Hospice RN Case Manager – Home Health Care

Pathways Health; Oakland (CA); On-site; USD 78,000 - 108,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Pathways Home Health & Hospice is seeking an experienced Registered Nurse Case Manager for Hospice in Alameda. The role involves admitting patients, assessing comprehensive needs, and developing individualized care plans, coordinating with a multidisciplinary team to ensure quality home health care.

The position requires a California RN license, at least 1 year of nursing experience, CPR certification, and a valid California driver's license.

Qualifications

• Valid California RN license.
• Minimum of one year of nursing experience.
• Current CPR Certificate.
• Current California driver's license and automobile insurance.
• Bilingual proficiency in Mandarin and English is highly preferred to support our local Mandarin-speaking client base, though not required for consideration.

Responsibilities

• Performs an initial, comprehensive assessment.
• Documents observations, clinical findings, problems, skilled interventions, goals and discharge plans.
• In consultation with the assigned Clinical Team Manager, initiates and regularly re-evaluates and revises plan of care.
• Assesses the need for the services of other team members (PT, OT, ST, MSW and HHA).
• Provides and documents skilled care on all visits (includes skilled observation of the patient's condition, skilled care and procedures and teaching of the patient and/or family).
• Obtains and documents physician orders.
• Performs Home Health Aide supervisory visits per regulatory requirements.
• Coordinates care with the assigned Clinical Team Manager, physician and other members of the home care team, informing them of significant changes in the patient’s condition and needs. Documents these communications.
• Follows established standards for point of service technology, documentation and synchronization.
• Submits weekly visit schedule of assigned patients. Collaborates with Clinical Team Manager to address scheduling needs.
• Performs re-certifications, resumption of care, transfers and discharges as requested by the assigned Clinical Team Manager. Completes and submits all related documentation.
• Attends and actively participates in the clinical team multidisciplinary patient conference.
• Demonstrates established clinical competencies.
• Participates in agency sponsored in-service education.
• Participates in quality improvement activities.
• Assists in development of agency protocols, procedures and policies as requested.
• Assess, develops, organizes and delivers teaching materials for assigned home care patients as appropriate.

Skills

Mandarin English (preferred)

Education

California RN license

CPR Certificate

California driver's license

Job description

Pathways Home Health & Hospice is seeking an experienced Registered Nurse Case Manager for Hospice in Alameda. The role involves admitting patients, assessing comprehensive needs, and developing individualized care plans, coordinating with a multidisciplinary team to ensure quality home health care.

The position requires a California RN license, at least 1 year of nursing experience, CPR certification, and a valid California driver's license.