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REGISTERED NURSE CASE MANAGER


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Travel Required:Yes
Location:Pittsburgh
Position Type:Full Time
Desired Education Level:BA
Description:SUPERVISOR: DIRECTOR OF CLINICAL SERVICES

JOB SUMMARY
Provide skilled professional nursing care to patient/family/caregiver as prescribed by the physician and in compliance with all applicable laws, regulations, and company policies and procedures. Oversee and provide primary care, including clinical, palliative and symptom control care. Implement the plan of care to meet patient/family/caregiver needs, initiating appropriate interventions upon admission. Re-evaluate the patient's nursing needs to provide appropriate, comprehensive and responsive care plan interventions. Provide timely documentation of patient services based upon the plan of care. Identify other physical, psychological, social and spiritual needs for assigned patients. A professional Registered Nurse with advanced skills is employed by the Hospice for the purpose of enhancing the quality of life for terminally ill patients. Work in collaboration with the Director of Clinical Services and the interdisciplinary team in the planning, implementation and evaluation of medical and nursing care. Act as role model, providing leadership and support to the hospice staff. Work closely with other members of the interdisciplinary team to ensure all patient and family care needs are being met. Manage related expenditures in a fiscally responsible manner in accordance with the company budget, travel as necessary. 

RESPONSIBILITIES
  1. Seek and obtain sufficient information necessary to function effectively in the setting where the patient/family/caregiver require care. 
  2. Conduct initial nursing assessment, including physical and psychosocial aspects of patient/family/caregiver in a thorough, accurate, compassionate and timely fashion.
  3. Utilize own special knowledge to provide leadership and guidance to the care team in developing an individualized plan of care to include problem identification, interventions and goals for palliative comfort. 
  4. Contribute to identifying both active and potential needs of the patient/family/caregiver which may affect the plan of care. 
  5. Consistently collaborate with the physician to plan and implement the medical and nursing plan of care. 
  6. Review the plan of care with the interdisciplinary team, communicating in writing in the chart and verbally with the team to coordinate interventions. 
  7. Facilitate and participate in the care conferences and contribute to the patient care planning. 
  8. Facilitate implementation of the care plan interventions and provide direct patient care as necessary. 
  9. Provide continuous assessment of assigned patients, interpret findings, initiate appropriate therapeutic actions and evaluate the results of these actions. 
  10. Perform within the limits of preparation, training and experience. 
  11. Work in cooperation with the patient/family/caregiver and the interdisciplinary team to meet their emotional needs. 
  12. Teaching and education of patient/family/caregiver to promote continuity of care and optimal outcome for quality death as defined by the patient/family/caregiver. 
  13. Demonstrates expertise in utilization of team members including volunteers and community resources. 
  14. Assists in the investigation and resolution of quality issues in conjunction with the Total Quality Assurance committee. 
  15. Fulfill productivity requirements on an average daily census basis as determined by the acuity level. 
  16. Complete and maintain all patient records at patient's residence, maintain chart and submit accurate and relevant notes regarding patient's condition and care given. 
  17. Act as a mentor to staff development, including participation in the orientation of new personnel and assist with field training as needed. 
  18. Facilitate development of teaching aids to promote learning by fellow staff members, patient/family/caregiver, and community resources including evaluation of effectiveness of educational experiences.
  19. Coordinate staffing frequencies according to patient need, review weekly and adjust accordingly. 
  20. Ensure adequate and appropriate inventory of supplies and equipment, manage caseload and deliver care in a cost-effective manner that demonstrates an understanding of hospice reimbursement methodologies.
  21. Perform periodic employee evaluation in an objective and constructive manner, provide constructive feedback to employee, maintain confidentiality in matters relating to coworkers. 
  22. Function with little to no supervision, utilizing time constructively and organizing assignments for maximum productivity.
  23. Communicate clearly and appropriately to patient/family/caregiver, physicians, nursing facility staff and other referral sources, relating all pertinent information in written and verbal forms. Maintain open communication with supervisory personnel.
  24. Participate in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
  25. Maintain clinical records, statistics, reports and records for reporting and evaluating purposes in compliance with local, state and federal laws. 
  26. Participate in staff meetings, department meetings, team meetings, briefings, in-services, committees and other related activities as needed. 
  27. Assure compliance with local, state and federal laws, Medicare regulations and established company policies and procedures. 
  28. Meet or exceed delivery of company service standards in a consistent manner. 
  29. Conduct all business activities in a professional and ethical manner. 
  30. Maintain all appropriate state nursing licensing requirements. 

These statements are representative of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform related tasks other than those stated in this description.

WORKING CONDITIONS
General office, extended care facility, patient home setting, exposure to infectious diseases, travel by automobile and occasionally by airplane.
Requirements:
  1. RN licensed in the state. 
  2. Bachelor's Degree and A.C.R.N.H. certification preferred. 
  3. Minimum of one year of nursing experience. Hospice, home health, skilled nursing facility or medical, surgical, or critical care experience and experience with pain and symptom management interventions preferred. 
  4. Understanding of hospice philosophy and needs of the terminally ill. 
  5. Compliance with accepted professional standards and practices. 
  6. Physical exam in accordance with state law requirements. 
  7. Ability to work in an interdisciplinary setting. 
  8. Satisfactory references from employers and/or professional peers. 
  9. Satisfactory criminal background check.
  10. Presentation of negative TB skin test and/or CXR and other tests as required by hospice and/or state law. 
  11. Valid driver's license and an automobile that is insured is accordance with state law and is in good working order. 
  12. Demonstrate excellent observation, good nursing judgment and communication skills. Ability to provide good written documentation in a timely manner. 
  13. Self-directed with the ability to work with little supervision. 
  14. Flexible and cooperative in fulfilling all obligations. 

PHYSICAL DEMANDS
While performing the duties of this job, the employee is regularly required to sit, stand, walk, reach with hands and arms, twist and occasionally stoop, kneel, crouch or crawl. Regularly required to use hands to fingers, to handle or feel, and talk or hear. Specific vision abilities include close, peripheral, depth perception, and ability to adjust focus. Must be able to travel to businesses, offices or patient homes or where conditions may be adverse due to weather or environment. 

CONTINUING EDUCATION REQUIREMENTS
Employee is expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, employee is expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. Employee must attend mandatory education programs.
 

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