Nurse Case Manager, Pediatrics; Bilingual e​/s desired

Schedule options (all options are benefits eligible):

8 hour shifts, Monday - Friday, or Tuesday - Friday.

10 or 12 hour shifts Fri/Sat/Sun.

Highly desired bilingual (e/s)

The Nurse Case Manager (NCM) is a member of the core interdisciplinary team responsible for the care and case management of patient/families admitted to Kid WISE service. The NCM in collaboration with pt/family, physician and interdisciplinary team, develops and coordinates an individualized Plan of Care (POC) that reflects pt/family goals related to safe and comfortable pediatric life limiting Illnesses, enhancing quality of life for child and family, promoting self‑determined life closure and effective bereavement.

The NCM demonstrates: sensitivity and compassion for the issues involved with serving patients and families facing a terminal illness, death and bereavement; clinical competence in pain and symptom management; and fiscal responsibility in the planning and delivery of services. The Nurse Case Manager provides direct supervision for Hospice Aides and LVNs, when utilized. The Nurse Case Manager will be cross‑trained in adult hospice/palliative care, and provide adult hospice nursing care when reasonable and necessary.

• Recognizes the patient and family as the "unit of care" and active members in the development of the POC
• Respects patient right to self‑determination and acts as advocate within the context of the values and ethical standards of HSCC. Meets pt/family where they are
• Utilizes nursing process in providing primary care to pt/families
• Documents all care and care planning per agency policy
• Provides nursing interventions for pt/family as ordered by the physician and in accordance with the POC, safe nursing practice and the policies and procedures of HSCC
• Assess and monitors management of pain and symptoms in collaboration with patient/family, IDG and physician to achieve maximum comfort
• Exercises good clinical judgment
• Administers medications and treatments as ordered prn
• Demonstrates the ability to articulate the parameters of Kid WISE services.
• Demonstrates the ability to work with pt/families under stress & in crisis
• Develops, manages, reviews & revises HA POC & supervises HA performance per HSCC policies & procedures
• Reviews and considers patient data gathered by LVN/HHA when developing and revising the plan of care.
• Instructs and supports pt/family unit re: symptom management, patient care, disease process & death/dying
• Participates in providing after‑hours coverage to pt/family as needed
• Participates in coverage of adult hospice care when reasonable and necessary.

• Visit frequencies are appropriate to patient status
• Plans & provides care within the structure of the Conditions of Participation & the Hospice Medicare/Medi‑Cal / Concurrent Care Benefit
• Collaborates with IDT & Attending Physician to develop, manage, review and revise a written POC that includes identified goals, interventions and outcomes that address pt/family physical, psychosocial and spiritual goals related to Safe & Comfortable Dying, Self‑Determined Life Closure and Effective Grieving
• Opens, closes & revises POC per HSCC guidelines
• Documents all contacts/instructions/ interventions per HSCC policies & procedures
• Obtains medications, medical supplies and equipment per pt need/physician order
• Demonstrates understanding of pharmacy‑related policies & procedures
• Assess patient's continued appropriateness for Kid WISE services per HSCC Recertification protocols
• Completes Recertification documentation in a timely and accurate manner
• Exercises professional management and coordinates care between and among involved parties in home, community providers and pediatric tertiary specialist.

• Conducts information visits and discusses Kid WISE services, explain benefits and eligibility, and answer questions
• Admit patients on to Kid WISE services, coordinate services, order DME and medications
• Develops and implements individualized POC based on patient and families goals
• Review consents with patient/family and obtain signatures

• Meets all standards and…