RN Case Manager

Hospice of San Joaquin is the oldest not-for-profit hospice of over 45 years. We serve all of San Joaquin and Stanislaus Counties. We are committed to continuing to be the leader in ensuring the quality of the journey, from a serious illness through the end of life, and to honor our mission by honoring life by ensuring patients and their Caregivers are the focus of everything we do. We are seeking a Dynamic, self-motivated RN Case Manager - Palliative/Hospice Care, who thrives in a fast-paced environment and supports our mission.

Sign-On Bonus:

***$1,000.00 for Registered Nurse paid out in 2 equal payments over 12 months***

POSITION PURPOSE/SUMMARY:
Provides skilled nursing assessments, planning, and care in compliance with the interdisciplinary team plan of care, under the supervision of the Director of Palliative Care and the direction of the physician according to the policies and procedures of Hospice of San Joaquin and the Palliative
Care program.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Provides Palliative education/information, emotional support, and community resource information to program participants who have to advance chronic or life-limiting illness via telephone communication and/or perform home/facility visits.
2. Using clinical assessment skills completes the initial nursing assessment; and identifies the physical, emotional, physiological, spiritual, and practical needs of the patient and family.
3. Develops treatment plans based on identified needs, plans reflect a problem-solving approach; defined outcomes are measurable
4. Utilizes Hospice of San Joaquin electronic medical records systems for patient documentation, and maintains up-to-date patient records.
5. Maintains up-to-date patient records so that problems, plans, actions, and goals are accurately and clearly stated and kept in accordance with Medicare, medical, State home health agency, and JCAHO standards.
6. On an ongoing basis, use clinical assessment skills specific to the Palliative Care patient population to update the plan of care and to give suggestions to the IDT for action and follow-up by various team members.
7. Interventions reflect an advanced level of nursing practice and commitment to the execution of the IDT plan of care.
8. Ensures HIPPA compliance.
9. Provide referral outcome information to the managing physician.
10. Provide educational and informational visits to referral sources/agencies.
11. Maintains a professional appearance of self and work area; exhibits appropriate behavior with customers/participants and staff, i.e. respectful, courteous, supportive, and professional at all times.
12. Uses assessment skills to identify the physical, emotional, spiritual, physiological, and practical needs of patients and families.
13. Provides telephone support or visit based on the identified needs, interventions reflect a problem-solving approach and measurable outcome.
14. Interventions reflect an advanced level of nursing practice and commitment to the execution of the IDT plan of care.
15. Uses expert knowledge of hospice nursing, crisis intervention, and family dynamics to determine the appropriate level of care.
16. Uses expert nursing judgment to function as a patient advocate, especially when seeking any change in the level of care for optimal, appropriate, and safe caregiving.
17. Collaborates efforts with pharmacy, DME, and other various health care providers (lab, MD, hospital, etc.) and members of IDT to provide appropriate care.
18. When necessary, coordinate care with skilled nursing facilities or acute care hospitals.
19. Functions as an on-call nurse, and utilizes expert knowledge of Palliative Care nursing, home health care, crisis intervention, and family dynamics to determine necessary for home visits.
20. Follows universal precautions in delivering patient care.
21. Demonstrates creativity in meeting patient/family needs in the home environment.
22. Supervises and documents the Home Health Aide plan of care.
23. Additional Duties as assigned by the Director of Palliative Care.
24. Follows policies and procedures of Hospice of San Joaquin and Palliative Care Program.