Hospice RN Case Manager***

Usmm Houston , TX 77020

Posted 2 weeks ago

RN Case Manager

Our program ensures that our patients will spend the final days of their journey in comfort and with dignity. If you are caring, compassionate, and have a true desire to help others, becoming a member of the Comfort Hospice team may be the perfect opportunity for you.

Position Description

Essential Duties and responsibilities

  • Assess and evaluates patient needs/problems, identifies mutually agreed upon goals with patients

  • Reports patient status and need for other disciplines to agency intake coordinator, RN Manager and referring physician

  • Admit paperwork and patient care plan submitted to RN Manager within 2 days following the admit

  • Assures that all admit paperwork is completed in full at time of submission for timely data entry of IDG/POC information

  • Provides intermittent Skilled Nursing services including assessment, evaluation, procedures, teaching and training activities as outlined in the patient IDG Plan of Care

  • Provides Skilled Nursing visits according to visit schedule and notifies agency of need to alter schedule in any way

  • Submits completed skilled nursing notes; communication notes and hospice aide supervisory notes per policy

  • Submits change orders within 48 hours of occurrence

  • Submits recertification paperwork by the due date provided by the RN Manager

  • Completes communication note documenting plans for recertification were discussed and agreed upon between the physician, patient, and RN Manager

  • Completes other required documents for recertification: new Medication Profile, updates Care Plan, and updates or completes new Hospice Aide Plan of Care, if applicable

  • Performs hospice aide supervisory visit at least q 2 weeks, and annually with hospice aide present

  • Effectively communicates with all members of the healthcare team

  • Supervises the hospice aide every 14 days

  • Provides direction and instruction as it relates to provision of personal care and related support services

  • Completes documentation on hospice aide supervisory notes

  • Reports identified performance related problems; patient complaints and/or deviation from the Hospice Aide instruction sheet to the RN Manage

  • Acts as a preceptor in the orientation of new nursing staff

  • Attends staff meetings and educational in-services per agency requirements

  • Continually strives to improve nursing care by broadening knowledge through formal education, attendance at workshops, conferences and participation in professional and related organizations and individual research reading

  • Attends at least 50% of the skilled nurse in-services and meetings provided by agency

  • Is responsible for obtaining information provided at skilled nurse in-services and meetings and demonstrates appropriate follow-up related to information given at meetings and in-services

  • Participates in PI program through submission of data collection as it relates to direct patient care problems and serving on PI teams

  • Follows agency policies and procedures

  • Participates in discharge planning process

  • Documents Discharge Planning beginning with admit and documents at least 2 weeks in advance instructions given related to discharge

  • Patient Care Plan

REQUIRED Knowledge, Skills and Experience

  • Is currently a registered nurse in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC)

  • Ability to work in a field setting and exhibited ability to make sound nursing judgments

  • Ability to assess patient needs and formulate individualized patient care plans to meet those needs

  • Effective communication skills

  • Must have and maintain an automobile to be used for work

preferred Knowledge, Skills and Experience

  • One year experience as a professional nurse
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Hospice RN Case Manager***

Usmm