RN Case Manager - Hospice - Full Time - Sonoma County

Bridge Home Health and Hospice•Fairfield, CA

1d•$60 - $64•Onsite

About The Position

Bridge Home Health & Hospice is seeking a compassionate and skilled Registered Nurse Case Manager to join their team in Sonoma County. The organization is dedicated to providing exceptional patient care and setting the standard for compassionate post-acute care in California. They foster a culture of compassion, diversity, and core values, aiming to be the employer of choice for those seeking a meaningful career with growth and impact.

Requirements

Graduate of a National League of Nursing accredited school of nursing.
Current licensure in state of practice and current CPR certification.
Valid California Driver’s License and proof of valid auto insurance.
RN license and practiced as an RN for a minimum of one year with prior LVN experience in public health, home care, Hospice, Hospital or Skilled nursing facility (California only).
Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license.
Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order.
Responsible for supervising hospice aides.
Self-directed and able to work with minimal supervision.
Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
Prolonged or considerable walking or standing.
Able to lift, position and/or transfer patients.
Able to lift supplies and equipment.
Considerable reaching, stop bending, kneeling and/or crouching.
Visual acuity and hearing to perform required nursing skills.

Nice To Haves

A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing is preferred.

Responsibilities

Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice or home health needs.
Provides a complete physical assessment and history of current and previous illness(es).
Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act.
Assesses and evaluates patient’s status by writing and initiating plan of care.
Regularly re-evaluating patient and family/caregiver needs.
Participating in revising the plan of care as necessary.
Initiates the plan of care and makes necessary revisions as patient status and needs change.
Uses health assessment data to determine nursing diagnosis.
Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions.
Includes the patient and the family in the planning process.
Initiates appropriate preventive and rehabilitative nursing procedures.
Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
Counsels the patient and family in meeting nursing and related needs.
Provides health care instructions to the patient as appropriate per assessment and plan.
Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
Maintains current documentation on EMR system according to organization policies/procedures and applicable laws/regulations.
Coordinates patient care for an assigned caseload.
Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given.
Records pain/symptom management changes/outcomes as appropriate.
Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
Communicates with community health related persons to coordinate the care plan.
Teaches the patient and family/caregiver self-care techniques as appropriate.
Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
Works in concert with the interdisciplinary group.
Provides and maintains a safe environment for the patient.
Assists the patient and family/caregiver and other team members in providing continuity of care.
Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
Attends interdisciplinary group meetings.
Participates in on-call duties as defined by the on-call policy.
Ensures that arrangements for equipment and other necessary items and services are available.
Supervises ancillary personnel and delegates responsibilities when required.
Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes.
Fulfills the obligation of requested and/or accepted case assignments.
Actively participates in quality assessment performance improvement teams and activities.
Adheres to company attendance and reliability guidelines.