RN Hospice Case Manager

Nova Hospice; Houston (TX); On-site; USD 70,000 - 90,000; Full time

Job summary

Nova Hospice is seeking an experienced Hospice Registered Nurse to plan, organize and direct care in patients' homes and communities across Texas. The RN will lead nursing assessments, coordinate care with an interdisciplinary team, and support families with education and planning.

The role requires current Texas RN licensure, two years of nursing experience (preferably in home care or hospice), CPR certification, and a valid driver's license.

Qualifications

• Graduate of NLN-accredited nursing program.
• Minimum of two years nursing experience, preferably in public health, home care or hospice.
• Current Texas RN license.
• CPR certification maintained.
• Strong communication and ability to work independently.
• Valid driver’s license with insured vehicle.

Responsibilities

• Performs comprehensive patient and family assessments to determine hospice needs.
• Provides professional nursing care using the nursing process.
• Develops and revises care plans with the interdisciplinary team.
• Administers medications and treatments as prescribed by physician.
• Educates patients and families on self-care and disease management.
• Acts as Case Manager, coordinating care for assigned caseload.
• Maintains accurate clinical notes and communicates with physicians.
• Participates in on-call duties and coordinates equipment needs.

Skills

Nursing

Community health

Case management

Patient education

Clinical documentation

Independent work

Education

NLN-accredited nursing program

Texas RN license

CPR certification

Job description

Hospice Registered Nurse

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.

DUTIES & RESPONSIBILITIES

Patient Care

• Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process.
• Assesses and evaluates patient’s status by:
• Writing and initiating plan of care
• Regularly re-evaluating patient and family/caregiver needs
• Participating in revising the plan of care as necessary
• Uses health assessment data to determine nursing diagnosis.
• 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.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
• Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.

Communication

• Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Communicates with community health related persons to coordinate the care plan.
• 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.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary group meetings.

Additional Duties

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

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• Graduate of National League for Nursing accredited school of nursing.
• Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.
• Management experience not required. Responsible for supervising hospice aides.
• Registered nurse with current licensure to practice professional nursing in the state.
• Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.
• Shows ability to organize and prioritize workload independently.
• Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.
• Maintains a current CPR certification.
• Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
• Self-directed and able to work with minimal supervision.

When you join Nova Hospice, you become part of a specialized team professionals who provide comfort and support to patients and their families when a life-limiting illness no longer responds to cure-oriented treatments. We are a family owned and operated Hospice providing hospice services to patients and their families in multiple cities throughout Texas. We embrace excellence in all that we do and strive to continuously exceed the expectations of the patients and families we serve.
People are called to Nova Hospice for many reasons, and those same feelings cause many of them to believe more deeply in their ability to deliver comprehensive care and grow their skills as dedicated professionals.
If you are looking to provide care in hospice services, the same passion for excellent care drives everything we do for these special patients. It's not ordinary here. It's extraordinary. Because our patients facing end of life deserve to live life to the fullest, and that's the way we approach our care.