RN Case Manager - Gainesville

Primary Responsibilities :

• Performs skilled nursing activities so that the nurse :
• Completes assessment of patients regularly and on-going as patients’ conditions warrants. Assessments include physical, functional, psychosocial and environmental needs and activities of daily living.
• Responsible for the input of patient information into the electronic medical record.
• Completes appropriate documentation in accordance with Community Hospice standards.
• Provides patient care in accordance with physician orders and patient / caregiver goals, directed by the Plan Care; provides post-mortem care per policy.
• Develops patient Plan of Care and supervises hospice aide in provision of that patient care.
• Demonstrates awareness and maintenance of Standard Precautions.
• Provides emotional support to patient / caregiver.
• Teaches patient / caregiver as appropriate to situation, plan of care.
• Demonstrates knowledge and appropriate use of medications, including medication administration.
• Assess patient to determine appropriateness of crisis intervention care and oversee cases daily.
• Performs Hospice Aide supervisory visit at least every 14-days to assess patient / caregiver satisfaction with Hospice Aide services. Makes an annual on-site visit to the location where the patient is receiving care in order to observe and assess each aide while he or she is performing care.
• Demonstrates competency in skills identified, maintaining completion of annual competency of these skills per organization standard.
• Contacts Community Hospice Medical Director or Associate Medical Director for pain and symptom management recommendations / orders as necessary and communicate these to patient / caregiver and attending physician (if any) for approval.
• Communicates timely, thoroughly, professionally with interdisciplinary group members, patient and or caregivers, and other Community Hospice departments.
• Actively involves interdisciplinary group in initiation / review / evaluation of Plan of Care.
• Evaluates services provided to patients, apprising Manager or RN Supervisor if compliments / complaints or opportunities for improvement are expressed.
• Attends and participates in the IDG meeting.
• Facilitates transfers into the Inpatient Facility, ordering medical equipment, supplies, and medications according to organization procedures; offers / provides Continuous / Transitional Care on transfer from unit, further ensuring continuity of care of Hospice services.
• Apprises Manager or RN Supervisor of needed medical equipment, supplies, medications, and orders as directed.
• Documentation completed is reflective of patient care given, services provided, any concerns noted, patient status; is legible, neat; is accurate, thorough, completed in a timely manner.
• Care Plans are kept current, applicable to patient and caregiver goals and needs.
• Patient Incident Reports are completed accurately and submitted immediately to the Manager or RN Supervisor.
• Operational systems are maintained in regard to Federal, State hospice standards.
• Compliance with Community Hospice Pharmacy and State regulations in regard to obtaining, disposing, dispensing pharmaceuticals.
• Takes initiative in addressing areas of need noted regarding facility operations / services, advising appropriate department for resolution.
• Demonstrates professional relationship with internal and external customers.
• Promotes organization image within Community Hospice and the community.
• Uses chain of command for problem solving.
• Demonstrates appropriate dress and grooming.
• Displays courteous, tact, patience, respect.
• Maintains a good attendance record; notifies organization of absences according to policy.
• Participates in organization Quality Assurance Performance Improvement (QAPI) as appropriate.
• Follows and supports the Clinical Care standards as established.

Qualifications :

Education / Experience :

Any combination of education and experience that would provide required skills

and knowledge for successful performance would be qualifying. Typical qualifications would be equivalent to :