Hospice Registered Nurse Case Manager

Affinity Health Management; Mayfield Heights (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

Affinity Health Management is seeking a Registered Nurse to plan, organize and direct hospice care in patients' homes and communities. The role emphasizes community health education, comprehensive patient assessments, and collaborative care planning with families and an interdisciplinary team.

The RN will provide care using the nursing process, administer prescribed medications, educate patients and families, and coordinate services while participating in on-call duties as required.

Qualifications

• Graduate of a National League for Nursing accredited school of nursing.
• Current licensure as a Registered Nurse in the applicable state.
• Minimum of 1 year RN experience within the last 3 years, or BSN with 2 years of experience including home health, public health or hospice.
• Management experience not required; may supervise hospice aides.

Responsibilities

• Complete initial and ongoing comprehensive patient and family assessments to determine hospice needs.
• Provide professional nursing care using the nursing process and plan of care.
• Develop and revise the plan of care with patient/family involvement as status changes.
• Administer medications and treatments as prescribed and educate patient/family on care needs.
• Act as case manager for assigned caseload when required.
• Maintain accurate clinical notes and communicate with physicians and care team.
• Participate in on-call duties and ensure availability of equipment and services.

Education

NLN-accredited nursing program

RN license in state

Job description

JOB DESCRIPTION SUMMARY

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Patient Care

• 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• 2. Provides professional nursing care by utilizing all elements of nursing process.
• 3. Assesses and evaluates patient’s status by:
• A. Writing and initiating plan of care
• B. Regularly re-evaluating patient and family/caregiver needs
• C. Participating in revising the plan of care as necessary
• 4. Initiates the plan of care and makes necessary revisions as patient status and needs change.
• 5. Uses health assessment data to determine nursing diagnosis.
• 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
• 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• 8. Counsels the patient and family in meeting nursing and related needs.
• 9. Provides health care instructions to the patient as appropriate per assessment and plan.
• 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

Job Title/Position: Registered Nurse

• 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

• 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Reports pain/symptom management changes/outcomes as appropriate.
• 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• 3. Communicates with community health related persons to coordinate the care plan.
• 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
• 5. Provides and maintains a safe environment for the patient.
• 6. Assists the patient and family/caregiver and other team members in providing continuity of care.
• 7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
• 8. Attends interdisciplinary group meetings.

Additional Duties

• 1. Participates in on-call duties as defined by the on-call policy.
• 2. Ensures that arrangements for equipment and other necessary items and servicesare available.
• 3. Supervises ancillary personnel and delegates responsibilities when required.
• 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.
• 5. Fulfills the obligation of requested and/or accepted case assignments.
• 6. Actively participates in quality assessment performance improvement teams and activities.

Job Title/Position: Registered Nurse

POSITION QUALIFICATIONS

• 1. Graduate of National League of Nursing accredited school of nursing.
• 2. Current licensure in State.
• 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
• 4. Management experience not required. Responsible for supervising hospice aides.