Field-Based RN Case Manager, Palliative Care

Chapters Health System; Florida; On-site; USD 65,996 - 98,994; Full time

Job summary

Chapters Health System in New York is looking for an RN Care Coordinator. This role involves assessing patient needs, coordinating care, and providing compassionate support. The ideal candidate will have a current RN license and at least one year of nursing experience, preferably in hospice or hospital settings.

The position emphasizes strong communication skills, critical decision-making, and the ability to work efficiently under pressure.

The compensation range is $65,996 - $98,994 annually, and candidates must be ready for drug testing as per company policy.

Qualifications

• Current RN license in New York.
• Minimum one year of nursing experience preferred in hospice or hospital setting.
• Experience with EMR/EHR systems is a plus.
• Effective communication skills in English required; bilingual in Spanish preferred.
• Valid driver's license for transportation to meet patients.
• Ability to make critical decisions and prioritize tasks effectively.

Responsibilities

• Assess patient/family needs and coordinate care.
• Provide palliative and supportive care.
• Document clinical information per policy.
• Educate patients and families on their conditions.
• Make after-hours visits to various care settings.

Skills

Current RN license

Nursing experience

EMR/EHR experience

English communication

Bilingual in Spanish

Valid driver's license

Critical decision making

Time management skills

Ability to handle stress

Computer proficiency

Ability to manage physical tasks

Education

Registered Nurse degree

Tools

MS Office

Job description

• Obtains Physician orders

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role

The RN, Care Coordinator is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit.

Qualifications

• Current license as RN in the state where the employee will be working
• Minimum of one (1) year nursing experience; hospice or hospital experience preferred
• Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
• Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred
• Mobile Driver - Valid driver’s license and automobile insurance per Company policy
• Reliable transportation to meet patients’ needs
• Excellent critical decision making and problem-solving skills
• Excellent clinical and assessment skills
• Ability to use equipment with visual and auditory mechanisms
• Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines
• Ability to effectively handle stressful situations professionally and calmly with exceptional customer service
• Strong patient service skills
• Information seeking / probing skills
• Accurate knowledge transfer
• Listening, understanding, and responding
• Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits
• Ability to work in a cooperative team environment
• Able to exhibit a sense of urgency in daily work activities
• Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills
• Available to work shifts to accommodate extended hours of operation as scheduled
• Ability to perform sedentary work with frequent interruptions
• Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
• Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodations
• Active BLS for healthcare professionals from the American Heart Association or Red Cross.
  

Some locations may require:

Completes clinical admissions for all Company services including, but not limited to:

• Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
• Identifies admission objections, concerns or other entry barriers and provides responses
• Educates patient/family on admission requirements and addresses immediate needs
• Completes informed consents and initial assessment according to regulations and Company policy
• Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs
• Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
• Obtains Physician orders
• Completes documentation per Company policy
• Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
• Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.
• Provides all necessary clinical communication timely using SBAR.
• Discusses any potential needs with after-hours staff.
• Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
• Obtains medical record information for the referral.
• Develops strong relationships with case managers, physicians, etc. at facilities.
• Works with Professional Relations Representatives (PRRs) to provide education on all available services.
• Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.
  
  

Competencies

• Satisfactorily complete competency requirements for this position.
  
  

Responsibilities Of All Employees

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all state, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with coworkers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
  
  

Job Responsibilities

• Makes after-hours visits to patients in their home, assisted living facility, nursing home, or hospital, anywhere within the assigned affiliate(s) territory. Provides compassionate customer service to patients and families.
• Assesses patient/family and identifies immediate needs and appropriate nursing interventions by phone and/or during visit.
• Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
• Demonstrates clinical skills regarding case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.
• Prioritizes, consults, refers, and collaborates with other professionals to promote quality and continuity of patient/family care.
• Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process, and safety practices.
• Reports changes in the patient’s condition to appropriate members of the IDG or other health professionals.
• Attends patient deaths; prepares body for transport; oversees disposal of medications; and provides bereavement support.
• Completes documentation per policy and procedure.
• During times of emergencies (i.e. Hurricanes, etc.), the RN, Nights and Weekends may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.
• Perform other duties as assigned.
  
  

Compensation Pay Range

$65,996.22 - $98,994.33

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.