Rn Case Manager Jobs

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Home Hospice RN Case Manager-Lake Geneva, Lyons

Advocate Health•Burlington, WI
•$38 - $57

About The Position

The Home Hospice RN Case Manager identifies and coordinates care for terminally ill patients and their families across hospice settings. The Case Manager assesses patient and family needs and makes contact at least every 15 days, using teaching, assessment, and intervention skills to provide comfort care and maximize quality of life at the end of life. The role educates patients and families about disease processes and progression, disease management, hospice philosophy, and signs and symptoms of decline and end of life. The Case Manager continuously reviews each patient's care, coordinates and collaborates with the interdisciplinary team, leads patient-specific interdisciplinary care group meetings, and develops, revises, and implements plans of care. The role also administers prescribed medications and treatments, arranges referrals and necessary equipment or supplies, monitors patient responses, communicates changes, and maintains accurate electronic health record documentation. The Case Manager supervises Home Health Aides and licensed practical nurses, supports discharge planning and continuity of care, and may perform specified palliative care and hospice assessments in Wisconsin. The position includes mentoring new staff when requested and requires providing age-appropriate care. It involves physical patient-handling duties and exposure to mechanical, electrical, chemical, blood, and body-fluid hazards; protective clothing and equipment are used as needed.

Requirements

  • Registered Nurse license issued by the state in which the team member practices.
  • Basic Life Support for Healthcare Providers certification from the American Heart Association, to be obtained upon hire unless the department leader determines it is not required.
  • Valid driver's license issued by Wisconsin or Illinois.
  • Completion of an accredited or approved nursing program.
  • Typically 1–2 years of nursing experience, including experience in home health, hospice, medical/surgical, long-term care, emergency care/ICU, oncology, or similar related experience.
  • Competence in deformity prevention, normal range of motion, body mechanics, body alignment, fundamental principles of human behavior, and the effects of stress on individuals and groups.
  • Awareness and perception skills to assess patient needs and concerns and recognize changes in health condition.
  • Excellent communication and interpersonal skills.
  • Decision-making and critical-thinking skills, including the ability to work independently and make sound judgments.
  • Prioritization and organizational skills.
  • Proof of a valid driver's license and a registered, functional car with adequate insurance coverage.
  • Ability to lift up to 50 pounds from floor to waist and up to 20 pounds overhead, carry up to 40 pounds a reasonable distance, and push or pull with 30 pounds of force.
  • Ability to perform a sliding transfer of 150 pounds with a second person present.
  • Ability to work safely with people of varying sizes and weights and with diverse, complex medical conditions and physical limitations.
  • Physical agility and stamina to move in confined spaces, including bending, kneeling, squatting, and occasionally reaching one or both arms overhead for extended periods.
  • Functional speech, vision, hearing, and touch, with fine-hand manipulation skills.
  • Ability to operate all equipment necessary to perform the job.

Responsibilities

  • Identify and coordinate patient and family care for terminally ill patients across hospice settings, with contact at least every 15 days.
  • Use teaching, assessment, and intervention skills to provide end-of-life comfort care and maximize quality of life.
  • Educate patients and families about disease processes and trajectory, disease management, hospice philosophy, and signs and symptoms of decline and end of life.
  • Update the primary physician as indicated and in accordance with agency, accreditation, state, and federal requirements.
  • Continuously review each patient's care, service utilization, and eligibility for the appropriate hospice level of care; make referrals as appropriate.
  • Administer medications and treatments as prescribed by the physician.
  • Lead patient-specific interdisciplinary care groups and develop, revise, and implement patient plans of care.
  • Coordinate services and collaborate with the interdisciplinary team to provide consistent patient care.
  • Arrange or recommend equipment, medical supplies, and other necessary items and services.
  • Complete and update electronic health record documentation in accordance with applicable agency, accreditation, state, and federal standards.
  • Assess patient responses to treatments, medications, and teaching; adjust interventions and follow-up, update plans of care, and document changes.
  • Communicate problems and changes in patient condition to physicians, supervisors, and interdisciplinary team members; enter physician or APN verbal orders in the electronic health record.
  • Conduct supervisory visits for Home Health Aides and licensed practical nurses, and instruct paraprofessional staff in accordance with applicable standards and regulations.
  • Facilitate discharge planning and use interagency, system, and community resources to support continuity of care.
  • In Wisconsin, may conduct OASIS assessments for palliative care patients and hospice initial and comprehensive assessments, establish and update plans of care, ensure continued skilled nursing and homebound criteria are met, and initiate preventive and rehabilitative nursing procedures.
  • Use proper body mechanics, assistive devices, and safety techniques when positioning, repositioning, and transporting patients, including lifting and pushing or pulling.
  • Orient and mentor new staff as requested.
  • Provide care appropriate to the age and developmental needs of patients.

Benefits

  • Paid Time Off programs
  • Medical, dental, vision, life, and short- and long-term disability benefits
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Premium pay such as shift and on-call pay, based on teammate eligibility
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Career development programs

Career Resources

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