Hospice Registered Nurse Case Manager

apartment Affinity Care of Ohio location_onColumbiana, OH 44408, US

JOB DESCRIPTION SUMMARY

The MSW is responsible for the implementation of standards of care for medical social work services provided to hospice patients and their families. Medical Social Workers are core members of the Interdisciplinary Group and provide psychosocial support to the patient/family unit based on the initial and ongoing assessment of needs and identified goals, interventions and services indicated. Services are provided in accordance with the established plan of care and utilize professional training and judgment in monitoring the psychosocial process.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Assesses the psychosocial status of patients and families/caregivers related to the patient's terminal illness and environment and communicates findings to the registered nurse and other members of the interdisciplinary group. Provides an assessment in the patient's identified residence and assistance when this is not safe and another plan is required.

2. Carries out social evaluations, including family dynamics, caregiver abilities, communication patterns, high-risks for suicide, neglect or abuse and plans intervention based on evaluation findings. Counsels patient and family/caregivers as needed in relationship to stress, and other identified coping difficulties. Provides crisis intervention when necessary.

3. Assesses for, and educates interdisciplinary group, on any special needs related to the culture of the patient and family. Includes communication, role of family, space, and any special traditions or taboos.

4. Educates patients and families on, and assists in, preparation of advanced directives.

5. Participates in the development of the individualized plan of care, involving the patient and family, and attends regularly scheduled interdisciplinary group meetings, assisting the team in recognizing the effects of the psychosocial stresses on the symptoms of the terminal illness.

6. Assists physician and other team members in understanding significant social and emotional factors related to health problems and death/dying issues.

7. Assists family and patient in planning for funeral arrangements, financial, legal, and health care decision responsibilities. Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records changes/outcomes as appropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3. Communicates with community health related persons to coordinate the care plan.

4. Provides information and referral services for organization patients and families/caregivers regarding practical and environmental needs.

5. Provides information to patients and families/caregivers and community agencies.

6. Serves as liaison between patients and families/caregivers and community agencies.

7. Maintains collaborative relationships with organization personnel to support patient care.

8. Maintains and develops contracts with public and private agencies as resources for patient and personnel.

9. As a mandatory reporter, reports failure to comply with the requirements of chapters 246- 335 WAC and 70.127 RCW to the Washington Dept. of Health as required within 14 calendar days, using Dept. of Health forms.

10. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of RCW 74.34.020 or 26.44.030 to the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.

11. Teaches the patient and family/caregiver coping techniques as appropriate. Works in concert with the interdisciplinary group.

12. Provides and maintains a safe environment for the patient.

13. Assists the patient and family/caregiver and other team members in providing continuity of care.

14. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.

15. Attends interdisciplinary group meetings.

Additional Duties

1. Participates in on-call duties as defined by the on-call policy.

2. Assists and supports the RN Case Manager to ensure that arrangements for equipment and other necessary items and services are available.

3. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes.

4. Fulfills the obligation of requested and/or accepted case assignments.

5. Actively participates in quality assessment performance improvement teams and activities

6. Other duties as delegated.

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

POSITION QUALIFICATIONS

1. A graduate of a Master’s program in Social Work (MSW) from a school accredited by the Council on Social Work Education

2. Minimum of one (1) year experience in health care, hospice experience preferred. Understands hospice philosophy, and issues of death/dying.

3. Experience in hospice care preferred.

4. Demonstrates good verbal and written communication, and organization skills.

5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation.

6. Prolonged or considerable walking or standing. Visual acuity and hearing to perform required social work skills.

7. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

8. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

9. Must be Covid-19 Vaccinated

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Licensing/Certification Current RN license in state they are working or covered by compact (preferred) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care) ACLS Advanced Cardiac Life Support (preferred) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) National Institute of Health (NIH) Stroke Certification (preferred) Education Bachelor of Science Nursing (preferred) Training EPIC Electronic Health Record (EHR) training (preferred) Critical Care Course (preferred) Skills • Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff. • Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. • Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission. • Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. • Safely and efficiently develops, implements, and prioritizes plan of care. • Application of the nursing process in patient care delivery. • Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. • Assists patient and family in coping with patient's illness. • Collaborates with others in the delivery of coordinated patient care. • Strong interpersonal and verbal/written communication skills. • Applies cultural diversity and inclusion principles when caring for patients and their support resources. • Recognizes own limitations and seeks assistance and acquires information to perform safely. • Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops. • Exhibits professionalism through accountability for own and delegated actions. • Integrates cost-effective measures into practice and models effective stewardship of available resources. • Practices self-care and cultivates resilience in conflict and difficult circumstances. • Protects the safety and privacy of all persons. • Understanding and utilization of office and clinical technologies. • Ability to communicate with patients in a manner they can understand considering their personal preferences. • Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence. • Remains calm, adaptive, and collective during an emergency. • Manages care of patients with chest tubes. • Assesses patients through hemodynamic monitoring. • Inserts and monitors transvenous pacing/temporary pacing. • Administers means for conscious sedation. • Knowledge of advanced respiratory modalities. Working Conditions Periods of high stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periods of constant interruptions * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adults (18-64 years) Geriatrics (65 years and older) Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Progressive Care Unit (PCU) - St. Joseph - Intermediate Care Unit 1 It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .