Hospice RN Case Manager

St. John's United; Billings (MT); On-site; USD 65,000 - 75,000; Full time

Job summary

St. John’s United Hospice is seeking a Registered Nurse Case Manager to provide compassionate hospice care in patients' homes and community settings.

You will work under the Hospice Clinical Team Leader and partner with an interdisciplinary team to deliver a comprehensive plan of care addressing physical, emotional, and spiritual comfort at end of life. The role emphasizes independence, flexible scheduling, and maintaining a strong patient-to-RN ratio, with opportunities for ongoing hospice

Qualifications

• RN license in Montana required; BSN preferred.
• Minimum 2 years hospice/home health/SNF nursing experience.
• CPR certification required.
• Strong communication and computer skills.

Responsibilities

• Provide hospice nursing care and management in patients' homes, assisted living, or long-term care.
• Assess and maintain hospice services to meet client needs throughout the continuum of care.
• Maintain accurate client records using computerized documentation and agency protocols.
• Collaborate with Home Health Aides, LPNs, social workers, chaplains, and medical directors; supervise staff as needed.
• Perform routine home visits and occasional after-hours on-call duties; support Hospice philosophy of care.

Skills

Hospice experience

Home health

Communication skills

Computer proficiency

Education

Montana RN license

BSN preferred

Tools

EHR software

Microsoft Office

Job description

DEPARTMENT: SJU HOME HEALTH & HOSPICEPOSITION TITLE: HOSPICE RNRESPONSIBLE TO: ADMINISTRATOREXPOSURE LEVEL: CATEGORY IEXEMPTION STATUS: NON-EXEMPT______________________________________________________________________________________SUMMARY:The St John’s Hospice Registered Nurse Case Manager (RNCM) is a position that truly encompasses what it means to be called to nursing: career satisfaction, independence, flexible scheduling, comfortable patient-to-RN ratio, on-going Hospice education and professional development, to include a strong emphasis on work-life balance. The RNCM works under the supervision of the Hospice Clinical Team Leader and collaborates with an interdisciplinary team (IDT) who partners with each other to provide the most comprehensive plan of care that encompasses a patient’s physical, emotional, and spiritual comforts at the end of life. The RNCM follows an established plan of care, completes routine home visits which provides support, guidance, education, and all the comfort measures that complement Hospice Philosophy of Care. The RNCM position doesn’t require an advanced clinical skillset, but it does require a compassionate bedside manner and a desire to bring comfort to those in the last chapter of their lives. A strong background working in long-term and palliative care would be preferred, although any seasoned RN, who feels a calling into this line of nursing, are highly encouraged to apply.ESSENTIAL JOB FUNCTION: Nursingo Provides Hospice nursing care and management to patients in their private homes, Assisted and Independent Living communities, Long-term Care, or wherever a patient calls home.o Works independently, yet maintains effective communication with all hospice team members: CNA’s, Social Workers, Chaplains, Hospice Medical Directors and Providers, not to mention families and primary caregivers.o Responsible for assessing, providing, and maintaining Hospice services to meet client needs throughout the Hospice continuum of care.o Follows all current nursing standards of practice and agency protocols in relation to all hospice services; this includes medication management, medical equipment, community resources, spiritual and social work support.o Maintains current and accurate client records through use of computerized documentation software in accordance with St. Johns United policies; this also includes federal, state, and local guidelines.o Collaborates and supervises the caregiving skills, customer service, and bedside manner of Home Health Aides and LPN’s.o Completes routine visits to include minimal on-call duties after normal business hours on weekends and holidays; this includes all RNCM Hospice staff and Team Leads.o Performs other related duties as assigned and provides assistance in supporting, advocating, and promoting Hospice Philosophy of Care.o Have a strong desire to learn about Advanced Directives, Hospice and Palliative Care, Hospice Medicare benefit, Medications at the End of Life, Comfort Measures, and much more.o Work alongside and in conjunction with some of the finest nursing professionals in Hospice.ESSENTIAL JOB FUNCTION: Safety Obeys safety rules of St. John’s United, as instructed. Identifies, reports, and/or corrects obvious safety hazards. Follows policy and procedures on TB testing, annual influenza vaccinations, to include attending all mandatory in-service trainings and educational material.ESSENTIAL JOB FUNCTION: Mission/Customer ServiceSupports the growth and actively engages in the Eden Alternative philosophy, including a work environment with plants and animals.Follows the St. John’s Guidelines for Customer Service*Let the Mission be your guide*Make eye contact and smile*Greet and welcome each and every person*Seek out personal contact*Provide immediate service-listen and act*Use appropriate body language at all times*Be gracious to each and every personMINIMUM REQUIREMENTS:Holds and maintains an unencumbered RN license to practice in the state of Montana; BSN preferred. Current CPR certification (Basic Life Support) required. St. John’s United will provide CPR certification classes to all nursing staff at no cost.KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: The preferred, qualified candidate will have at least two years of nursing experience in Hospice, Home Health, and/or a Skilled Nursing Facility. We will consider all RN candidates who apply even if they don’t meet all the qualifications and/or experience we are seeking. Ability to understand medical and nursing terminology, to include competency in verbal and written instructions, especially when taking medical orders. Candidates should have strong typing skills, to include basic computer and e-mail competency in Windows-based programs, as electronic communication and patient workflows are all computer-based. This position also requires strong oral and verbal communication skills, emotional stability, flexibility, and high professional standards of care. Must be willing to supervise Home Health Aids (CNAs), LPNs, and other staff members through building and practicing leadership skills. Must possess a valid Montana State driver’s license. Out-of-state candidates have a grace period to transfer driver’s licenses.PHYSICAL DEMANDS: The RNCM may be required to provide direct patient care, which could include moving, rolling, and lifting patients (oftentimes with a mechanical device to help assist), so strength, flexibility, and endurance are strong qualities to possess. Must be able to safely lift, push, or pull up to 50 lbs. of medical or caregiving supplies unless medically restricted. Driving is required, as the RNCM may have to travel to remote areas where public transportation is limited or non-existent.WORKING CONDITIONS: Work involves minimal exposure to hazards, blood borne pathogens, or high physical risk of injury, especially if following basic safety precautions. The RNCM may enter patient homes that may be considered to be unlivable and intervene as appropriate. There may be exposure to plants and animals within many living environments, and all safety measures are taken as-needed to ensure staff are well protected in all environments where patients and animals live. RNCM’s enjoy flexible working hours and locations where they wish to document their patient visits, to include in their own homes. There is office space and a full complement of support staff available to help resolve any conflicts or unseen challenges.The above description of the RNCM identifies the major duties and requirements for the performance of this positing, yet other duties and responsibilities may be added, altered, or changed according to the needs of St. John’s United Hospice.