Hospice RN Case Manager

POSITION DATA

Position Title:

RN Case Manager

Benefit Eligible:

Yes

Reports to Position:

Clinical Coordinator

FLSA Status:

Exempt

Department:

Nursing/ Clinical Services

Employee Type:

Full-Time

FTE:

100%

EEO Category:

Professional

Supervisory Position:

No

OSHA Exposure Category:

III High Exposure Risk

PPE Required:

Yes

POSITON SUMMARY

The RN Case Manager is responsible as a memeber of the IDT to the Clinical Coordinator and the attending physician for the provision of skilled nursing assessment, planning, and care in order to maximize the comfort and health of patients and families consistent with Hospice of Acadiana, inc.'s policies and procedures, as well as, Louisiana State Board of Nursing standards.

PRIMARY JOB RESPONSIBILITIES

Patient Care

• Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).
• Provides professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patient's status by:
  • Writing and initiating plan of care.
  • Regularly re-evaluating patient and family/caregiver needs.
  • Participating in revising the plan of care as necessary.
• Uses health assessment data to determine nursing diagnosis.
• Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative
• nursing actions. Includes the patient and the family in the planning process.
• Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and
• treatments as prescribed by the physician in the physician's plan of care.
• Counsels the patient and family in meeting nursing and related needs.
• Provides health care instructions to the patient as appropriate per assessment and plan.
• Assists the patient with the activities of daily living and facilitates the patient's efforts toward selfsufficiency and optional comfort care.
• Acts as Case Manager when assigned by Clinical Coordinator and assumes responsibility to coordinate patient care for assigned caseload.

Communication

• Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate.
• Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required.
• Communicates with community health related persons to coordinate the care plan.
• Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family/caregiver and other team members in providing continuity of care.
• Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.
• Attends interdisciplinary team meetings.

Additional Duties

• Participates in on-call duties as defined by the on-call policy when required.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Supervises ancillary personnel and delegates responsibilities when required.
• Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
• Fulfills the obligation of requested and/or accepted case assignments.
• Actively participates in quality assessment performance improvement teams and activities.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by the incumbent of this position. The incumbent may be requested to perform job-related tasks or special projects, other than those stated in this description, by supervisors/Leadership Team.

MINIMUM QUALIFICATIONS

Education:

Conferred graduate of an accredited nursing school.

Specific Degree:

Nursing

Experience:

Two (2) years of experience as a registered nurse.

Licensure:

Valid Louisiana Registered Nurse

Valid Louisiana Driver's License

Certification(s):

Valid BLS CPR Certification

Other:

Valid automobile liability coverage (personal vehicle)

PREFERRED QUALIFICATIONS

Experience:

Hospice experience preferred.

COMPETENCIES

• Advanced - Ability to assess and respond to the needs of patients and families in varied settings
• Advanced - Skills in nursing practice, ability to cope with family emotional stress , and tolerance of individual lifestyles
• Advanced - Auditory and written communication skills
• Proficient - Knowledge and operation of Microsoft Office software, as well as, EMR systems
• Proficient - Knowledge of end-of-life process

PHYSICAL DEMANDS

N/A (not applicable)

Activity is not required for this position

O (occasionally)

Position requires this activity up to 2.5 hours per day

F (frequently)

Position requires this activity 2.5 5.5 hours per day

C (constantly)

Position requires this activity more than 5.5 hours per day

Sitting

F

Repetitive Motions (right foot)

F

Standing

F

Repetitive Motions (left foot)

F

Walking

F

Repetitive Motions (right hand)

F

Squatting

O

Repetitive Motions (left hand)

F

Bending

F

Repetitive Grasping (right hand)

O

Kneeling

O

Repetitive Grasping (left hand)

O

Climbing

O

Repetitive Turning (right hand)

O

Twisting

F

Repetitive Turning (left hand)

O

Crawling

N/A

Repetitive Fine Manipulation (right hand)

O

Reaching

F

Repetitive Fine Manipulation (left hand)

O

Clear Vision (night)

O

Repetitive Speed Work (right hand)

O

Push/ Pull 00-10 lbs.

F

Repetitive Speed Work (left hand)

O

Push/ Pull 11-24 lbs.

F

Lift/ Carry 00-10 lbs.

F

Push/ Pull 25-34 lbs.

O

Lift/ Carry 11-14 lbs.

F

Push/ Pull 35-50 lbs.

N/A

Lift/ Carry 25-34 lbs.

O

Push/ Pull 51-74 lbs.

N/A

Lift/ Carry 35-50 lbs.

N/A

Push/ Pull 75-100 lbs.

N/A

Lift/ Carry 51-74 lbs.

N/A

Push/ Pull 100+ lbs.

N/A

Lift/ Carry 75-100 lbs.

N/A

ADDITIONAL INFORMATION

ENVIRONMENTAL CONDITIONS: Employee may be exposed to extremes of heat and cold in all weather conditions. Employees may also be exposed to dust, fumes or gases. Must drive in various weather conditions on roads in varying degrees of repair.

WORKING CONDITIONS: Employee may be exposed to infections/contagious diseases. May have contact with patients under a variety of circumstances. May be near moving equipment.

VEHICLE OPERATION: Staff may be required to operate a personal vehicle in the performance of their duties with Hospice of Acadiana, Inc. All staff operating a personal vehicle in the performance of their duties must provide proof of and maintain auto insurance and a valid, unencumbered driver’s license.

PRE-EMPLOYMENT CONTINGENCIES: All offers of employment with Hospice of Acadiana, Inc., are contingent upon receipt a satisfactory criminal background check result, a satisfactory drug and alcohol screen result, a national sex offender registry check, and verification allowable participation in Medicare, Medicaid, and all other Federal health care programs. Some positions may also require a satisfactory physical examination prior to hire and/ or proof of an unencumbered driver’s license.

COVID-19: All Hospice of Acadiana, Inc. employees are required to be fully vaccinated against COVID-19. New hires that are not vaccinated will be required to have completed the primary series of vaccination within 30 days of hire, unless that new hire has met the medical or religious exemption outlined in federal, state or local laws.

PRE-EXISTING CONDITION DISCLOSURE: All Hospice of Acadiana, Inc. employees are required to disclose any pre-existing medical conditions or disabilities post-hire and once annually.

TUBERCULIN SCREENING: All Hospice of Acadiana, Inc. employees are required to have documented evidence of a tuberculin (PPD) blood or skin screening prior to patient contact. Screenings will be conducted annually.