Hospice RN Case Manager – Home Visits & Care Coordination

Chapters Health System; Glen Allen (VA); On-site; USD 70,000 - 104,000; Full time

Job summary

Chapters Health System is seeking a compassionate RN Case Manager to join our hospice team in the community. You will assess patient/family needs, coordinate the Plan of Care with the Interdisciplinary Team, and provide clinical, palliative and supportive care to help patients stay in their homes as long as possible.

You will work with physicians and IDT members to initiate orders, deliver skilled nursing care, and support families through care transitions, while maintaining safety and quality

Qualifications

• Current RN license in the state where the employee will be working.
• Minimum of one year nursing experience in hospice or hospital experience preferred.
• Active BLS for healthcare professionals.
• Experience with EMR/EHR systems.

Responsibilities

• Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT).
• Coordinates the Plan of Care, ensuring individualized care reflecting evolving patient needs.
• Educates patient, family, caregivers and other health professionals about disease, palliation, safety practices.
• Participant visit frequency dependent on risk score/needs to be determined
• Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance and ability to live safely in the community.
• Reports changes in the patient’s condition to IDT or other health professionals; participates in referrals/admissions.
• Communicates with physicians and staff; uses SBAR; supervises home health aides as requested.

Skills

Communication in English

Interdisciplinary collaboration

Palliative care knowledge

Home health coordination

Education

RN license in state

BLS certification

Tools

EMR/EHR system

Job description

Chapters Health System is seeking a compassionate RN Case Manager to join our hospice team in the community. You will assess patient/family needs, coordinate the Plan of Care with the Interdisciplinary Team, and provide clinical, palliative and supportive care to help patients stay in their homes as long as possible.

You will work with physicians and IDT members to initiate orders, deliver skilled nursing care, and support families through care transitions, while maintaining safety and quality