Case Manager (RN) Hospice Home Care

Duke University Health System; Durham (NC); On-site; USD 60,000 - 80,000; Full time

Job summary

Duke University Health System is seeking a Case Manager (RN) for Hospice Home Care. This role involves providing professional nursing care to patients, developing care plans, and collaborating with healthcare teams to ensure quality patient care. Candidates should have an RN license, relevant experience, and a commitment to compassionate care.

Benefits

Relocation Assistance (based on eligibility)

Magnet organization designation

Qualifications

• Current North Carolina RN Licensure or compact state license required.
• Minimum of two years in med-surgical, critical care, or home health/hospice/infusion experience.
• Valid driver’s license and auto insurance.

Responsibilities

• Plan, provide, supervise, and document nursing care according to policies.
• Collaborate with healthcare team to evaluate and optimize patient care.
• Assess educational needs of patients/families regarding health alterations.

Skills

Critical thinking

Effective communication

Teaching ability

Organizational skills

Education

Associate Degree or Diploma in Nursing

BSN program enrollment encouraged

Job description

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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke HomeCare & Hospice

Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home for the Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

Duke Nursing Highlights

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000+ registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. As a nurse with Hospice Home and Partners at Duke, you will get to live out Duke's mission of caring for our patients, their loved ones, and each other in a very meaningful way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable and help them and their loved ones find peace and comfort.

We are seeking an experienced Hospice Nurse for this position.

Shifts/Hours: (5) 8-hour day shifts

Job Summary

Performs professional nursing care for patients in a primary care setting (home or alternate site) according to nursing practices, agency policies, and regulations. Provides nursing services to patients and families within the scope of RN practice as defined by the North Carolina Board of Nursing.

Major Job Responsibilities

• Plan, provide, supervise, and document professional nursing care utilizing the nursing process, following the NC nurse practice act, physician orders, and policies. Individualize care based on assessment of patient needs and responses.
• Use assessment skills to prioritize and set outcomes; collaborate with healthcare team to evaluate and optimize patient care.
• Assess educational needs of patients/families regarding health alterations, disease, and care plans.
• Develop and implement discharge plans from the start of services.
• Provide educational resources and interventions; evaluate teaching outcomes.
• Model professional nursing conduct, appearance, communication, ethics, critical thinking, and problem-solving.
• Participate in interdisciplinary team meetings and case conferences.
• Stay updated on Medicare/Medicaid/JCAHO standards through training.
• Assess symptom severity, communicate findings, and intervene as needed.
• Document care accurately and timely, in accordance with policies and regulations.
• Perform medication reconciliation and education to prevent adverse events.
• Observe and report medication reactions and incidents.
• Communicate with team members, caregivers, and physicians regularly.
• Follow infection control protocols and use PPE appropriately.
• Delegate and supervise care by NCA's/LPN's.
• Develop and assign care plans for aides based on patient needs and aide skills.
• Identify learning needs and participate in staff development.
• Maintain professional competencies and seek educational opportunities.
• Implement agency policies and collaborate with billing staff for accuracy.
• Maintain confidentiality of patient and employee information.
• Promote a positive workplace environment.
• Maintain a professional appearance.
• Participate in Quality Improvement initiatives.
• Support comprehensive team-based services.
• Perform additional duties as assigned.

Work Environment and Requirements

Primarily provide patient care in the patient's residence or skilled nursing facility (>50%). Travel to and from patient residences is required.

Preferred Qualifications

Education and Formal Training

• Associate Degree or Diploma in Nursing required.
• Encouraged to enroll in a DUHS-approved BSN program after two years of service; must complete within five years.

Licensures, Certifications

• Current North Carolina RN Licensure or compact state license required.
• Current CPR certification (American Heart Association).

Professional Experience

• Minimum of two years in med-surgical, critical care, or home health/hospice/infusion.
• Valid driver’s license and auto insurance.
• Experience in Home Health, Hospice, or Infusion preferred.
• OASIS and PDGM experience preferred.

Knowledge, Skills & Abilities

• Knowledge of Medicare/Medicaid regulations, JCAHO, ICD-9 coding.
• Understanding of RN scope of practice and nursing process.
• Ability to assess and prioritize patient needs.
• Effective communication and collaboration skills.
• Teaching ability for patients and families.
• Proficiency with documentation and technology.
• Wound care, infusion, and advanced nursing skills knowledge.
• Critical thinking and organizational skills.
• Knowledge of infection control and safety procedures.
• Strong computer skills (Outlook, Word, Excel).
• Ability to work independently and withstand driving and physical demands.

Minimum Qualifications

Graduation from an accredited BSN program. Registered nurses hired without a BSN between July 1, 2014, and April 11, 2021, are encouraged to enroll in a BSN program within two years of start date and complete it within five years. Nurses hired before July 1, 2014, are not required to enroll.

At least 12 months of relevant clinical experience required; exceptional performers with 6 months may be considered. Opportunities for promotion to CN II after 12 months, contingent on program completion and performance.

Licenses and Certifications

Valid RN license in North Carolina or a compact state, BLS certification required.

Equal Opportunity Statement

Duke is committed to equal employment opportunity and fostering a diverse, inclusive community where all voices are valued.