a Home Hospice environment, managing and coordinating the care of multiple patients. We pride ourselves on promoting an Excellent Work/Life Balance and providing Excellent Employee Benefits.

Requirements

  • Graduate of an accredited school of nursing.
  • Must have a current RN license to practice in the state of Indiana.
  • Must hold current CPR certification or obtain within the orientation period.
  • Must have a current motor vehicle operator’s license and have access to an automobile with current automobile insurance coverage.
  • Must be able to drive independently to all patient/family clients’ homes.
  • Must be able to safely perform the essential functions of the job without posing a direct threat to the health and/or safety of him/her, or to others in the workplace.
  • Must be comfortable working with hospice patients with an emphasis on palliative care.
  • Assists with in-service training of the community on the hospice philosophy as needed/requested.
  • Ability to recognize needs and emergencies of hospice and palliative care patients, and provide appropriate interventions.
  • Strong interpersonal skills.
  • Strong assessment skills.
  • Must have visual and hearing ability to comprehend written and verbal communication. Constant.
  • Must be able to engage in clear, concise verbal/nonverbal communication. Constant.
  • Must be willing to travel between patients in inclement weather.
  • Potential threat of physical violence to self. (Security personnel available upon request.)
  • Potential exposure to dangerous animals, such as dogs, rodents, etc.
  • Potential exposure to environmental pollutants.
  • Potential exposure to infectious diseases, needle sticks, blood and body fluids, and hazardous waste.
  • Potential exposure to variable temperatures in the working environment.
  • Potential exposure to substances within the office environment, including copy machine toner, VDT emissions, and cleaning.
  • Potential exposure to chemical/cleaning substances in the patient's home environment.
  • Standard precautions will be consistently used for all patients. Protective clothing and equipment are provided by the employer at no cost to the employee.
  • Seat belts must be worn when traveling during working hours according to state law.
  • Must be willing to accept assignments without regard to location, socioeconomic environment, disease, or ethnic origin.
  • Must exhibit dependability in areas such as attendance, tardiness, and timely performance of duties.
  • Must accept responsibility for 24-hour call and/or back-up call, as assigned.
  • Must be willing to make scheduled visits on holidays, weekends, or evenings when assigned.

Nice To Haves

  • Bachelor’s degree in nursing preferred.
  • Infusion skills preferred
  • Prefer one (1) year of recent hospital or home health care experience.

