Nurse Case Manager Hospice
Nurse Case Manager Hospice
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USD 49 - 67
1 Vacancy
Job Description
Job Summary
The Nurse Case Manager (NCM) is a member of the core interdisciplinary team responsible for the care and case management of patient/families admitted to hospice service. The NCM in collaboration with pt/family physician and interdisciplinary team develops and coordinates an individualized Plan of Care (POC) that reflects pt/family goals related to Safe & Comfortable Dying SelfDetermined Life Closure and Effective Bereavement. The NCM demonstrates sensitivity and compassion for the issues involved with serving patients and families facing a terminal illness death and bereavement; clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services. The Nurse Case Manager provides direct supervision for Hospice Aides and LVNs when utilized.
Essential Responsibilities
Patient/family care
- Recognizes the patient and family as the unit of care and active members in the development of the POC
- Respects patient right to selfdetermination and acts as advocate within the context of the values and ethical standards of HSCC. Meets pt/family where they are
- Utilizes nursing process in providing primary care to pt/families
- Documents all care and care planning per agency policy
- Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC safe nursing practice and the policies and procedures of HSCC
- Assesses and monitors management of pain and symptoms in collaboration with patient/family IDG and physician to achieve maximum comfort
- Exercises good clinical judgment
- Administers medications and treatments as ordered prn
- Demonstrates the ability to articulate the parameters of hospice care and services
- Demonstrates the ability to work with pt/families under stress & in crisis
- Develops manages reviews & revises HA POC & supervises HA performance per HSCC policies & procedures
- Reviews and considers patient data gathered by LVN/HHA when developing and revising the plan of care.
- Instructs and supports pt/family unit re: symptom mgmt patient care disease process & death/dying
- Participates in providing afterhours coverage to pt/family as needed
Case Management
- Visit frequencies are appropriate to patient status
- Plans & provides care within the structure of the Conditions of Participation & the Hospice Medicare/MediCal Benefit
- Collaborates with IDG & Attending Physician to develop manage review and revise a written POC that includes identified goals interventions and outcomes that address pt/family physical psychosocial and spiritual goals related to Safe & Comfortable Dying SelfDetermined Life Closure and Effective Grieving
- Opens closes & revises POC per HSCC guidelines
- Documents all contacts/instructions/ interventions per HSCC policies & procedures
- Obtains medications medical supplies and equipment per pt need/physician order
- Demonstrates understanding of pharmacyrelated policies & procedures
- Assess patients continued appropriateness for hospice care per HSCC Recertification protocols
- Completes Recertification documentation in a timely and accurate manner
- Exercises professional management and coordinates care between and among involved parties in home SNF and RCFE setting
- Provides concise and timely on call reports
- Submits completed paperwork & time sheets within the timeframes per HSCC policies & procedures
Quality Improvement
- Meets all standards and requirements as indicated by licensing and accrediting agencies
- Submits verification of current employment related documents per HSCC policies procedures and licensing agencies
- Completes and submits all documentation in accordance with policies and procedures
- Participates in activities that affirm enhance and develop the highest quality standards for HSCC
- Participates in developing standards for quality patient care within HSCC
- Participates in Quality Assessment & Improvement activities as requested
- Verbal communication is concise organized and timely per HSCC guidelines
- Completes and submits all documentation in accordance with policies and procedures
- Submits verification of current RN License ongoing TB status/tests and passes OIG/GSA/SAM checks per HSCC policies procedures and licensing agencies
IDG Participation
- Functions as a member of the HSCC IDG maintaining open & organized communication with hospice staff volunteers and supervisor
- Functions as Nurse Case Manager for hospice pts/families in the coordination/provision of nursing services
- Participates in IDG meeting per protocol to promote problem solving care planning and learning
- Maintains open organized and timely communication with hospice staff / volunteers
- Works collaboratively with IDG to develop common goals to meet the needs of the patient and family
Special Projects
- Participates in special projects as requested
- Performs other related job duties as assigned by Supervisor
Compliance
- Ensures all HIPAA Privacy and Security Regulations Medicare Conditions of Participation and all other regulatory/compliance requirements are understood and followed
- Submits verification of current RN license
- Ensures TB/FIT checks are completed in a timely manner; at least annually
Requirements
Certifications Licenses Registrations
- Require current California RN license
- Valid state drivers license and liability auto insurance
- Pass OIG/GSA/SAM review and all required background checks
Education/Experience
- Degree in Nursing from an accredited college
- 25 years RN experience in hospice oncology medsurg ICU ER skilled nursing facilities or homecare
- 1 year minimum of Acute care experience preferred
- Previous experience working with electronic medical record charting is desirable
- Hospice and/or home health experience preferred
- Endoflife and pain management experience preferred
- Prefer technical experience with ports IVs TPN Oncology Medsurg ICU or Homecare and Electronic Medical Record keeping
- Requires ability to effectively manage self and stress related to endoflife/death and dying experiences. Experience in handling emotionally charged situations in calm respectful manner. And has strong coping skills
Skills Desired
- Previous experience working with end of life is desirable
- Bilingual in English/Spanish encouraged but not required
Physical Demands
- Sufficient dexterity to utilize electronic record keeping systems computers/keyboards and or laptops and other related equipment
- Ability to travel to patient locations; includes ability to drive negotiate stairs and walkways including uneven surfaces at private homes or facilities
- Vision ability to read manual and electronic documentation medications charts office related equipment and instructions
- Hearing ability within normal range to elicit and detect pertinent information while communicating with patients and health team
- Speech to verbally communicate to assess and impart information concerning patient status; to complete patient/family teaching and to interact with health care team
Work Environment/Environmental Condition
- Performs services in private homes and care facilities and will experience a variety of settings and situations
- Office work is performed in typical office setting
Required Experience:
Manager
Employment Type
Full-Time
