Registered Nurse Case Manager for Hospice Care

1 week ago


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

The HospiceCare Registered Nurse Case Manager plays a crucial role in coordinating and overseeing hospice services within a hospital environment. This position requires a skilled nursing professional with a strong background in community health education and patient care.

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 high-quality nursing care by applying all aspects of the nursing process effectively.
  3. Patient Evaluation: Regularly assess and document the patient's condition by:
    1. Creating and implementing a personalized care plan
    2. Continuously evaluating the needs of the patient and their caregivers
    3. Adjusting the care plan as required based on patient progress
  4. Care Plan Management: Initiate and modify care plans as the patient's condition evolves.
  5. Nursing Diagnosis: Utilize health assessment data to establish nursing diagnoses.
  6. Goal-Oriented Care Planning: Develop care plans that set achievable goals, integrating palliative care strategies while involving both the patient and their family in the planning process.
  7. Preventive Care: Implement appropriate nursing interventions and administer prescribed medications and treatments as outlined in the physician's care plan.
  8. Patient and Family Counseling: Offer guidance to patients and families to address nursing and related needs.
  9. Health Education: Provide relevant health care instructions tailored to the patient's assessment and care plan.
  10. Support with Daily Activities: Assist patients with daily living activities, promoting self-sufficiency and comfort.
  11. Case Management: Act as the Case Manager when designated by the Clinical Supervisor, taking responsibility for coordinating care for an assigned group of patients.


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