Oversees and coordinates patient and family care in accordance with hospice philosophy and delivery of care. Provides skilled nursing, including intervention, documentation, supportive care and assessments for assigned patients. The RN Case Manager is a member of the Interdisciplinary Team/Group (IDT/IDG).
Reports to the Clinical Manager or Director of Clinical Services
Develops and oversees the care plan with patient and family/caregiver, primary physician and members of the IDT/IDG. Reviews and evaluates the patient’s Plan of Care (POC) in IDT/IDG meetings on a regularly scheduled basis. Approaches patient and family care in a holistic manner.
Coordinates patient care with the physician, NP and all members of the Interdisciplinary Team through ongoing communication and appraisal of patient’s changing condition. Refers to appropriate team member for assistance as needed.
Ensures the educational needs of the patient and family/caregiver are met in order to promote optimal care.
Provides continuous assessment and monitoring of the physical, emotional and spiritual needs of the patient.
Performs complex telephone interviews and triages as appropriate.
Evaluates the appropriate time to coordinate transfer of patient from home hospice to inpatient care.
Supervises Certified Nurse Aides (CNA); delegates specific tasks per agency policy.
Participates in related services, such as community education, team training, staff/board committees and orientation of employees.
Other duties and responsibilities as assigned.
Minimum Education: Graduate of an accredited school of nursing; BSN preferred.
Minimum Experience: One-Two (1-2) years of experience in hospice/palliative care, medical surgical, public health, oncology, acute care or home health.
Required License: Current Colorado RN license. Valid Colorado state driver’s license and proof of auto insurance.
CPR certification (Pathways, The Denver Hospice and Pikes Peak affiliates)
Ability to lift/push/pull minimum of 50 lbs
Lifts/positions/ and/or transfers patients
Prolonged, extensive or considerable standing/walking/sitting
Manual dexterity and mobility
Visual and auditory acuity
May be exposed to infections and contagious diseases
Regularly exposed to risk of blood borne diseases
Occasional exposure to radiation hazards
Occasional exposure to unpleasant patient or unit elements (sound, odor, sight, behavior)
May perform emergency care
Exposure to variety of electro-mechanical hazards
Subject to varying and unpredictable situations
Able to maintain job performance in emergency or crisis situation