RN Case Manager-Hospice

UnityPoint Health•Moline, IL

About The Position

The RN Case Manager uses clinical nursing knowledge, physical assessment, teaching and procedural skills to deliver high quality patient care in the patient’s place of residence. The RN Case Manager develops and oversees the Hospice plan of care under the direction of the physician and ensure appropriate interdisciplinary involvement to ensure the best outcome for each patient. The RN Case Manager delivers patient care directed by the physician as established in the hospice plan of care that is consistent with clinical best practices and results in high quality, improved outcomes and exceptional patient experience. Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program . Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family . With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health.

Requirements

Graduate of State Board approved program for Registered Nurses
One year nursing experience caring for similar patient population as to be assigned.
Valid license as an RN in state(s) where providing care
Valid licensed driver with automobile insurance in accordance with state(s) and/or organizational requirements.
Mandatory Reporter: Child & Dependent Adult Abuse.
Maintain a valid Basic Life Support (BLS) Healthcare Provider Card with Re-certification.

Responsibilities

Patient Care/Care Coordination Ensures compassionate, empathetic quality and safe delivery of services to patients according to care plan.
Consistently utilizes a patient-centered approach considering physical, psych/social, spiritual, educational, safety and related criteria appropriate to the age of the patients served in hospice.
Integrates and coordinates the care of the at-risk population across the healthcare continuum making assessments, planning interventions working closely with providers and overall patient care team.
Facilitates the interdisciplinary plan of care to meet multiple service needs as well as promote continuity through elimination of fragmentation of care/service.
Delivers quality care consistent with Hospice Conditions of Participation, qualifying hospice criteria, payer coverage criteria, and providing visits/treatments consistent with the plan of care to honor patient/ family values/ wishes
Makes visits to the homes of patients and assumes responsibility for an ongoing interdisciplinary assessment of the patient.
Performs initial, comprehensive, and recertification assessments on all patients in accordance with agency policies and procedures.
Performs nursing assessment at each visit in accordance with agency policies and procedures.
Ensures quality and safe delivery of services to patients according to the care plan.
Uses equipment and supplies safely, effectively, and efficiently.
Provides education to patients and family members to understand the following as well as any additional education needs identified by the assessing clinician and/or physician: Medications purpose, use, side effects, potential adverse effects Proper use, safety hazards, and infection control issues related to the use and maintenance of any equipment provided o Patient plan of care Emergency preparedness Disease progression and management of symptoms
Provides the services that are ordered by the physician as indicated in the plan of care.
Provides patient, caregiver and family counseling and education as indicated in the plan of care.
Includes the patient, representative and caregiver in all plan of care decisions.
Assesses the need for plan of care updates and every visit and includes the patient and family in care planning decisions and communicates care plan revisions to the patient, representative, caregiver and all physicians issuing orders for the home health plan of care.
Maintains accurate and timely documentation of clinical records and time/travel entries.
Receives, relays and documents verbal orders in accordance with state and federal regulations and in a timely manner to prevent adverse patient outcomes.
Is responsible for obtaining physician orders prior to initiation of care and notifying the physician of any changes in the patient’s condition.
Communicates with all physicians involved in the plan of care and other health care practitioners related to the current plan of care.
Identifies patient’s risks for hospitalization and/or emergency department use and proactively intervenes to prevent adverse events.
Supervises home health aide and licensed practical nurse staff and documents supervision in the patient medical record.