Case Manager (RN) Hospice Home Care

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

Job summary

Duke University Health System seeks a compassionate and dedicated Hospice Nurse to provide professional nursing care to patients in their homes. This role involves planning and documenting care, collaborating with healthcare teams, and ensuring patients and their families receive necessary education and support during vulnerable times.

Benefits

Relocation Assistance (based on eligibility)

Manageable caseloads and territories

Mileage reimbursement

Extensive orientation (16+ weeks)

Qualifications

• Current North Carolina RN Licensure or compact RN licensure.
• Two years of med-surgical, critical care, or home health/hospice experience.
• Proficiency with MS Outlook, Word, Excel.

Responsibilities

• Plan and provide nursing care for patients in home settings.
• Document care accurately and timely as required by policies.
• Assess educational needs of patients and families.

Skills

Excellent communication

Critical thinking

Teaching skills

Education

Associate Degree or Diploma in Nursing

Graduation from an accredited BSN program

Job description

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 precious way. While working with our Hospice department, you will have the opportunity to truly care for people at their most vulnerable state of being as well as help them and their loved ones learn to let go in peace and comfort.

We are seeking an experienced Hospice Nurse for this position.

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

Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below:

• Manageable caseloads and territories
• Commitment to safety for both patients and employees
• Mileage reimbursement rate equal to the current federal rate
• Extensive orientation of 16+ weeks based on individual needs

JOB SUMMARY:

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

MAJOR JOB RESPONSIBILITIES:

• Plan, provide, supervise, and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders, and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
• Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost-effectiveness of patient care.
• Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
• Develop and implement an effective discharge plan for patients to begin at the initiation of services.
• Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
• Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
• Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to ensure appropriate care and service are provided to the patient.
• Maintain up-to-date knowledge of Medicare/Medicaid/JCAHO standards through in-services and workshop attendance.
• Assess the severity of patient symptoms, communicate to the physician, and record significant findings; intervene as appropriate.
• Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
• Complete documentation accurately, timely, and concisely.
• Medication reconciliation and education to prevent adverse events and readmission to hospital.
• Observe patient’s reactions to medications and report significant incidents to physicians.
• Communicate regularly with team members, caregivers, and physicians.
• Follow infection control standard precautions and use personal protective equipment as required.
• Delegate and supervise care given by NCA’s/LPN’s.
• Develop care plans for aides, assign care based on skills, availability, patient preferences, and needs.
• Identify personal learning needs and implement corrective actions; assist in staff development programs.
• Participate in own professional development by maintaining required competencies and seeking educational opportunities.
• Implement agency policies, procedures, and objectives.
• Work closely with agency billing staff to ensure billing accuracy.
• Maintain confidentiality of employee and patient information.
• Exhibit a professional attitude promoting harmony and goodwill in the workplace.
• Maintain a neat, professional appearance.
• Participate in Performance Improvement Program.
• Promote quality, comprehensive services through a team approach.
• Perform other duties as assigned.

WORK ENVIRONMENT AND REQUIREMENTS:

Perform patient care primarily in the patient’s residence or skilled nursing facility (>50%).

Travel to and from patient residences.

PREFERRED QUALIFICATIONS

Education and Formal Training

• Associate Degree or Diploma in Nursing required.
• Registered Nurses are 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 RN licensure in participating states.
• Current North Carolina CPR (American Heart Association).

Professional Experience & Requirements

• Two years of med-surgical, critical care, or home health/hospice/infusion experience.
• Valid driver’s license and current automobile insurance.
• Prior experience in Home Health, Hospice, or Infusion preferred.
• Prior OASIS and PDGM experience preferred for home health.

Knowledge, Skills & Abilities

• Knowledge of Medicare, Medicaid, JCAHO, DFS standards, ICD-9 Coding.
• Understanding of scope of practice for RN, LPN, NCA.
• Ability to assess nursing needs and work independently and collaboratively.
• Excellent communication and teaching skills.
• Proficiency with computers, including MS Outlook, Word, Excel.
• Critical thinking, organization, and safety knowledge.
• Physical ability to withstand driving long distances, stooping, bending, lifting 20+ pounds, and climbing stairs.

Minimum Qualifications:

Duke is an Equal Opportunity Employer committed to providing employment opportunities without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and related conditions), sexual orientation, or military status.

We foster a community built on collaboration, innovation, creativity, and belonging. All community members are responsible for upholding these values.

Essential Physical Job Functions: Some jobs require specific physical and/or mental abilities; accommodations will be provided upon request.

Education: Graduation from an accredited BSN program required. RNs hired between July 1, 2014, and April 11, 2021, are encouraged to enroll in a BSN program within two years and complete it within five years.

Experience: Twelve months of clinical experience required; exceptional performers with 6 months may be considered. CNs are eligible for promotion to CN II after 12 months, with promotion criteria set by DUHS Vizient Nurse Residency Program.

Degrees, Licensures, Certifications: Current or compact RN licensure in North Carolina; BLS required.