Nurse, Case Manager (Hospice)

Hospice of Santa Cruz CountyWatsonville, CA, USA

30+ days ago

Job type

Full-time

Quick Apply

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, Self-Determined 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. Occasional weekend availability required.

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 self-determination 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 after-hours 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 / Medi-Cal 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, Self-Determined 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 pharmacy-related policies & procedures

Assess patient's 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, TB status, passes OIG / GSA checks, proof of auto insurance / good driving record in a timely manner 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

Submits proof of auto insurance annually; keeps drivers license current and maintains a good driving record

Ensures TB checks are completed in a timely manner; at least annually

Requirements

Certifications, Licenses, Registrations

Require current California RN license

Valid state driver's license and liability auto insurance

Pass OIG / GSA review and all required background checks

Education / Experience

Degree in Nursing from an accredited college

2-5 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

End-of-life and pain management experience preferred

Prefer technical experience with ports, IV's, TPN, Oncology, Medsurg, ICU or Homecare and Electronic Medical Record keeping

Requires ability to effectively manage self and stress related to end-of-life / 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 highly desired

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

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Hospice Case Manager • Watsonville, CA, USA

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