RN Case Manager

JOB DESCRIPTION:

1. Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes.

2. Coordinates care in a cost efficient manner.

3. Collaborates effectively with other members of IDT.

4. Utilizes nursing process and current standards of nursing practice in providing hospice care.

5. Remains competent on technical nursing skills (i.e. IVs, Gtubes, etc.)

6. Provides effective patient and family teaching.

7. Communicates with physician and CAH staff regarding changes in patient's condition.

8. Understands family dynamics and works effectively within various types of family systems.

9. Demonstrates ability to act as a team player. Provides peers with support and mentoring if appropriate.

10. Utilizes resources appropriately.

11. Demonstrates the ability to act as a patient and family advocate. Provides information to families about all available resources.

12. Accurately addresses need for additional services.

13. Performs adequate number of nursing visits necessary to provide superior hospice care under CAH standards.

14. All aspects of patient care is communicated and documented.

15. Communicates patient reports and status changes concisely and effectively.

16. Performs and documents HHA supervision every 14 days.

17. Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes.

18. Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc.

19. Performs in a professional manner at all times.

20. Manages caseload efficiently and effectively.

21. Involves Clinical Manager and Medical Director in situations appropriately.

22. Follows guidelines for weekend and evening coverage.

23. Understands how to maintain professional boundaries with patients and families.

24. Utilizes good customer service skills internally and externally.

25. Assists in orientation of new staff.

26. Pursues standards of excellence in performance as a hospice case manager.

27. Works with Clinical Manager to identify opportunities for improvement in performance and works to address them.

28. Proactive in increasing knowledge of hospice care and standards of practice.

29. Assists in hospice education in community.

30. Participates in achieving CAH goals and objectives.

31. Represents CAH and promotes hospice care in the community and other healthcare professionals.

32. Demonstrates a knowledge and understanding of what to report to the CEO or Chief Compliance Officer when concerns of corporate compliance arise.

33. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Home Health Foundation policies and procedures.

34. Practices confidentiality principles set by the agency and federal HIPAA/HITECH guidelines.

35. Participates in all mandatory in services.

36. Completes other duties as assigned.