Home-Based Pediatric Hospice RN Case Manager

Community Hospice & Health Services; Modesto (CA); On-site; USD 66,124 - 85,466; Full time

Job summary

Community Hospice & Health Services in Modesto, CA is seeking an experienced RN Case Manager to join our interdisciplinary team. The role involves skilled nursing assessment, care planning, and coordinating patient care across settings to maximize comfort and quality of life for patients and families.

You will collaborate with the Patient Care Manager and IDT, perform home visits, ensure accurate documentation, participate in quality improvement, and provide 24/7 on-call coverage as needed.

Qualifications

• Graduation from an accredited school of nursing. BSN preferred.
• At least one-year recent experience within the past three years as a professional nurse.
• Possession and maintenance of a current license to practice as a registered nurse in the State of California.
• Possession and maintenance of a valid California driver’s license and current automobile insurance.
• CHPN preferred.
• Pediatric experience strongly desired.
• Possession and maintenance of current BLS certification.

Responsibilities

• Admissions of new patients, including assessment, planning, implementation, and evaluation phases of the nursing process, evaluation of patient appropriateness for services, and consultations to explain services as requested by the PCM.
• Perform scheduled patient visits to assess needs; teach pain management, symptom control, and patient care skills. Provide physical, emotional, and spiritual support to the patient, family, and caregiver.
• Maintain regular communication with the IDT regarding patient status, including any unusual or problematic patient/family/caregiver issues.
• Initiate communication with attending physicians, IDT members, and other community agencies as needed to coordinate the plan of care and use of resources for patient/family/caregiver.
• Maintain up‑to‑date patient records so that problems, goals, and interventions are accurately and clearly documented. Changes in the plan of care are reflected as they occur. Target dates for goals in the Care Plan will be current and reflect the current recertification period when submitted for recertifications. Documentation should reflect movement of the patient toward the terminal primary diagnosis (hospice patients).
• Attend regularly scheduled IDT meetings to review patient/family/caregiver needs, problem‑solve, and cover unique patient issues. Share professional support, resources, and exchange feedback aimed toward enhancing professional growth.
• Accept responsibility for coordinating care of the patient for IDT members, teaching primary and employed caregivers, teaching facility staff, or providing direct care as appropriate.
• Assure continuity of care for the patient in all settings.
• Share in providing 24‑hour, 7‑days a week and holiday coverage to patient/families. Accept assigned work duties based on patient and organizational needs as assigned by PCM and/or Administrator on Call.
• Attend death events (hospice patients) and provide appropriate support at the time of death.
• Participate in Community Hospice education of students and community healthcare professionals and participate in the orientation of new employees.
• Participate in the agency Quality Improvement process to improve the level of services provided to Community Hospice patients and families and ensure compliance with CMS Medicare regulations.
• Participate in in‑services, workshops, and clinical meetings to promote professional growth and understanding of patient/family/caregiver care.
• Follow all Community Hospice policies and procedures including, but not limited to, safety, infection control, privacy and confidentiality, and HIPAA. Display a strong work ethic by accurately recording hours worked, accurate mileage reporting, and avoiding unnecessary overtime. All overtime is approved by PCM.
• Maintain RN license in accordance with federal, state and local laws, and act only within the scope of the state license. All personnel qualifications must be kept current at all times.

Job description

Community Hospice & Health Services in Modesto, CA is seeking an experienced RN Case Manager to join our interdisciplinary team. The role involves skilled nursing assessment, care planning, and coordinating patient care across settings to maximize comfort and quality of life for patients and families.

You will collaborate with the Patient Care Manager and IDT, perform home visits, ensure accurate documentation, participate in quality improvement, and provide 24/7 on-call coverage as needed.