Hospice Case Manager, RN, Home Visits

39109 Heyman HospiceCare of Floyd - Hospice

Full time

Yes

40

M- F 8am-5pm with occasional on-call.

Pay Range

$35.50 - $53.25

Major Responsibilities:

1. Professional Performance Standards

• Performs preadmit visits, admission visits, scheduled and non-scheduled routine home visits, pronouncement visits, supervises home health aides and manages patient plan of care.
• Responds to all calls, medical and emotional crises and/or patient deaths. Makes home visits to provide direct care as appropriate. Utilizes other Case Managers, Social Workers, Physicians, and Administrator for assistance as needed. Performs thorough and accurate assessments of patient physical status. Gathers relevant data on coping strategies, support system and learning needs of patient and family. Based on assessment, identifies problems that may be resolved, diminished, or prevented through nursing and/or interdisciplinary intervention.
• Creates individualized care plans based on identified problems and documents in a manner that facilitates the determination and measurement of expected outcomes.
• Derived from identified problems
• Mutually formulated with patient and family and other members of the interdisciplinary team
• Realistic in relation to patient and family current and potential capabilities and choices
• Attainable in relation to patient prognosis and resources available to patient and family
• Documents interventions on the nursing plan of care to attain identified goals. Interventions are consistent with standards of hospice nursing practice.
• Evaluates the effectiveness of interventions in relation to identified goals.
• Documents patient and family response to interventions and communicates to members of the interdisciplinary team.
• Documents and communicates to all other members of the interdisciplinary team revisions in problems, goals and interventions in the plan of care.
• Plans and documents care to carry out planned interventions. Continues to provide planned care until a reason to discontinue is documented.
• Maintains up-to-date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur.
• Accepts responsibility for coordinating physical care of patient by teaching primary caregivers, volunteers and employed caregivers how to perform tasks essential to patient care.
• Shares with primary caregivers, employed caregivers and volunteers information on disease process, symptom management and progression of disease process, symptom management and progression of disease process as appropriate.
• Assesses safety status of medical equipment and immediately reports any problems to the vendor. Provides appropriate support at the time of death.

2. Interdisciplinary Team Collaboration Standards

• Informs Social Worker of unusual or potentially problematic patient/family issues.
• Communicates with attending physician concerning changes in patient symptoms and disease progression needing interventions
• Utilizes input from primary nurse reports regarding patient plan of care.

3. Quality Standards

• Participates in performance/quality monitoring activities as assigned.
• Participates in Process Improvement activities as assigned.
• Adheres to principles of infection control in performing direct patient care.
• Demonstrates understanding of medications most commonly used in palliative care and acceptable dosage titration principles.
• Provides age-appropriate care, as evidenced by performance with applicable standards.
• Demonstrates competency in technical skills related to specialty-based populations.
• Demonstrates competency in critical thinking skills related to specialty-based populations as evidenced by:
• Completes Discipline-Specific tests with passing grades
• Completes applicable education day tests with passing grades
• Observed in the practice of patient care
• Demonstrates familiarity with and adherence to policies of the program and rules and regulations of State, Federal and Private
• Agencies which aid in determining policies.

4. Customer Satisfaction Standards

• Consistently addresses the individual needs of each patient and family.
• Assists and collaborates with co-workers as part of the team.
• Participates in community activities.
• Appropriately reports customer complaints and incidents.

5. Operational Effectiveness Standards

• Works on in-office assignments when not providing/documenting patient care.
• Uses supplies and equipment in a cost-efficient manner as needed for patients.
• Performs other related duties as assigned.
• Demonstrates efficiency in scheduling patients (when able) to minimize travel time and mileage.

Licensure, Registration, and/or Certification Required:

• Current registration to practice as a Registered Nurse or Licensed Practical Nurse in the State of Georgia
• Current valid Georgia driver’s license and ability to drive own car

Education Required:

• Graduate from an Accredited School of Registered Professional Nurses or
• Graduate of Licensed Practical Nurse Accredited Program

Experience Required:

• At least two years of varied work experience as a professional nurse, coping with patient/family emotional stress and tolerance of individual lifestyles

Physical Requirements and Working Conditions:

Full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Standing and walking for extensive periods of time. Occasionally lifts and carries weight up to 50 pounds. Ability to distinguish letters, numbers and symbols with vision
and hearing within normal range to respond to Code alerts and equipment alarms. Work-related stress due to volume and time constraints with irregular working hours.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

The Hospice Case Manager coordinates care for a defined patient population including adolescent, adult, and geriatric terminally ill patients. This includes utilization management, transitional care planning, psychosocial and functional status assessment, patient advocacy, education for the patient/family, and monitoring value indicators to demonstrate outcomes resulting from the service provided. This individual collaborates with other case managers, other health care disciplines, patient financial services, and patient reimbursement plans to provide a comprehensive assessment of a given patient’s plan of care, goal/outcome attainment, and continued care needs. He/she provides care that is in accordance with hospice interdisciplinary plan of care for each patient and consistent with policies and procedures.