PRN Registered Nurse Case Manager

Reports To:

Director of Clinical Services

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their end-of-life journey. Our mission is to deliver personalized care that radiates compassion and preserves dignity for all we are honored to serve. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.

The PRN Registered Nurse Case Manager plans, organizes, and directs hospice care and is experienced in nursing, with an 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 individuals and families within their homes and communities.

• Completes an initial, comprehensive assessment of the 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 the nursing process.
• Assesses and evaluates patient’s status by writing and initiating a plan of care, regularly re-evaluating patient and family/caregiver needs, and participating in revising the plan of care as necessary.
• Initiates the plan of care and makes necessary revisions as patient status and needs change.
• Uses health assessment data to determine nursing diagnosis and develops a care plan that establishes goals based on nursing diagnosis, incorporating palliative nursing actions and involving the patient and family in planning.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the plan of care.
• Counsels the patient and family in meeting nursing and related needs and provides health care instructions as appropriate per assessment and plan.
• Assists the patient with activities of daily living and supports self-sufficiency and comfort care.
• Acts as Case Manager when assigned by Clinical Supervisor and coordinates patient care for the assigned caseload.

• Completes, maintains, and submits accurate clinical notes regarding the patient’s condition and care. 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 physician orders as required.
• Coordinates with community health-related persons to implement the care plan; teaches self-care techniques to patient and family/caregiver as appropriate.
• Provides a safe environment for the patient and supports continuity of care with the interdisciplinary team; attends interdisciplinary group meetings.

• Participates in on-call duties as defined by the on-call policy.
• Ensures arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Engages in ongoing professional development and continuing education.
• Fulfills assigned case responsibilities and participates in quality assessment and performance improvement activities.

• Graduate of an accredited school of nursing. Preferred: one to two years of recent acute care experience in an institutional setting, and one to two years of recent home care experience.
• Current licensure in state and CPR certification.
• Bachelor’s degree, with one year of hospice care experience preferred.
• Management experience is not required. Responsible for supervising hospice aides.
• Excellent observation, verbal and written communication skills, problem-solving skills, and nursing skills per competency checklist.
• Physical ability to walk/stand for extended periods and to lift, position, and transfer patients and equipment. Adequate visual acuity and hearing.
• Must be a licensed driver with a valid automobile and insurance as required by…