Registered Nurse (R.N.) Hospice Case Manager - Home Care (Full-Time, Days)
Core
Deliver comprehensive nursing care and coordinate interdisciplinary services for assigned hospice patients in home settings.
Role type
Registered Nurse Case Manager (Home Care)
Builds
Home care plans of care and coordinated patient support services
Domain
Healthcare / Hospice / Home Health
Deliverable
physical/clinical work
Required skills
Patient assessment, Plan of Care development, Interdisciplinary coordination, Supervision of LPNs/HHAs, Risk factor identification, Documentation (OASIS/HIS), Discharge planning
Preferred skills
Home health experience, Direct patient care experience
Technologies
OASIS, HIS, Electronic Health Records
Responsibilities
Assess patient and family needs to identify health problems; Develop and implement interdisciplinary Plans of Care; Coordinate care including clinically complex cases; Supervise Private Duty Nurses and home health aides; Document comprehensive assessments and care activities; Communicate patient status changes to the care team; Facilitate discharge planning; Participate in interdisciplinary team meetings and quality improvement activities.
Seniority
Entry to Mid-level, hands-on IC