RN Case Manager Hospice
Under general supervision, provides professional Hospice nursing care to patients within the home and/or facility settings which includes assessing, planning, implementing, coordinating, delegating and monitoring tasks assigned to other members of the care team in accordance with professional nursing standards. Works in urban or rural areas according to distribution of staff and patients.
Essential Job Functions/Responsibilities:
Performs patient assessments including but not limited to: physical, psychosocial, spiritual, cultural, and age-appropriate needs of the patients, including the assessment of nutrition, pain management, and end of life stage.
In conjunction with other disciplines, participates in Interdisciplinary Group Meetings to develops a realistic, comprehensive patient plan of care, using appropriate resources and methods of instruction and provides patient/family health teaching.
In coordination with Clinical Supervisor, assures policies, practices, and procedures are followed. Meets or exceeds established productivity standards while maintaining quality patient care.
Performs documentation, including the processing of physician orders, in accordance with Hospice policies and procedures. Monitors and evaluates delivery of nursing care given by team members based on patient needs and professional judgment.
Collaborates with physicians and other health care professionals regarding patient care. Identifies the need to change plan(s) of care and facilitates the process using electronic health records as appropriate.
Obtains authorizations for visits as appropriate. Performs ongoing chart review on caseload with attention to: Re-certifications, verbal orders for changes in the plan of care, assures every visit performed is within the assigned frequency, assures that overall documentation supports coverage of service as defined by federal and state regulations, and reports to supervisor when needed.
Completes documentation timely and accurately with prompt response to supervisors' requests for correction.
Demonstrates skill and accuracy with the use of an electronic health record systems.
Completes annual competency requirements satisfactorily.
Performs case management & collaborates with other health care providers & delivers results for positive clinical & financial outcomes.
Performs other duties as assigned.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.