RN Case Manager - Full Time

Guardian Hospice•Sherman, TX

About The Position

The Registered Nurse Case Manager plans, organizes, and directs hospice care, drawing on nursing experience and community health education or experience to coordinate services for patients and families in their homes and communities. The role conducts initial, comprehensive, and ongoing assessments; develops and updates individualized plans of care; provides nursing treatments, education, and support; and coordinates care for an assigned caseload in collaboration with the patient, family, physician, and interdisciplinary group. The position also maintains clinical documentation, communicates changes in patient condition and care needs, helps ensure continuity and safety of care, supervises hospice aides and other ancillary personnel as needed, and participates in on-call duties, interdisciplinary meetings, continuing education, and quality improvement activities. The role requires current state RN licensure, CPR certification, and a valid driver’s license, automobile insurance, and access to a vehicle for agency-related travel.

Requirements

Graduate of a National League for Nursing-accredited school of nursing.
Current registered nurse licensure to practice professional nursing in the state.
Current CPR certification.
Demonstrated observation, problem-solving, verbal communication, written communication, and nursing skills per competency checklist.
Ability to organize and prioritize workload independently.
Self-directed and able to work with minimal supervision.
Ability to drive or access transportation for agency-related travel; must maintain a valid driver’s license and automobile insurance and have access to an automobile.
Ability to perform prolonged or considerable walking or standing; lift, position, or transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, or crouching.
Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

At least two years of experience, with at least one year in public health, home care, or hospice nursing preferred.

Responsibilities

Complete initial, comprehensive, and ongoing assessments of patients and families to determine hospice needs.
Perform physical assessments and obtain histories of current and previous illnesses.
Provide professional nursing care using the nursing process.
Write and initiate plans of care; regularly reevaluate patient and family or caregiver needs; and participate in plan revisions.
Use health assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, involving patients and families in planning.
Initiate preventive and rehabilitative nursing procedures.
Administer medications and treatments prescribed by the physician in the plan of care.
Counsel patients and families about nursing and related needs and provide health care instructions as appropriate.
Assist patients with activities of daily living and support self-sufficiency and comfort.
Manage an assigned caseload and coordinate patient care.
Complete, maintain, and submit accurate clinical notes about patient condition and care; record pain and symptom management changes and outcomes as appropriate.
Communicate patient needs and changes in condition to physicians and obtain or receive orders as required.
Coordinate the care plan with community health-related contacts.
Teach patients and families or caregivers self-care techniques, medication and diet instructions, and other physician-ordered care.
Work with the interdisciplinary group and attend interdisciplinary group meetings.
Maintain a safe environment and support continuity of care with patients, caregivers, and team members.
Work with families, caregivers, and hospice interdisciplinary group members to address patients’ and families’ emotional needs.
Participate in on-call duties as defined by policy.
Ensure arrangements for equipment and other necessary items and services.
Supervise ancillary personnel and delegate responsibilities when required.
Maintain professional knowledge and skills through continuing education and in-service classes.
Fulfill requested or accepted case assignments.
Participate in quality assessment and performance improvement teams and activities.
Perform other job-related tasks as requested.