RN Case Manager, Hospice at Home, Full time (40Hr/Wk) bei Stillwater Hospice

POSITION TITLE:     RN CASE MANAGER

FLSA STATUS:         NON-EXEMPT

REPORTS TO:           Clinical Team Leader

POSITION OBJECTIVE:

Manages and coordinates the provision of nursing care for assigned terminally ill palliative care patients by assessing needs, implementing nursing care plans, making appropriate revisions, and evaluating outcomes of care.

QUALIFICATIONS:

• Graduate of an accredited school of nursing.  
• Bachelor’s degree in Nursing preferred.
• Must have a current RN license to practice in the state of Indiana.
• Must hold current CPR certification or obtain within the orientation period.
• Infusion skills preferred
• Must be able to provide those services requiring substantial specialized nursing skill.
• Prefer one (1) year of recent hospital or home health care experience.
• Must have a current motor vehicle operator’s license and have access to an automobile with current automobile insurance coverage.
• Must be able to drive independently to all patient/family clients’ homes.
• Must be able to safely perform the essential functions of the job without posing a direct threat to their health or to others in the workplace.
• Must be comfortable working with hospice patients with an emphasis on palliative care.
• Assists with in-service training of the community on the hospice philosophy as needed/requested.
• Strong interpersonal skills.
• Strong assessment skills.

ESSENTIAL FUNCTIONS:

• Instructs LPNs, Home Health Aides, and/or CNAs on specific patient care procedures within approved policies.
• Maintains a therapeutic relationship with patients/families.  This includes confidentiality of personal matters as well as patients', coworkers' and Agency's business.
• Implements the individualized plan of care and re-evaluates the patient’s nursing needs on an ongoing basis.  
• Follows orders from the patient’s physician and informs the physician and other personnel of changes in the patient’s condition and needs.
• Maintains expected and acceptable productivity.
• Participates in the student nurse program as it relates to field visits and hospice philosophy.
• Coordinates care and services with other health care providers.
• Recommends utilization of additional Agency services and other community services, as appropriate.
• Works in a cooperative relationship with other Agency personnel.
• Seeks appropriate clinical supervision.
• Participates in the Agency's committees and task forces.
• Assumes responsibility for continued personal growth and development.
• Participates in on-call and Holiday rotation as assigned.        
• Seeks educational opportunities to improve clinical practice and participates in in-service programs.
• Adheres to all the Agency's policies.
• Any other duties as assigned by the supervisor.
• Adheres to Stillwater Hospice privacy practices as described in the Notice of Privacy Practices.    
• Participates in quality improvement activities and/or other agency committees or task forces when requested.    

 Critical Skill Sets and Attitudes:

•  Proficient and timely in all aspects of clinical documentation, including computer data entry.
•  Proficient in blood draws, all routine patient treatments (dressing changes, catheters, etc.), pain and symptom management, care of the patient and family, including pediatric and HIV + patients; Mantoux administration.
•  Proficient in case management, all aspects of IV care, including programming of IV pumps, tubing changes, site care, and subcutaneous access.
•  Display compassion, be a team player, have an optimistic outlook, be adaptive, accountable, and customer-driven.

MARGINAL FUNCTIONS:

• Provides personal care.
• Participates in QA by reviewing patient records to ensure compliance.

ESSENTIAL PHYSICAL/MENTAL FUNCTIONS:

• Must have visual and hearing ability to comprehend written and verbal communication.  Constant.
• Must be able to engage in clear, concise verbal/nonverbal communication.  Constant.
• Lifting: Transfer patients into positions where they can perform daily care, personal hygiene, and grooming - Occasional to Frequent.
• Carrying: Personal hygiene supplies to and from the bathroom to the patient - Occasional. Linen for short distances - Occasional.
• Pushing/pulling/reaching: Readjust patient in bed - Occasional.
• Standing: While performing patient care - Frequent to Constant.
• Sitting: While driving to and from the patient's home - Frequent.
• Climbing: - Occasional to Frequent.  Must be able to climb a minimum of three (3) flights of stairs.
• Balancing: Needed for normal ambulation, climbing stairs, and for reaching - Occasional to Frequent.
• Stooping/kneeling/crouching/bending: To perform patient care - Frequent.
• Handling objects, i.e., soap, shampoo, toothbrush, comb, dressing - Occasional.
• Fingering: Pen, visit reports - Occasional to Frequent.
• Opening: Bottles and jars - Frequent.
• Talking: To communicate with patient and family, and to communicate with supervisor and coworkers - Frequent.
• Hearing: To communicate with patient, coworkers, patient's family, and supervisor - Frequent to Constant.
• Seeing: Constant. The ability to discriminate colors.   
• Must have the ability to remain calm in occasional emergency situations.
• Recognizes emergencies and has knowledge of emergency procedures, according to Agency policy.

ESSENTIAL HAZARDOUS PHYSICAL EXPOSURES:

• Must be willing to travel between patients in inclement weather.
• Potential threat of physical violence to self.   (Security personnel available upon request.)
• Potential exposure to dangerous animals, such as dogs, rodents, etc.
• Potential exposure to environmental pollutants.
• Potential exposure to infectious diseases, needle sticks, blood and body fluids, and hazardous waste.
• Potential exposure to variable temperatures in the working environment.

 CHEMICAL OR HAZARDOUS PHYSICAL EXPOSURES:

• Potential exposure to substances within an office environment, including copy machine toner, VDT emissions, and cleaning.
• Potential exposure to chemical/cleaning substances in the patient's home environment.

 ESSENTIAL PERSONAL PROTECTIVE EQUIPMENT REQUIRED:

• Standard precautions will be consistently used for all patients.  Protective clothing and equipment are provided by the employer at no cost to the employee.
• Seatbelts must be worn when traveling during working hours, according to state law.