Nurse, Case Manager (Hospice)

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

Quality Improvement

IDG Participation

Special Projects

Compliance

Requirements

Certifications, Licenses, Registrations

Education / Experience

Skills Desired

Physical Demands

Work Environment / Environmental Condition

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