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Registered Nurse Case Manager for Hospice Care

2 months ago


Pittsfield, Massachusetts, United States HOSPICECARE IN THE BERKSHIRES Full time
Position Overview

The HospiceCare Registered Nurse in the role of Hospital Case Manager is responsible for coordinating and overseeing hospice services within a hospital environment. This position requires a strong background in nursing, particularly with a focus on community health education and experience.

Key Responsibilities
  1. Comprehensive Assessment: Conduct initial and ongoing assessments of patients and their families to identify hospice care needs, including a thorough physical examination and medical history review.
  2. Nursing Care Delivery: Provide professional nursing care by applying all aspects of the nursing process effectively.
  3. Patient Evaluation: Regularly assess and evaluate the patient's condition by:
    1. Creating and implementing a tailored plan of care
    2. Continuously reassessing the needs of the patient and their family/caregivers
    3. Adjusting the care plan as required based on patient progress
  4. Care Plan Initiation: Launch the care plan and modify it as necessary to align with the evolving status and requirements of the patient.
  5. Nursing Diagnosis: Utilize health assessment data to establish nursing diagnoses.
  6. Goal-Oriented Care Planning: Develop a care plan that sets achievable goals based on nursing diagnoses, incorporating palliative care strategies and involving both the patient and family in the planning process.
  7. Preventive and Rehabilitative Care: Initiate appropriate nursing procedures aimed at prevention and rehabilitation, administering medications and treatments as outlined in the physician's care plan.
  8. Patient and Family Counseling: Provide guidance to patients and their families to address nursing and related needs.
  9. Health Education: Deliver healthcare instructions to patients as deemed appropriate based on assessments and care plans.
  10. Support with Daily Activities: Assist patients with daily living activities, promoting self-sufficiency and optimal comfort care.
  11. Case Management Role: Act as a Case Manager as designated by the Clinical Supervisor, taking responsibility for coordinating care for an assigned patient caseload.