Hospice RN Case Manager

Registered Nurse

REPORTS TO: Director of Nursing

DEPARTMENT: Clinical

I. JOB SUMMARY

The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.

II. DUTIES & RESPONSIBILITIES

Patient Care

1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Provides professional nursing care by utilizing all elements of nursing process.

3. Assesses and evaluates patient’s status by:

A. Writing and initiating plan of care

B. Regularly re-evaluating patient and family/caregiver needs

C. Participating in revising the plan of care as necessary

4. Uses health assessment data to determine nursing diagnosis.

5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.

6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.

7. Counsels the patient and family in meeting nursing and related needs.

8. Provides health care instructions to the patient as appropriate per assessment and plan.

9. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.

10. Acts as Case Manager and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.

2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.

3. Communicates with community health related persons to coordinate the care plan.

4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.

5. Provides and maintains a safe environment for the patient.

6. Assists the patient and family/caregiver and other team members in providing continuity of care.

7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.

8. Attends interdisciplinary group meetings.

Additional Duties

11. Participates in on-call duties as defined by the on-call policy.

12. Ensures that arrangements for equipment and other necessary items and services are available.

13. Supervises ancillary personnel and delegates responsibilities when required.

14. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.

15. Fulfills the obligation of requested and/or accepted case assignments.

16. Actively participates in quality assessment performance improvement teams and activities.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

III. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

1. Graduate of National League for Nursing accredited school of nursing.

2. Minimum of two years of experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred.

3. Management experience not required. Responsible for supervising hospice aides.

4. Registered nurse with current licensure to practice professional nursing in the state.

5. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist.

6. Shows ability to organize and prioritize workload independently.

7. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.

8. Maintains a current CPR certification.

9. The ability to drive and/or have access to transportation for agency related travel (e.g. community partners, patients, etc.) is an essential function of the job. Must have and maintain a valid driver’s license, maintain automobile insurance coverage and have access to an automobile.

10. Self-directed and able to work with minimal supervision.

WORKING ENVIRONMENT (check all that apply) 

Blood & Bodily Fluids 

Latex 

Odors, Chemicals 

Disease 

Hazardous Drugs 

Other: 

TB (to require mask) 

Mechanical/Electrical 

Other: 

PHYSICAL REQUIREMENTS 

Please complete based on a normal day’s work. Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis. 

Classification 

Max 

Frequent 

Occasional 

This Job 

Sedentary 

10 lbs 

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Light 

25 lbs 

10 lbs 

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Medium 

50 lbs 

25 lbs 

10 lbs 

Heavy 

100 lbs 

50 lbs 

20 lbs 

Very Heavy 

> 100 lbs 

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Frequent 

> 50% of day 

Occasional 

20% -50%of day 

Limited 

Up to 20% of day 

Sitting 

Twisting/turning from waist 

Standing 

Climbing 

Crawling 

Left/right foot movement 

Walking 

Bending 

Kneeling 

Squatting 

Push/Pull objects  

Reaching above shoulder level 

Reaching below shoulder level 

Handing (holding, grasping, working with hands) 

Repetitive movement of the hand (includes typing and ten-key use) 

Check if Appropriate 

Senses needed to perform essential functions of the position: Hearing, talking, depth perception, color, vision, touch and smell. 

Maintain a stable posture and gait with hands free to perform anticipated or routine and emergent patient care. 

Endurance (cardiovascular fitness) 

Physically and mentally able to work extended hours when necessary 

ACKNOWLEDGEMENT  

I have read this job description and fully understand the requirements and notices set forth therein.  I hereby accept the position and agree to perform the identified essential functions in a safe manner and in accordance with the Company’s established policies and procedures.  I agree to request guidance from my Supervisor in the event that I am unsure of how to interpret any policy. 

I further understand that my employment is at-will and thereby understand that my employment may be terminated at-will either by the Company or myself, and that such termination can be made with or without notice. 

This position consistently supports and promotes compliance with the Code of Conduct by maintaining the privacy and confidentiality of information, protecting the assets of the agency, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal, State, and local laws and regulations, accreditation and licensure requirements (if applicable), and all policies and procedures. 

_______________________              _____________________________________ 

Date                                                    Employee’s Signature