RN Case Manager

Jacksonville, FL 32224

Under the direction of the Manager, this position is responsible for the planning and the management of the nursing care of the assigned caseload of patients in home or long term care in collaboration with the interdisciplinary team.

All employees assigned this job title must flex their work location within and between all Community Hospice and Palliative Care locations as needed.

Primary Responsibilities :

• Collaborates with the interdisciplinary team to identify and meet patient / family identified needs.
• Assesses patient / family needs using patient / family-centered, holistic approach.
• Articulates the purpose and value of the interdisciplinary team to patients and families, fellow team members and community.
• Participates in the interdisciplinary team meeting and considers the perspectives of all disciplines in the care planning process.
• Demonstrates compliance by putting regulations into context / practice.
• Participates in discussion of ethical issues and problem-solving.
• Describes the relevance of and applies group process / development to his / her interdisciplinary team
• Participates in team discussion, team meeting, collaborative practice, support, memorial and team activities.
• Participates in interdisciplinary team evaluation and identifies strategies to improve the teams work and collaboration.
• Promotes interdisciplinary care to meet identified patient / family needs.
• Assesses and identifies desired patient / family-directed goals.
• Participates in the development of the plan of care and uses it to guide interdisciplinary team work and practice.
• Provides appropriate closure with families in compliance with organizational protocols.
• Promotes patient / family centered care, advocacy and support.
• Identifies the strengths and limitations he / she brings to the team.
• Maintains and promotes healthy boundaries.
• Demonstrates understanding and support in interactions with team members.
• Utilizes collaborative team process to meet patient / family needs and effectively and efficiently applies them to care delivery.
• Seeks, provides and receives feedback without judgement.
• Summarizes relevant patient / family information in a professional, efficient manner, ensuring the inclusion of all team members and volunteers.
• Coordinates visits with team members to best meet patient / family identified needs.
• Collaborates with team members to determine a timely and effective response to urgent / changing needs.
• Summarizes key patient / family information in a manner that reflects care and collaboration with team members to implement and continually revise the plan of care.
• Is punctual, follows through and is accountable to other team members.
• Demonstrates courtesy, respect, inclusiveness and non-judgement with respect to patients / families and fellow team members.
• Assists in identifying, creating and / or teaching professional development and interdisciplinary team development activities.
• Actively develops and enhances own practice approaches through supervision, mentoring, coaching or related activities.
• Applies best practices in own discipline to care delivery and interdisciplinary team practice.
• Utilizes critical thinking.
• Articulates the value / role of team conflict and views it as opportunity to enhance team function.
• Participates in problem-solving about team function and process.
• Practices teamwork without yielding to pitfalls.
• Demonstrates awareness and adherence to Standard Precautions and Infection Control and trains patients and caregivers on same.
• Other duties as assigned.

Required Licenses / Certifications :

Education / Experience :

Any combination of education and experience of required skills and knowledge for successful performance is qualifying. Typical qualifications are equivalent to :

We are an equal opportunity employer.

We do not discriminate on the basis of race, color, religion, marital status, age, national origin, disability, pregnancy, genetic information, gender, sexual orientation, veteran status, or any other status protected under federal, state, or local law.

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