RN Case Manager - PRN

Heart to Heart Hospice•Nashville, TN

2d•Onsite

About The Position

Join the Heart'n Soul Team. Our Soul Food is our patients and families! Our mission is to intentionally focus our efforts to ensure that everyone has information and access to high-quality, compassionate care when facing a life-limiting illness. We seek qualified individuals to partner with us at Heart’n Soul Hospice, embrace our mission and be part of a team that serves a higher purpose- patients and families. We are the Employer of CHOICE, Heart’n Soul’s core values are CHOICE… C – Compassion First: We care for every patient and family with empathy, dignity, and kindness. H – Heart’n Soul Connections: We create authentic bonds by listening deeply, communicating openly, and honoring every story. O – Obligation to Act, Listen, and Honor: We Always GO, Always Listen, Always Honor. I – Integrity in All We Do: We build trust through honesty, accountability, and the highest ethical standards. C – Commitment to Excellence in Care: We are dedicated to quality, innovation, and continuous improvement in patient care. E – Empathy in Every Interaction: Because every story and every moment matters. Job/Position Description RN Case Manager Job Title: RN Case Manager Dept: Clinical Reports To: Patient Care Manager Supervisory Responsibilities: Yes No FLSA Status: Exempt Non-Exempt Position Summary Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care.

Requirements

Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
Current State license as a Registered Nurse
Current State Driver's License
Nursing skills as defined as generally accepted standards of practice
Strong critical thinking, organizational, interpersonal, and communication skills
Must be highly motivated, self-directed, flexible, and able to work well and participate in a multidisciplinary group setting
Ability to work autonomously
Proof of current CPR and maintain a current status
Must meet mandatory CE requirements of licensing board per state and maintain a current status
Must read, write and comprehend English
Must have reliable transportation and provide ongoing valid and current auto liability insurance

Nice To Haves

Two years of experience as an RN preferred in a healthcare/clinical setting
Experience in EMR a plus
Specialized skills preferred in palliation and end-of-life

Responsibilities

Administer skilled nursing care for clients of all ages in their place of residence.
Coordinate care with the interdisciplinary team, patient/family and referring agency.
Assume the responsibility for coordination of care.
Perform initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e., risk for grief, cultural and spiritual, verbal and non-verbal.
Implement the individualized POC and recommend revisions to the plan as necessary.
Collaborate care amongst patient/patient caregiver, physicians and healthcare professionals.
Act as Care Manager and consult with attending physician and hospice physician regarding the eligibility and appropriateness of client for hospice services.
Consult with and educate the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition and dietary needs.
Provide training to other staff as needed.
Initiate appropriate preventive and rehabilitative nursing procedures.
Prepare clinical and progress notes that demonstrate progress toward established goals.
Attend Inter-Disciplinary Group (IDG) meeting, coordinate and participate in the patient care planning process, prioritization of needs and collaborate with IDG to promote coordination of patient care.
Use of case management approach and refer to other services as needed.
Inform physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care.
Determine scope and frequency of services needed based on acuity and patient/family needs.
Assess ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care.
Evaluate own needs for support and using identified systems to meet the need.
Communicate information using current process and technology available to the organization.
Apply specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Perform on-call responsibilities and provide on-call service to patients/families as assigned.
Supervise LPN/LVN and Hospice Aide per regulations.
Complete and sync all visits in EMR/HCHB same day.
Utilize excellent customer care skills with internal and external customers, including using proper phone etiquette.
Promote positive, respectful communication to all staff, referral sources, patients and families.
Abide by and demonstrate the company Mission and 12 Heart’s Desires through both behavior and job performance on a day-to-day basis.
Participate in all mandatory staff in-services and meetings.
Maintain compliance with internal annual education requirements (Heart to Heart University/Relias).
Ensure timely submission of all documentation.
Conduct all business activities in a professional and ethical manner.
Ensure overall compliance with local, state and federal laws, Medicare regulations, and established personnel policies and procedures.