Registered Nurse Case Manager

Job Description

Job Description

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At Community Hospice & Health Services and its affiliates, Community Hospice & Health Services Foundation, and CHI Management, Inc. (herein referred to collectively as “CHHS”) you will find a family-based and compassionate work environment. Our goal is to provide a wonderful work experience that allows our employees to thrive by feeling engaged and fulfilled each day. CHHS is the largest and oldest nonprofit hospice, palliative care, and support services provider in the Central Valley.

We are proud to indicate that CHHS has been supporting and providing compassionate and quality services to our community since 1979. Our mission is to embrace individuals and families facing life-changing journeys, enhancing quality of life for all. CHHS is accredited by Community Health Accredited Program (CHAP).

SUMMARY : As a member of the interdisciplinary team, the RN Case Manager (RNCM) works under the general direction of the Patient Care Manager (PCM). The RNCM provides skilled nursing assessment, care planning, and interventions in accordance with plan of care and Community Hospice & Health Services (CHHS) policies and procedures in order to maximize the comfort and quality of life of hospice patients and families. The RNCM coordinates communication between members of the Interdisciplinary Team, including patient / family and attending physician.

RESPONSIBILITIES :

• Admissions of new patients, which includes assessment, planning, implementation, and evaluation phases of the nursing process, evaluations of patient appropriateness for hospice services, and consultations to explain hospice services, as requested by the Patient Care Manager.
• Perform scheduled home visits to assess needs; teach caregivers pain management, symptom control and patient care skills; and provide physical, emotional and spiritual support to the patient / family.
• Maintain regular communication with interdisciplinary team regarding patient status or any unusual or problematic patient / family issues.
• Initiate communication with attending physicians and other team members and other community agencies as needed to coordinate plan of care and use of resources for patient / family.
• Maintain up-to-date patient records so that problems, goals, and interventions are accurately and clearly documented and changes in the plan of care are reflected as they occur.
• Attend regularly scheduled Interdisciplinary Team Meetings to review patient / family needs, problem solve and cover unique issues, share professional support and exchange feedback aimed toward enhancing professional growth.
• Accept responsibility for coordinating physical care of the patient, including Home Health Aide and Licensed Vocational Nurse assignment and supervision, teaching primary caregivers and employed caregivers, teaching facility staff, or by providing direct care as appropriate.
• Assure continuity of care for patient in all settings.
• Share in providing 24-hour, 7-day week and holiday coverage to patient / families.
• Attend death events and provide appropriate support at time of death.
• Participate in Community Hospice & Health Services education of students and community healthcare professionals and participate in the orientation of new employees.
• Participate in agency Quality Improvement process to improve level of services provided to Community Hospice & Health Services patients and families.
• Participate in in-services, workshops, and clinical meetings to promote professional growth and understanding of hospice care.
• Follow all Community Hospice & Health Services policies and procedures including, but not limited to, safety, infection control, privacy and confidentiality, and HIPAA.
• Must maintain RN license in accordance with federal, state and local laws, and must act only within the scope of his or her state license. All personnel qualifications must be kept current at all times.

OTHER FUNCTIONS :

SUCCESS FACTORS :

QUALIFICATIONS :

WORK ENVIRONMENT : The main environment for this position is in the patients' homes, which vary in levels of cleanliness, accessibility, and climate control. The employee may be exposed to virus, disease and infection from patients. The employee may experience situations, with emotionally disturbed, substance abuse, serious illness, and deceased patients. While performing the duties of this position, the employee will travel by automobile and is exposed to changing weather conditions.

Company Description

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Company Description

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