Hospice RN Case Manager - PRN

Enlight Hospice of VA•Richmond, VA

1d•$40 - $46•Onsite

About The Position

Enlight Hospice of VA is a Medicare-certified hospice serving patients and families throughout Richmond, Virginia, in private homes, assisted living facilities and nursing facilities. The RN Case Manager provides compassionate, team-based end-of-life care focused on comfort, dignity and quality of life, treating the patient and family together as the unit of care. This is an as-needed, per-diem role with no set weekly hours. The nurse may pick up visits and shifts to cover staffing needs, admissions, on-call requirements or another nurse's absence. Visits take place in the Richmond area, requiring travel to patient homes and facilities. Pay is $40–$46 per hour based on experience, plus mileage reimbursement at the IRS rate. PRN staff may be asked to help with on-call and holiday coverage based on agency need.

Requirements

Graduate of an accredited School of Nursing.
Current Registered Nurse license in Virginia or a valid multistate compact license.
Current BLS (CPR) certification.
Valid driver's license and current auto insurance.
Strong problem-solving, critical-thinking, organization and time-management skills.
Clear verbal and written communication skills and the ability to build trust with patients, families and the care team.
Comfort using a computer, tablet and electronic medical records.
Ability to complete all agency training requirements and work within safety and licensing standards.
Ability to travel regularly to patient homes and facilities, enter homes that may not be wheelchair accessible, bend, stoop and reach, safely help move patients up to 250 pounds, and lift or carry up to 30 pounds.
Hearing, eyesight and dexterity sufficient to perform physical assessments and patient care.
Ability to follow standard precautions and use PPE due to high risk of exposure to bloodborne pathogens.

Nice To Haves

Hospice, home health or case management experience.

Responsibilities

Plan, coordinate and provide hospice care in accordance with each patient's plan of care.
Conduct initial and ongoing comprehensive assessments, including medical history, physical examination, vital signs, mental status, pain and symptoms, and nutrition.
Assess the home and family situation to identify teaching needs, caregiver support needs and needed services.
Develop and update the plan of care with the interdisciplinary group (IDG).
Work with the attending physician and Hospice Medical Director on changes in condition, orders and the plan of care.
Provide skilled nursing care, physician-ordered treatments and medications, and report patient responses.
Teach patients and families about the dying process, the plan of care, medications, diet and comfort measures, and guide them through healthcare decisions.
Coordinate care with IDG members, contracted services and facility staff to ensure continuity of care.
Supervise Hospice Aides at least every 14 days, write aide care plans and provide bedside care when an aide is unavailable.
Guide and supervise LPNs as needed.
Make death visits and assist with discharge planning according to agency policy.
Submit complete, accurate and timely clinical notes and visit schedules.
Participate in IDG, case conferences, QAPI and staff development as scheduled.
Keep current with drug therapy and follow Medicare, Medicaid, state and accreditation requirements.
Cover for other nurses and take on-call shifts, including holidays, as needed.