RN, Case Manager - Float Team (HPH Hospice)

Chapters Health System•Brooksville, FL

10d•$61,861 - $96,657

About The Position

The RN, Case Manager provides clinical, palliative, and supportive care to patients and families, with the goal of helping participants remain in their homes as long as possible. The role assesses patient and family needs, uses the nursing process, and coordinates an individualized Plan of Care with the Interdisciplinary Team (IDT). The position includes home visits and work with patients, families, caregivers, physicians, facilities, and other care professionals. The schedule is four 10-hour shifts, including every weekend and two weekdays, plus one summer and one winter holiday. During emergencies, the RN may be required to report to a company-designated location ahead of schedule and remain overnight as needed to maintain continuity of services. The RN provides direct patient and family care, makes and documents assessments, initiates nursing interventions and physician orders, and communicates changes and care needs to the IDT. The role also educates patients, families, caregivers, and health professionals; evaluates referrals and admissions with the IDT; and may supervise care provided by Community Health Workers and Home Health Aides. Compensation is $61,860.66–$96,657.28. The position requires consent to post-conditional-offer drug and/or alcohol testing and ongoing compliance with the Drug-Free Workplace Policy. Employees performing services for Florida affiliates undergo eligibility screening through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and must maintain ongoing eligibility.

Requirements

Current RN license in the state where the employee will work.
Active BLS certification for healthcare professionals from the American Heart Association or Red Cross.
Previous experience working with an EMR/EHR system.
Valid driver’s license and automobile insurance in accordance with Company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Ability to visit participants in their homes to conduct assessments.
Ability to perform the job’s essential functions and physical requirements, with or without reasonable accommodation, including lifting patients and/or equipment, bending, pushing and pulling, and kneeling.
Ability to see, hear, talk, walk, and use hands to finger, handle, or feel; frequently stand, sit, reach, lift, bend, and balance; and occasionally pull, push, stoop or crouch, kneel, and climb stairs.
Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
For employees providing services to Florida affiliates: eligibility verification through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and continued eligibility.

Nice To Haves

At least one year of nursing experience in hospice or a hospital setting; preferred.
For employees working at PACE, completion certification for Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.

Responsibilities

Assess and identify patient and family needs using the nursing process.
Provide and manage direct patient and family care as part of the Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical, and biological needs and appropriate nursing interventions and follow-up.
Coordinate an individualized Plan of Care that reflects the patient’s changing needs.
Educate patients, families, caregivers, and health professionals about disease progression, prevention, palliative interventions, caregiving, the dying process, and safety practices.
Conduct home visits to assess safety, medication and nutritional compliance, durable medical equipment (DME) compliance, and ability to live safely in the community; visit frequency depends on risk score and needs.
Report changes in patient condition to appropriate IDT members or other health professionals.
Participate with the IDT in evaluating hospice referrals and admissions for appropriate level of care, and attend daily IDT collaboration meetings.
Present concise oral and written reports to the IDT and encourage input from all disciplines.
Communicate accurately and completely with physicians, staff, patients, families, and supervisors, using positive approaches.
Supervise care provided by Community Health Workers and Home Health Aides when requested.
Provide telephone reassurance to patients and families, help resolve questions, identify when an in-person visit is needed, and coordinate visits when needed or requested, where applicable.
Use appropriate support resources or personnel to resolve complex situations; document patient and family contacts in the EMR and communicate with the IDT, where applicable.
Complete initial and semi-annual assessments for Company services, explain services, address questions and concerns empathetically, share information with physicians and IDT members, initiate a Plan of Care for immediate needs, obtain physician orders, and complete documentation according to Company policy, where applicable.
Represent the Company at assigned facilities, facilitate referrals to service lines, and develop relationships with case managers, physicians, and others at facilities.
Provide timely clinical communication using SBAR and discuss potential needs with after-hours staff.
During emergencies, report to a company-designated location as required, potentially ahead of the scheduled time and staying overnight to support continuity of services.
Represent the Company professionally; comply with applicable regulations and Company policies; protect confidentiality; observe health, safety, and security practices; and use resources responsibly.
Participate in community and professional organizations, performance improvement, professional development, electronic media skill advancement, Company research and educational activities, knowledge sharing, and Quality Assessment and Performance Improvement activities as appropriate.
Complete competency requirements for the position and perform other duties as assigned.