RN Case Manager - Hospice - Per Diem - Sonoma County

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.

Provides direct patient care as defined in the State Nurse Practice Act. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan of care.

Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication - Prepares clinical notes and updates the primary physician when necessary and at least every 60 days.

Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required. Communicates with community health related persons to coordinate the care plan. 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. Instructs, supervises, and evaluates home health aide care provided every two (2) weeks. Must adhere to the company attendance and reliability guidelines.