Hospice RN Case Manager, Polk County - Ex

Join a mission-driven team where your nursing expertise truly matters. At Adoray Home Health and Hospice, our Hospice RN Case Managers make a meaningful difference for patients and families during some of life’s most important moments. You’ll be supported by a collaborative interdisciplinary team, trusted to practice with autonomy, and valued for the compassion, clinical judgment, and steady presence you bring to every visit.

If you’re looking for purpose-filled work, strong team support, and the opportunity to serve communities across Polk County, we’d love to meet you. This full-time, exempt, role includes a $2,000 sign-on bonus and is eligible for our benefits package.

• BSN or minimum of two years of hospice care experienced preferred.
• Minimum of two years of clinical experience.
• Current Wisconsin RN license required.
• Current driver's license.
• Able to take on call responsibilities on rotating basis.
• Excellent communication skills.

• High level of attention to detail
• Ability to work autonomously and make independent judgments.
• Ability to manage conflicting priorities and handle multiple tasks/projects concurrently
• Ability to work well as part of a team and independently
• Exhibit excellent written and verbal communication and organizational skills

• Completes comprehensive assessment within 5 days of patient admission.
• Contacts all other disciplines involved in hospice patient’s care with update within 48 hours of admission (or sooner if patient’s condition warrants it) as well as ongoing.
• Confers with at least one other core IDT member to develop POC at the time of admission.
• Ensures there is appropriate follow-up with MD if there are discrepancies with medications or treatment protocols.
• Updates the MD with changes in patient’s condition and provides a status report to M.D. at least every 14 days.
• Notifies other members of the IDT of hospice death by the next business day at 9AM unless there are special circumstances.
• Implements hospice POC. Updates POC on regular, ongoing basis to reflect current care.
• Exhibits sound nursing judgment which positively affects individual patient outcomes.
• Implements new physician orders timely and accurately.
• Assesses for, provides and documents patient and family teaching related to patient’s health situation on an ongoing basis (i.e., medications, disease processes, treatments, etc.) and provides written teaching information as appropriate.
• Ensures Clinical Coordinator is notified if call is placed to physician with update, in case there are call-backs and office staff follow-up is necessary.
• Updates Hospice Manager regarding status of patients on regular basis, including a consultation for any unusual circumstances. Assesses for, provides, and documents staff teaching related to patient care on an ongoing basis when patient resides in a facility.
• Completes comprehensive assessment for hospice admits. Assessment requires minimal corrections by supervisor when reviewed.
• Documents towards patient goals at each visit.
• Completes required hospice recertification paperwork within specified time periods.
• Supervises home health aide at least every two weeks and documents supervision.
• Documents coordination of care of assigned case load with all other disciplines involved in patient’s care weekly.
• Develops accurate and individualized POC at the time of admission and ongoing.
• Ensures medication profile is complete (i.e., “new” vs. “changed”, “covered vs. “non-covered”, start and stop dates, all coumadin doses, IV meds, reason for prn meds, etc.) and consistent with physician’s orders. Protocol for initiating standing orders is followed.
• Documents evidence of updates to physician for…