RN Case manager

Mass General Brigham•Northampton, MA

1d•Hybrid

About The Position

Mass General Brigham is a not-for-profit organization that relies on a wide range of professionals to advance its mission of patient care, research, teaching, and community service, striving to provide exceptional care. They believe in high-performing teams and invite applicants to join their community. The RN Case Manager (RN/CM) position, under the direction of the VNA Manager, is responsible for performing skilled nursing care to patients and families in accordance with the State Nurse Practice Act, professional standards, and federal, state, and local laws. This role delivers care to patients as the R.N. Case Manager and is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson VNA & Hospice. The position requires working one weekend shift per month and one major and one minor holiday, and the ability to interact appropriately with adolescents, adults, and pediatric patients.

Requirements

Other Certificate/Diploma Nursing required.
Class D Passenger Vehicle Driver's License [State License] - Generic - HR Only required.
Registered Nurse [RN - State License] - Generic - HR Only required.
Minimum of one (1) year of experience in a home care/hospice setting or equivalent experience required.
Graduate of an approved, accredited school of professional nursing required.
Demonstrated knowledge of home health/hospice regulatory and reimbursement requirements required.
Demonstrated excellent verbal and written communication skills and strong interpersonal skills required.
Demonstrated strong organizational and time management skills required.
Good driving record and reliable transportation required.

Nice To Haves

Bachelor's Degree Nursing preferred.
Hospice experience preferred.

Responsibilities

Provide professional nursing care under the direction of the VNA Manager.
Provide skilled nursing visits to patients and families, including informational or evaluation visits, admission visits, re-visits, or discharge visits.
Participate in the development of the care plan along with other Interdisciplinary Group IDG members.
Follow the plan of care and carry out interventions established by the R.N. CM.
Recognize and report changes in patient condition to the RN/CM or CTM as directed.
Communicate information on a timely basis, consistent with VNA/Hospice policy, and the urgency of the situation.
Provide care within the scope of clinical practice and level of competency (see competency policy/procedure) including: assessment of patient status, physical, psychosocial, and environmental; medication monitoring and administration; patient/family teaching; emergency intervention.
Perform skilled nursing services in homes, skilled nursing facilities, hospital, and other community settings.
Provide on-call support for patients based on needs and policy of VNA/Hospice. Rotate to weekends, evenings and holidays to maintain adequate staffing.
Supervise applicable home care team members. Perform in home supervision of Home/Hospice Care Aides according to agency policy.
Consistently demonstrate competency with nursing skills according to the legal scope of practice and VNA/Hospice policies and procedures.
Communicate effectively and in accordance with agency requirements.
Report significant changes in patient status to the RN/CM or CTM in a timely manner consistent with patient needs.
Maintain accurate clinical records showing interventions, responses and evaluations.
Document legibly and according to agency documentation guidelines and standards.
Promote personal safety and a safe environment for patients, families and team members.
Demonstrate knowledge of safety and infection control practices by compliance with agency policies and procedures.
Maintain established agency and departmental environmental standards.
Recognize and respond appropriately to potentially unsafe situations.
Demonstrate safe and competent practice in the use of equipment.
Assess safety of environment and take initiative to prevent accidents and promote safety.
Participate in all mandatory safety education per VNA/Hospice policy.
Perform job in compliance with VNA/Hospice policies and procedures, objectives and professional standards.
Accept responsibility for professional nursing role.
Follow applicable state and federal laws and agency standards.
Meet all visit productivity standards established by VNA/Hospice.
Attend all meetings as required.
Maintain confidentiality in all aspects of the job. Refrain from discussing patient or staff identities, conditions, or circumstances in public or with other patients.
Participate in the VNA/Hospice Quality Improvement Program and pertinent activities.
Practice nursing with respect for individual, cultural and spiritual differences.
Participate in ongoing, professional self-development.
Participate in all mandatory education per VNA/Hospice guidelines.
Evaluate own performance.
Assume responsibility to keep informed of current changes and trends in hospice / home care nursing including regulations and reimbursement requirements.
Demonstrate competency in areas of assignment or identify the need for additional training (e.g. pediatric, infusion therapy, specialized equipment).
Maintain any certifications required for the VNA/Hospice per diem RN position.
Maintain established agency, hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, compliance, safety, infection control and environmental standards.
Maintain professional growth and development through attendance at seminars, workshops, conferences or in-services, professional affiliations or journals to stay abreast of current trends in field of expertise.
Meet annual competency and retraining requirements.
Attend meetings as required.