Responsibilities

  • Manages and coordinates the provision of nursing care for assigned terminally ill palliative care patients by assessing needs, implementing nursing care plans, making appropriate revisions, and evaluating care outcomes.
  • Must be capable of functioning independently in the patient's setting.
  • Implements Agency policies in all work-related situations; orientation of patient/family to hospice benefit services, including identifying the role of team members.
  • Preparing clinical and progress notes.
  • Conducts the initial assessment visit and identifies patients' health problems by evaluating environmental, psychosocial, spiritual, physiological, and health-behavior systems. Regarding Home Health Care, this would include Outcome and Assessment Information Set (OASIS) assessments at appropriate time points.
  • Ensures proper initiation of the interdisciplinary plan-of-care, coordinating revisions to the plan-of-care, and evaluating outcomes.
  • Anticipates problems related to the impending death of the patient beginning at the time of admission and pursues problem resolution, including bereavement follow-up for the caregiver.
  • Follow state and Agency policy and procedures when legally pronouncing a death. Specifics of the death event will be documented in the clinical record; required information is communicated/submitted to appropriate parties. The patient’s body will be handled with respect and dignity and in accordance with individual patient/family requests.
  • Respect the cultural and religious traditions and beliefs of the patient/family.
  • Recognize and maintain professional boundaries in relationships with the patient/family/caregiver.
  • As a member of the interdisciplinary team, participates in patient care conferences to promote holistic care.
  • Documents findings accurately, in a timely manner, and on the appropriate forms in accordance with the Agency's procedures.
  • Delivers nursing care to patients, which includes pain/symptom management, teaching, providing direct care, case management, referral, advocacy, and monitoring.
  • Supervises clinically the care delegated to LPNs, Home Health Aides, CNA’s, Companions, and/or Homemakers.
  • Instructs LPNs, Home Health Aides, and/or CNA’s on specific patient care procedures within approved policies.
  • Maintains a therapeutic relationship with patients/families. This includes confidentiality of personal matters as well as patients', coworkers', and the Agency's business.
  • Implements the individualized plan of care and re-evaluates the patient’s nursing needs on an ongoing basis.
  • Follows orders from the patient’s physician and informs the physician and other personnel of changes in the patient’s condition and needs.
  • Maintains expected and acceptable productivity.
  • Participates in the student nurse program as it relates to field visits and hospice philosophy.
  • Coordinates care and services with other health care providers.
  • Recommends utilization of additional Agency services and other community services, as appropriate.
  • Works in a cooperative relationship with other Agency personnel.
  • Seeks appropriate clinical supervision.
  • Participates in the agency's committees and task forces.
  • Assumes responsibility for continued personal growth and development.
  • Participates in on-call and Holiday rotation as assigned.
  • Seeks educational opportunities to improve clinical practice and participates in in-service programs.
  • Adheres to all the Agency's policies.
  • Adheres to Stillwater Hospice dress code policy.
  • Any other duties as assigned by the supervisor.
  • Adheres to Stillwater Hospice privacy practices as described in the Notice of Privacy Practices.
  • Participates in quality improvement activities and/or other agency committees or task forces when requested.
  • Proficient and timely in all aspects of clinical documentation, including computer data entry
  • Proficient in blood draws, all routine patient treatments (dressing changes, catheters, etc.), pain and symptom management, care of the patient and family, including pediatric and HIV + patients; Mantoux administration.
  • Proficient in case management, all aspects of IV care, including programming of IV pumps, tubing changes, site care, and subcutaneous access.
  • Display compassion, be a team player, have an optimistic outlook, be adaptive, accountable, and customer-driven.
  • Provides personal care.
  • Participates in QA by reviewing patient records to ensure compliance.

Benefits

  • Health Insurance with PPO (preferred provider organization).
  • Dental and Vision Insurance.
  • Flexible Savings Account (FSA).
  • Free Employer Health Clinic (for medical plan participants). Partnership with Parkview Health.
  • Catastrophic Medical Care Plan (qualifications apply).
  • Medical Claims and Healthcare Utilization Management program.
  • A partnership with Wellbridge Surgical, which is a concierge Surgery Center, includes reimbursement of medical plan deductibles and travel (for medical plan participants).
  • Dependent Care Savings Account (DCFSA).
  • TriShare Plus Child Care Cost Sharing plan (for qualifying employees).
  • CoShare Child Care Cost Sharing plan (for qualifying employees).
  • Generous Paid Time Off.
  • Paid Wellness Days.
  • Time Off for Voting.
  • Paid Parental Leave for Births and Adoptions.
  • 403b Retirement Plan for all employees with no cost access to a Financial Advisor and a strong Company Match for full-time employees.
  • Shift Incentive Pay, Performance Incentives, & Mileage Reimbursement.
  • Company-provided Uniform allowance.
  • Company-provided Basic Life Insurance plus AD&D Insurance.
  • Company-provided Short-Term Disability Insurance.
  • Affordable Term Life Insurance policies are available for employees and family members.
  • Education Incentives & Tuition Discounts w/ several local Universities.
  • Private Student Loan Assistance Program with Gradify.
  • Support the Federal Student Loan Forgiveness plan as a Qualifying Not-for-Profit Employer.
  • Annual Employee Tuition Assistance Plan, up to $2000.00 per year.
  • Stillwater Hospice Tuition Scholarships, up to $5000.00 per year.
  • A Robust Employee Assistance Program (EAP) program for Employees & Family household members.
  • New hire referral Finder's Bonus.
  • Free employee access to the services and programs at the Peggy F. Murphy Community Grief Center.
  • A newly remodeled, modern Inpatient Unit.
  • Newly built Staff Respite Room in the Hospice Home IPU.
  • Multiple employee engagement events per year: Wellness/Health Events, Quarterly Employee Benefit Fairs, Organization picnics, and Organization holiday events.
  • A strong commitment to promoting and advancing employees from within the organization.
  • The campus is connected to the Fort Wayne Trails system.
  • Discounts at the YMCA (multiple included, not just Allen County).
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