RN CASE MANAGER

4 weeks ago

Fergus Falls MN USA, United States Knute Nelson Full time
Schedule: Full-time | 80 hours per pay period | Monday-Friday | 8 am - 4:30 pm | Call Requirement potentially every 6th weekend

Scope:

  • Provide clinical care and case management for the hospice patient and family.
  • Provide supervision and oversight of the Hospice Aide.
  • Frequently communicate with the patient's physician, the IDG, and the patient/family regarding the patient plan of care, pain/symptom management, and any concerns or issues as they arise.
  • Participate in and drive the individualized plan of care, in collaboration with the patient/family and IDG, while supporting and maintaining safety and quality in accordance with current federal, state, and organization regulations and policies.

Key Responsibilities:

  • Provide Case Management for Hospice Patients - Able to perform all visit types and functions, including but not limited to admissions, routine/PRN visits, re-certifications, discharges and deaths. Performs accurate and comprehensive assessments completed at the time of the visit, with documentation completed in the home. Assist the patient and family in creating an individualized plan of care to best meet their individual goals. Perform all patient care responsibilities considering needs specific to the patient/family's age, and cultural/spiritual practices. Demonstrates knowledge of comfort medications, and hospice standing orders and their administration and indication. Utilize appropriate pain and symptom management techniques. Provide clinical education and ongoing support to the patient and family/caregiver. Supervise the hospice aide at least every 14 days. Actively participates in the bereavement plan for all families. Attends hospice community events as able. The Hospice RN Case Manager is on-call and responsible for providing emergency coverage on weekends, evenings, and holidays.
  • Active Member of the IDG - Communication and collaborate on a continuous basis with all applicable members of the patients care team and the interdisciplinary team. Refer patients' needs appropriately to ancillary services available. Initiate and participate in care conferences to discuss multidisciplinary team responsibilities, the patient's plan of care, pain management, bereavement counseling, new problems, goals of care, etc. Ensure IDG notes and updates are completed in a timely manner, and meeting updates are concise and include relevant nursing eligibility data.
  • Accountability/Leadership - Practices accountability to daily work tasks, expectations and team norms. Identifies what needs to be done and proactively takes action to accomplish objectives and achieve company goals and priorities. Creates a positive culture and working environment within the organization. Inspires, motivates, encourages and guides others toward goal accomplishment. Demonstrates and fosters a sense of team spirit, pride, trust, and commitment.
  • Other Duties as Assigned - The duties and responsibilities listed above are representative of the nature and level of work assigned and are not necessarily all inclusive.

Education and Experience Required:

  • Current Registered Nurse licensure in the state of Minnesota.
  • Current BCLS certification.
  • Must have a car with required insurance coverage and a state driver's license to travel to clients' residences.
  • Must have adequate computer skills.
  • Must complete and pass a state required background study.
  • Able to communicate verbally and in writing to the extent required by the position.
  • Able to physically perform the duties required by the position.
  • Required to have the ability to read, write and speak English well enough to communicate with staff, clients and visitors.

Reports To: Regional Clinical Manager

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