RN - Case Manager Riverside Home Health and Hospice | Grants Pass, Oregon

RN - Case Manager - Full Time | Riverside Home Health and Hospice | Grants Pass, Oregon page is loaded## RN - Case Manager - Full Time | Riverside Home Health and Hospice | Grants Pass, Oregonlocations:
Grants Pass, Oregon time type:
Full time posted on:
Posted 30+ Days Agojob requisition :
JR56833
** JOB SUMMARY
** The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.  The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities.
** DUTIES & RESPONSIBILITIES
**** Patient Care for Hospice
** 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.
** DUTIES & RESPONSIBILITIES Home Health
**** Patient Care for Home Health
** Develops and initiates the plan of care and assumes responsibility for the
** ongoing
* * interdisciplinary assessment and development of the individualized plan of care in partnership with the patient, representative (if any), and caregiver(s);
Initiates proper preventative and rehabilitative nursing procedures and provides services that are ordered by the physician as indicated in the plan of care;
Provides patient, caregiver, and family counseling;
Provides patient and caregiver education;
Prepares clinical notes;  Communicates with the physician who is responsible for the home health plan of care and other health care practitioners (as appropriate) related to the current home health plan of care.

Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
* Prepares clinical notes and updates the primary physician when necessary and at least every sixty days.  Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.  Communicates with community health related persons to coordinate the care plan.
** Additional Duties
** Participating in the HHA's quality assessment and performance improvement program and HHA-sponsored in-service training. Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. Supervises Licensed Practical Nurses (LPNs)/ Licensed Vocational Nurses (LVNs) and/or Home Health Aids (HHAs)/Certified Nursing Assistants (CNAs), as directed.
** Additional Duties for Hospice
** Participates in on-call duties as defined by the on-call policy. 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…