RN Case Manager; Home Care Team

What you will do:

• 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!

• 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).

Exempt

$80,000‑90,000 per year

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