Hospice Registered Nurse Case Manager

• Provides professional nursing care by utilizing all elements of nursing process.

• Assesses and evaluates patient’s status by:

A. Writing and initiating plan of care

B. Regularly re-evaluating patient and family/caregiver needs

C. Participating in revising the plan of care as necessary

• Initiates the plan of care and makes necessary revisions as patient status and needs change.

• Uses health assessment data to determine nursing diagnosis.

• Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.

• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

• Counsels the patient and family in meeting nursing and related needs.

• Provides health care instructions to the patient as appropriate per assessment and plan.

• Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

Job Title/Position: Registered Nurse

• Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload.

Communication

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

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

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

• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.

• Provides and maintains a safe environment for the patient.

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

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

• Attends interdisciplinary group meetings.

Additional Duties

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

• Ensures that arrangements for equipment and other necessary items and services are available.

• Supervises ancillary personnel and delegates responsibilities when required.

• 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.

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

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

Job Title/Position: Registered Nurse

Position qualifications

• Graduate of National League of Nursing accredited school of nursing.

• Current licensure in State.

• Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

• Management experience not required. Responsible for supervising hospice aides.