Hospice RN Case Manager

Boston Services

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profile Job Location:

Hermiston, OR - USA

profile Monthly Salary: Not Disclosed
Posted on: 3 hours ago
Vacancies: 1 Vacancy

Job Summary

Assesses develops implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient and family in internal and external settings. Comprehensively assesses patients goals as well as their biophysical psychosocial environmental functional and financial status. Procures services and serves as advocate on behalf of patients and families for scarce resources. Directs families to arrange for services which require patient/family decision and participation. Acts as liaison to post-hospital care providers and community health resources. Communicates continually with patients families medical and hospital staff caregivers and post hospital resources. Facilitates or provides necessary patient and family education prior to admission during hospital stay and after discharge as indicated. Develops and maintains a positive work climate and positive working relationships with patients families medical and hospital staff post hospital care providers and community agencies. Essential Job Functions: Assessing patients healthcare needs and developing comprehensive care plans Facilitating communication between patients families and healthcare providers Coordinating transitions between care settings (hospital to home rehab long-term care) Ensuring continuity of care throughout the treatment process Evaluating medical necessity for treatments procedures and hospital stays Collaborating with insurance companies to obtain authorizations Monitoring length of stay and identifying potential discharge barriers Ensuring appropriate use of healthcare resources Advocating patients needs and preferences with the healthcare team Educating patients and families about diagnoses treatments and self-care Connecting patients with community resources and support services Addressing barriers to care (financial social logistical) Regularly reviewing and updating plans based on client progress Connecting clients with appropriate community resources Facilitating referrals to specialized services (housing healthcare legal aid) Advocating for clients with service providers and systems Representing client interests within complex service systems Ensuring clients receive entitled benefits and services Maintaining accurate and thorough case management records Documenting assessments interventions and outcomes Tracking quality metrics and patient outcomes Preparing reports for healthcare teams and administration Working with physicians therapists social workers and other healthcare team members Participating in interdisciplinary care conferences Consulting with specialists regarding complex patient needs Coordinating care plan implementation across disciplines The employee supports the hospital mission vision values policies and procedures. Agency nurses will be floated to other departments where they are qualified to perform patient care before core staff is floated. Participates in required education for DNV programs as applicable to position (reference program education curriculum). Performs other related duties as assigned. Personal Traits Qualities and Aptitudes: Presents self positively on the phone and in person. 2) Conveys empathy and compassion in conversation. 3) Relates to others in a manner which creates a sense of teamwork cooperation and confidence. 4) Works independently and completes assignments as scheduled or communicates barriers to timely completion to manager. 5) Recognizes the rights and responsibility of patient confidentiality and handles information appropriately. 6) Communicates effectively with people from a variety of socio-economic backgrounds taking their cultural and spiritual values into consideration. 7) Relates well to children adolescents adult and geriatric clients. Qualifications: Education: Required: Graduate of an accredited school of medicine social work nursing or related medical occupation. Preferred: Previous experience with coordinating community resources for post-acute hospitalization care. BSN/MSN. Licenses/ certifications/ registrations: Required: Active Oregon RN License Preferred: Case Management Certification

Shift: Day Shift

Specialty Type: Nursing

Sub Specialties: Hospice RN

General Certifications: N/A

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Assesses develops implements and monitors a comprehensive plan of care through an interdisciplinary team process in conjunction with the patient and family in internal and external settings. Comprehensively assesses patients goals as well as their biophysical psychosocial environmental functional an...
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Key Skills

  • Project Portfolio Management
  • Motivational Interviewing
  • HIPAA
  • Computer Skills
  • Intake Experience
  • Lean Six Sigma
  • Conflict Management
  • Case Management
  • Team Management
  • Program Development
  • Social Work
  • Addiction Counseling