Hospice Partners of America RN Case Manager in Richmond, Virginia

Job Description

The Registered Nurse Case Manager serves as a member of the interdisciplinary care team. The RN Case Manager participates in the development and coordinates the implementation of the interdisciplinary plan of care. The RN Case Manager plans, organizes, and provides nursing care to the terminally ill and their families.

Provides skilled nursing patient care or service within the established plan of care. Coordinates all services relative to providing skilled nursing care. Demonstrates exceptional service to patients, families, referral sources, co-workers and other customers. Assists team members as needed to ensure that this level of service is consistently provided. Assesses patient physical, psychological, social, and environmental status; identifies problems and appropriate interventions and initiates the Plan of Care based on these findings. Includes the patient and family in the planning process.

Reports pertinent observations and reactions regarding changes in patient status; identifies problems and appropriate interventions and updates the Plan of Care based on these findings. Communicates with the Clinical Team Lead and physician regarding observations and recommended interventions. 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. Ensures that arrangements for equipment and other necessary items and services are provided timely. Assists the patient and family/caregiver and other team members in providing continuity of care, emotional, spiritual and psychosocial support. Completes all documentation in a concise, accurate and timely manner. Provides written instructions to home health aides for patient care consistent with the established plan of care. Supervises home health aides on a routine basis to ensure adherence to the plan of care. Updates the home health aide plan of care as indicated. Provides LPN/LVN supervision as directed by the Clinical Team Lead. Attends interdisciplinary group meetings. Participates in on-call rotation as assigned by the Clinical Team Lead. Maintains patient confidentiality at all times. Takes part in timely and appropriate discharge planning when indicated by the patient’s plan of care. Actively participates in quality assessment performance improvement teams and activities as assigned.

Required Skills

Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist. Shows ability to organize and prioritize workload independently. Maintains a current CPR certification. Must be a licensed driver with reliable transportation that is insured in accordance with state and/or organization requirements and is in good working order. Registered nurse with current licensure to practice professional nursing in the state.

Required Experience

Prior home health or hospice experience or (1) year of recent medical/surgical experience strongly preferred.

Tracking Code: 528-086

Job Location: Richmond, Virginia, United States

Position Type: Full-Time/Regular