Registered Nurse Case Manager, Hospice

About Us:

At VNA Health, our mission is to revolutionize healthcare through compassion and innovation, ensuring every individual's well-being is prioritized. We're dedicated to empowering our employees to make a real difference in the lives of our patients and communities, driving positive change in healthcare. Join us in our mission to provide exceptional care and improve the health and dignity of those we serve.

Why Join Us:

* Employer sponsored dental, vision, basic life, disability, and AD&D insurance plans.

* Generous Paid Time Off (PTO) accrual from the first day of employment.
* $750 Wellness Benefit providing annual reimbursement for fitness and wellness expenses.

* Financial wellness program with matching 403(b) Retirement Plan and Healthcare and Dependent Care Flexible Spending Accounts (FSA).

* Supportive company culture promoting employee well-being through programs like the Employee Assistance Program (EAP) and public transportation reimbursement.

JOB DESCRIPTION SUMMARY

The Registered Nurse Case Manager (RN CM) plans, organizes and directs hospice services and is experienced in nursing, with emphasis on community health education/experience. The RN CM 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. The RN CM respects and promotes the mission, values and vision of VNA Health.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

Patient Care

* Responsible for providing comprehensive case management to hospice patients.

* Completes an initial assessment of patient and family to determine hospice care needs. Provides a complete physical assessment and history of current and previous illness(es). Admits to appropriate level of service/ care.

* Assesses and evaluates patients status by:

* Writing and initiating plan of care.

* Regularly re-evaluates patient and family/caregiver needs.

* Revising the plan of care as necessary.

* Initiates the plan of care and makes necessary revisions as patient status and needs change.

* Uses health assessment data to determine nursing diagnosis.

* Develops a plan of care pathway that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and 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.

* Assists the patient with the activities of daily living and facilitates the patient's efforts towards self-sufficiency and optional comfort care.

* Knowledge of state, federal, local and accreditation regulations for the delivery of hospice services.

* Accountable for financial resources and eligibility under various third party payor sources, Medicare and Medi-Cal.

Communication

* Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and are given. Records pain/ symptom management changes/ outcomes as appropriate.

* Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physicians orders as required.

* Communicates with community health related persons to coordinate the care plan.

* Teaches the patient and family/ caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/ caregivers. Works in concert with the other hospice Interdisciplinary Team Members.

* Provides and maintains a safe environment for the patient.

* Assists the patient and family/ caregiver and other team members in providing continuity of care.

* Works in cooperation with the family/ caregiver and hospice Interdisciplinary Team Members to meet the emotional needs of the patient and family/ caregiver.

* Has working knowledge of state, federal, local, and accreditation regulations in order…