Hospice RN Case Manager- Jackson MS

Jackson, MS Full-time

RN Case Manager - Field Nurse

 

Job Description Summary

The Registered Nurse Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.  The registered nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families in their home setting.

Job Responsibilities

  • Evaluates and performs an initial comprehensive and ongoing assessment of patient and family to determine hospice needs when assigned.
  • Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions to maintain the highest level of comfort and quality of life including the patient and the family in the planning process.
  • Regularly re-evaluates patient and family/caregiver needs collaborating with the interdisciplinary team and revising the plan of care as necessary.
  • Administers medications and treatments as prescribed by the physician according to the plan of care.
  • Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers.
  • Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
  • Ensures that arrangements for equipment and other necessary items and services 
    are available.
  • Teaches the patient and family/caregiver self-care techniques as appropriate.
  • Assesses home care needs and maintains a safe environment for the patient.
  • Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition.
  • Communicates with community resources and vendors to coordinate the care plan to meet the patients’ needs.
  • Maintains compliance by completing, maintaining and submitting accurate data including ongoing assessments and relevant clinical notes regarding patient’s condition and care given in the electronic medical records system.
  • Records pain and symptom management changes/outcomes as appropriate.
  • Uses equipment and supplies efficiently and in a cost effective manner to support the organizations financial performance.
  • Acts as Case Manager when assigned and assumes responsibility to coordinate patient care for assigned caseload.
  • Acts as a liaison between the patient and family/caregiver and other team members in providing continuity of care.
  • Attends and participates in weekly interdisciplinary group meetings.
  • Participates in the agency’s on-call rotation as scheduled to provide nursing care to patients outside office hours.
  • Maintains professional knowledge and practice skills participating in continuing education and in-services.

Heart of Hospice is an Equal Opportunity Employer.