RN Case Manager; Home Care Team

The RN (Registered Nurse) Case Manager provides case management and nursing services to Hudson Valley Hospice patients and their families and to ensure that those services are consistent with the philosophy, goals, objectives and policies of the Agency. Register Nurse (RN) Case Managers work in various settings:
Nursing Homes, Home Care and In-Patient (throughout various hospitals). As an RN Case Manager, you are assigned to a specific team to work within;
Home Care, Nursing Home or In-Patient. Each RN Case Manager provides pain and symptom management, recommendations and collaborates with the other Interdisciplinary Team members.

• Perform initial and ongoing patient/family, physical, emotional, psycho-social, cultural and spiritual assessments to ensure and coordinate the delivery of comprehensive, holistic services by the Interdisciplinary Hospice Team.
• Provide palliative nursing care and symptom control in accordance with physician orders and IDG plan of care.
• Documents and enters into EMR all interventions of phone and home visits within 24 hours of the intervention. Medication changes will be entered by the end of the shift.
• Develop and prioritize the interdisciplinary care plan goals of the patient/family, hospice team and attending physician, prior to team meetings.
• Update the care plan a minimum of every 14 days.
• Document and computer entry of all interventions of phone and home visits within 24 hours of the intervention.
• Provide anticipatory guidance to the patient/family to assist in preparing for coping with events as they occur.
• Teach, supervise and counsel patients/families/care givers regarding physical care, observing return demonstration of procedures as appropriate.
• Effectively communicates patient status to family members and or caregivers.
• Revises nursing diagnosis, goals and interventions, expected outcomes, and plan of care based on assessment of data and input of patients and family members prior to the IDG meeting.
• Provide Coordinator or DPS and On Call staff report on all changes in patient/family condition and POC.
• Follows and upholds all state and federal laws and regulations outlined in the policy and procedure manuals.

• Ability to work non-judgmentally with patient/family of any culture, religion, socio-economic background or life-style.
• Can effectively communicate in English, both verbally (in person and by phone) and in writing.
• Capability to work effectively and cooperatively independently and as a team member.
• Skill to prioritize and handle multiple tasks efficiently.
• Can organize appropriately with efficient time management skills
• Bilingual is a plus!

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Work in various home environments, nursing homes or hospitals that Hudson Valley Hospice is contracted with
• Moderate/High level of possible exposure to infectious agents.
• Moderate amount of travel by car
• Moderate to high risk of exposure to unsafe environments.
• Routine duties involve potential for direct exposure to blood or body fluids.
• Valid New York State drivers license with reliable transportation.

• Graduate of an accredited nursing school.
• Two years nursing experience preferred
• One year medical-surgery experience highly preferred

Monday-Friday (8:30am-4:30pm); on call rotation (2-3 times per year on average)

FLSA: Exempt

Pay: $80, per year

Benefits: Medical, Dental, Vision, Company Matched 403b Retirement Plan, Year End Bonuses, Caseload Bonuses, Certification in Hospice and Palliative Care, Tuition Assistance and more!

Hudson Valley Hospice is an Equal Opportunity Employer.