RN Case Manager

Hospice of Lake Cumberland•Somerset, KY
•Hybrid

About The Position

As a member of the interdisciplinary team, the RN Case Manager assumes primary responsibility for the care of a patient/family caseload. This role involves assessing, planning, implementing, and evaluating the care provided to patients and their families, aiming to maintain the highest level of comfort and quality of life. The position requires independent access to patient homes and adherence to the Nurse Practice Act. The RN Case Manager will explain the philosophy, purpose, scope, and role of Hospice, complete initial assessments, and prepare/implement treatment plans in collaboration with patients, families, and the interdisciplinary team (IDT). This includes ordering necessary medications, supplies, and equipment, and instructing caregivers on their proper use. Regular patient visits are essential for complete assessments of pain, physical, and emotional conditions, with interventions for symptom management. The role also emphasizes providing a safe patient care environment, maintaining up-to-date patient records, and offering support at the time of death. The RN Case Manager will function as a liaison between patients/families and other care providers, coordinate care with physicians and other agencies, and participate in on-call schedules for continuous coverage. Additionally, the role may involve bereavement support, participation in community programs, and adherence to Hospice policies and regulations.

Requirements

  • Graduate of an accredited school of nursing.
  • Current Kentucky License.
  • Minimum one year in acute setting.
  • Must be able to access patient’s home independently.
  • Cannot have any lifting restrictions.

Nice To Haves

  • Two years varied work experience as a professional nurse preferred.

Responsibilities

  • Assume primary responsibility for the care of a patient/family caseload, including assessing, planning, implementing, and evaluating care.
  • Function within the standards of the Nurse Practice Act.
  • Explain the philosophy, purpose, scope, and role of Hospice to patients/families.
  • Complete initial assessment of patient and home care needs.
  • Prepare and implement treatment plan for patient and family, in collaboration with the patient, family, and IDT.
  • Order needed medication, supplies, and equipment.
  • Instruct caregivers in the proper use of medications, supplies, and equipment, and in basic care skills.
  • Visit assigned patients at least weekly, making complete assessments of pain status and physical and emotional conditions; implement interventions for symptom management.
  • Provide a safe patient care environment (e.g., drug disposal, sharps disposal, universal precautions).
  • Provide direct patient care as required, following Hospice policies and procedures.
  • Continually evaluate care provided by caregiver and IDT.
  • Document observance of Home Health Aide care delivery every two weeks.
  • Maintain up-to-date patient records.
  • Provide appropriate support at time of death.
  • May be required to work in the inpatient unit.
  • Function as a liaison between patient/family and other care providers and members of the IDT.
  • Obtain and record MD orders for medication and/or treatments and communicate as pertinent to other staff.
  • Initiate communication with physicians, hospice staff, and other agencies as needed to coordinate optimal care and use of resources.
  • Maintain ongoing communication with the attending physician regarding patient/family care needs and response to intervention.
  • Participate as a member of the IDT in meeting the needs of the total patient population.
  • Attend weekly IDT meetings, facilitating discussion of issues from caseload for full staff discussion, consultation, and evaluation.
  • Participate with on-call schedule to provide twenty-four hour, seven day a week coverage.
  • May provide bereavement support by attending funeral or visitation services.
  • Contribute to the overall success of Hospice by cooperating in other organizational requirements and activities.
  • Communicate information concerning work schedule and need for time off to Nursing Coordinator.
  • Participate in Hospice of Lake Cumberland’s orientation and in-service training programs.
  • Participate in community programs as requested to promote better understanding of Hospice.
  • Participate in organizational committees and special projects as assigned.
  • Demonstrate familiarity with Hospice policies and State and Federal regulations governing provision of Hospice care.
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