RN Case Manager Hospice

Bradford, VT | Bradford
US-5 S
Bradford, VT 05033, USA

• Coordinates/manages a case load comprised of Hospice patients. Assesses, plans, implements, coordinates, and evaluates care for each patient/family in conjunction with the hospice interdisciplinary team. Case management includes comprehensive needs assessments, development of appropriate plan of care, referral to internal and external resources, evaluation of outcomes, and provision of nursing educational, clinical and related services. Supervises the Licensed Nursing Assistants/Home Health Aides.
• Provides a full range of professional nursing care to patients in their homes under the medical direction of a licensed physician.
• Makes nursing evaluation visits in patient’s home and regularly reevaluates patient’s nursing needs, informing physician and other personnel of changes.
• Initiates the plan of treatment and any necessary revisions; provides services requiring specialized nursing skills and comfort-focused nursing procedures.
• Maintains accurate, up-to-date records of patients and care provided; supervises and schedules Home Health Aides; teaches nursing care to be given in the home and reviews patient care plans.
• Performs initial and subsequent assessments of patient/family physical, emotional, psychosocial, spiritual and cultural needs to coordinate comprehensive, comfort-focused services through the Hospice patient plan of care.
• Documents all patient/family interactions in the medical record per agency policies/protocols; represents VNAH positively in community education/support/PR events.
• Maintains continuity of patient care by planning and exchanging information with IDT members, Department personnel and other health and social agencies as appropriate; recommends changes in agency policies or services to improve patient care techniques or programs.
• Continues professional development by participating in continuing education programs, conferences, and workshops; applies Medicare Hospice Conditions of Participation; incorporates infection control protocols; participates in the Agency’s continuous quality improvement activities.
• Meets Agency's productivity expectations, census permitting.

• Nights — All Hospice nurses participate in the night shift rotation with Traveler nurses to ensure adequate staffing coverage.
• Weekends — All Hospice nurses on a rotating weekend schedule to ensure adequate staffing coverage.
• Holidays — All Hospice nurses on a rotating holiday schedule to ensure adequate staffing coverage.

• Supports practices and communicates the Visiting Nurse Association and Hospice of VT & NH’s Mission and Statement of Values.
• Interacts with clients, referral sources, co-workers and others in a positive, consumer-oriented manner.
• Adheres to the Agency’s Organizational Ethics and Corporate Compliance Plan and Safety Program.
• Performs other duties as required or assigned; performs all duties in a safe manner.

• Education:
  
  Graduate of an NLN accredited school of nursing. Baccalaureate Degree preferred. Holds or is eligible for RN license in Vermont/New Hampshire (required). Certified in Hospice/Palliative Care Nursing desirable.
• Experience:
  
  Minimum two years’ general experience in a supervised nursing setting recommended. Hospice/Homecare experience preferred.
• Skills/Abilities:
  Ability to work well independently and as a team member; effective verbal and written communication; flexibility with workload; strong organizational and interpersonal skills; ability to maintain confidentiality; strong computer skills.
• Must meet essential requirements for direct service staff as attached.

Licenses & Certifications

• Required:
  
  Registered Nurse - VT
• Preferred:
  Registered Nurse - NH;
  Registered Nurse Compact

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.