Field RN Case Manager

4 days ago


Orlando, Florida, United States Hospice Of Lake & Sumter Full time


10,000 Sign on Bonus Cornerstone Hospice is seeking a professional Registered Nurse to plan, organize and direct hospice care for our patients in the Orlando. The Field RN Case Manager will build a holistic care plan from the resources of the community to meet the needs of individuals and families in Long Term Care Facilities and in their private homes. 


Schedule: Friday, Saturday, Sunday; 8a to 8p


Job Duties/Knowledge: 

Provides services requiring substantial and specialized nursing skills, in accordance with the plan of care signed by the physician. May make the initial evaluation visit to the patient. Demonstrates competency in all skills required for the agency, including, but not limited to, pain and symptom control, wound care, infusion therapy, infusion therapy device care, and aseptic technique. Evaluates, and regularly re-evaluates, the nursing needs of the patient. Initiates, develops, implements and makes necessary revisions to the patient's plan of care in collaboration with IDT. Assesses the patient's continual care needs. Addresses all problems in the plan of care or documents rationale for not doing so. Initiates diagnostic and palliative nursing procedures as appropriate to the patient's care and safety. Makes referrals to other disciplines as indicated by the patient's needs or documents rationale for not doing so. Observes signs and symptoms and reports to physician and/or other appropriate health professional as often as needed, or upon changes in the patient's condition. Teaches, supervises and counsels the patient and family regarding home nursing procedures and other care needs as appropriate to the patient's condition. Utilizes agency educational material as appropriate. Coordinates the total plan of care and maintains continuity of patient care by collaborating with other health professionals assigned to same patient. Attends weekly IDT meetings. Initiates patient care conferences for complex and/or multi-disciplinary patients whenever needed. Supervises and teaches the home health aide. Assesses the patient's needs for unskilled care at least every two weeks and revises the plan of care as appropriate. Communicates the plan of care changes to the aide and scheduler as often as necessary. Develops, prepares and maintains individualized patient care visit records that reflect the patient's plan of care with accuracy, timeliness, and according to policies. Submits accurate documentation within 24 hours of visit. Responsible for following all policies and procedures of the agency regarding service delivery documentation and care coordination. During supervisory visits exhibits full compliance and verbalizes knowledge of agency policies including, but not limited to, patient education, infection control, management of hazardous wastes and age-specific behaviors for patients. Participates in the quality improvement/compliance program for our agency. 

Qualifications: 

Valid Florida RN license. Minimum one year of clinical experience. Valid Florida driver's license and required auto liability insurance. 

Benefits Include: 

Competitive Compensation Full benefits package 403(b) plan match Generous PTO Tuition reimbursement Learning resources to be successful in your career, plus more 

Cornerstone Health Services is an Equal Opportunity Employer




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