Hospital RN Case Manager; Gwinnett, Georgia

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust.

We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.”

Full‑time Hospice Registered Nurse Case Manager. Work within and around hospitals in Gwinnett, GA and surrounding areas. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician, and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers.

• Assigned patient caseload by the Patient Care Coordinator or designee.
• Primary responsibility for a patient caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process.
• Initiate communication with attending physicians, Hospice staff members and other agencies as needed to coordinate optimal care and use of resources.
• Maintain regular communication with the attending physician concerning patient and loved ones/caregivers.
• Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support.
• Provide accurate and timely documentation in electronic medical records.
• Participate in and contribute appropriate information for Interdisciplinary Group meetings.
• Coordinate physical care of the patient by teaching primary caregivers, volunteers, and employed caregivers or providing direct care as appropriate.
• Meet regularly with the Hospice nursing staff to review problems or unique issues from caseloads, share professional support, and exchange feedback aimed toward enhancing professional growth.
• Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation.
• Supervise and document the NAC every two weeks or as assigned.
• Inform the Patient Care Coordinator of unusual or potentially problematic patient/family issues.
• Act as associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off‑hour times or as requested by the Patient Care Coordinator.
• Provide appropriate support at time of death and period of bereavement.
• Participate in Hospice orientation and in‑service training programs for professional staff.
• Participate in agency and community programs as required to promote professional growth and understanding of hospice care.
• Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice.
• Accept other assignments as appropriate.

• Goals of Care discussions with identified patients.
• Participate in discharge planning for GIP and/or RHC discharges into the community.
• Work with case managers and physicians to identify potential hospice eligible patients.
• Interact, educate and discuss Primary Care, Palliative and Hospice service lines with hospital employees.
• Provide hospice evaluations (including RHC and GIP level of care).
• Provide GIP level of care daily visits and updating the plan of care.
• Support Routine home visits (RHC) and/or admissions in the field as needed.
• Days/
  
  Hours:
  
  Tuesday thru Saturday, 10AM-6PM and flex with patient needs.

• Possession of a current license to practice as a registered nurse in the State of GA.
• At least 1-2 years of work experience as a professional nurse, preferably at least one of the years in hospice care.
• Ability to assess and respond to the needs of patients and loved ones/caregivers in varied settings.
• Skilled in nursing practice, able to cope…