RN Home Hospice Case Manager ( in field)

1000 Wellstar Health System, Inc.; United States; Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Mileage reimbursement

Job summary

Wellstar Health System, Inc. is seeking a Hospice RN Case Manager to provide comprehensive home hospice care within Wellstar communities. The role emphasizes empathy, coordination with an interdisciplinary team, and education of patients and families as they approach end-of-life.

Mileage reimbursement is provided. The ideal candidate has 2+ years in hospice/acute care, holds an RN license, and can document care in an EMR.

Qualifications

• Associates degree or Nursing Diploma; BSN preferred.
• All certifications are required upon hire unless stated otherwise.
• Minimum 2 years acute care or hospice/home care experience.
• Strong empathy, clinical judgment and communication skills.

Responsibilities

• Provide ongoing patient care per interdisciplinary care plan.
• Maintain contact with patients and families via calls and visits.
• Educate on disease processes, symptom management and meds.
• Coordinate care with physicians, social workers, chaplains and others.
• Document care in the electronic medical record and update plans.
• Assess need for level-of-care changes and facilitate transfers.
• Support patient safety, caregiver well‑being and family needs.
• Participate in team meetings and case conferences.

Skills

Registered Nurse

Hospice care

Patient assessment

Care coordination

Interdisciplinary teamwork

EMR documentation

Education

Associates degree or Nursing Diploma

BSN preferred

Tools

Electronic Medical Records (EMR)

Job description

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift Job Summary: Fulltime Day shift Home Hospice within Wellstar communities. Home Hospice or Hospice experience STRONGLY PREFERRED Exceptional empathy, care and compassion and committment to patient and family experience. The Hospice RN Case Manager utilizes the nursing process (assess, plan, implement, evaluate) to assume primary responsibility for the care of terminally ill patients and their caregivers in consultation with the primary physician, Hospice Medical Director and the Hospice interdisciplinary team. RN Case Manager evaluates need and coordinates care from other disciplines including Clinical Care Partners, Social Workers, Chaplains, Bereavement Coordinators and Volunteers. The hospice nurse provides physical and psychosocial support to the patient and supportive care to the caregiver and family that will assist them in accepting and preparing for the death of the patient. RN Case Manager reports to the Hospice Nurse Manager. Use of personal vehicle required. Mileage reimbursed.

Core Responsibilities and Essential Functions:

Provides ongoing patient care according to the interdisciplinary care plan.

• Maintains ongoing contact with patients/families (phone calls, visits).
• Provides instruction regarding disease processes, symptom management, medication administration, and nutrition.
• Manages medications, ensuring they are available as ordered, administered correctly by family, stored correctly and safely, encourages compliance.educate regarding destruction of meds according to DEA guidelines
• Assesses symptoms and medication effectiveness, reports response to physician.
• Assesses disease procession and documents decline, adding additional complications to the ICD- code list.
• Assess need for change in level of care, based upon symptoms, caregiving fatigue and the patient/family plan for death.
• Facilitate transfer to appropriate care facility as needed.
• Assess for patient safety, adequacy of caregiving, signs of abuse or neglect, suicide risk.
• Updates plan of care with goals, interventions and services that are indivualized to each patient/family need.
• Prepares the Patient and Family for death.
• Conducts ongoing physical assessments of patients and anticipates changes based upon understanding of disease progression.
• Consults with primary physician appropriately.
• Advise caregivers of anticipated changes, educates about the signs and symptoms of impending death and interventions to relieve symptoms.
• Pronounces the patient at time of death.
• Collaborates with members of the interdisciplinary team.
• Participates in interdisciplinary team meetings, family conferences and case studies.
• Interprets medical status of patients.
• Maintains ongoing communication with other members of the interdisciplinary team.
• Develops the hospice aide (CCP) personal care plan and supervises their implementation of the plan of care.Documents completion of supervision and annual competencies
• Serves as resources to staff with regard to medical issues.
• Coordinates care and transfer to in-patient hospice facility to provide highest level of trust for patient/family and provide continuity of care.
• Reads all communications and e-mails from team members including supervisors.
• Implements state/federal licensure guidelines and JCAHO standards relating to nursing component of care.
• Maintains current documentation in electronic medical record.
• Maintains medical component of careplan.
• Monitors the quality of nursing care provided to patients including but not limited to safety and infection control.
• Performs customer satisfaction/complaint resolution activities in a timely manner and reports occurances to supervisor.
• Communicates appropriately with contracted personnel (PT, ST, OT, ET) and agencies (pharmacies, DME company).
• Communicates/consults with contracted pharmacies.
• Provides pertinent information to contracted personnel as needed.
• Assesses need for DME Supports and participates in performance improvement activities.
• Participates in department performance improvement activities (i.e. chart review, committees, etc.).
• Participates in system-wide committees as requested.
• Identifies methods for improving department performance/care.
• Assists in implementing performance improvement opportunities.
• Demonstrates leadership skills
• Serves as a clinical resource for PRN RNs, on-call RNs, LPNs and CCPs
• Participates in the hiring and orientation of new nursing staff.
• Assumes additional responsibilities: committee assignments, education of students, peer review, case study analysis.
• Performs other duties as assigned

Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor GADL - Georgia Driver's License or VSDL - Valid State Driver's License PVI - Private Vehicle insurance Additional License(s) and Certification(s): CHPN - Cert Hospice Palliative Nurse

Preferred and Required Minimum Experience:

Minimum 2 years acute care or hospice/home care experience

Required Minimum Skills:

Possesses emotional maturity. Possesses interpersonal skills. Demonstrates excellent assessment and clinical judgment skills. Possesses knowledge of developmental characteristics (physical, psychosocial, intellectual) of people of all ages (neonate, infant, child, adolescent, adult, geriatric). Possesses knowledge of disease processes affecting people of all ages. Demonstrates effective written and verbal communication skills. Demonstrates effective use of computers for patient care documentation.

Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems. Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.

Mission, Vision & Values

OUR MISSION: To enhance the health and well-being of every person we serve. OUR VISION: Deliver world-class healthcare to every person, every time. OUR VALUES: We serve with compassion We pursue excellence We honor every voice Culture of Excellence Wellstar consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of Wellstar as a Great Place to Work.