877-779-7983

LOCATION:  Cumberland County (PA)

As Hospice Case Manager, this position reports to the Director of Professional Services, Patient Care Coordinator to provide nursing care and case management to Patients and families. Implements nursing interventions and coordinates the Patient/family interdisciplinary plan of care. Supervises personnel to deliver care and coordinates care delivery.

Essential Job Functions:

Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar or is a logical assignment of the position.

• Collaborates with all service providers furnishing contract services to the Patient
• Participates in developing and updating policies and procedures as requested
• Maintains confidentiality of necessary information
• Thinks and acts calmly and logically to meet unusual occurrences of the job
• Maintains proper documentation for billing · Manages time efficiently and effectively.
• Interfaces with Patients, families and staff to ensure customer satisfaction
• Develops a comprehensive discharge plan based on the interdisciplinary team assessment
• In conjunction with the physician, evaluates need for appropriate diagnostic studies and/or tests.
• Communicates effectively with Patients, families and other health care providers
• Maintains clinical competency by assuming responsibility for acquiring knowledge and experience to meet learning needs

General Responsibilities:

• Attends deaths of Patients to assist and support the family.
• Initial and ongoing assessment of the impact of the terminal diagnosis on the Patient’s physical, functional, psychosocial and environmental needs and activities of daily living including risk for pathological grief, cultural and spiritual implications and verbal and non-verbal communication patterns.
• Implements the individualized plan of care and recommends revisions to the plan as necessary including managing discomfort and providing symptom relief and specialized nursing skills related to palliative and end-of-life care.
• Consults with and educates the Patient/family regarding the disease process, self-care techniques, end-of-life care and the processes for dealing with issues of ethical concern.
• Initiates appropriate preventive and rehabilitative nursing procedures.
• Prepares clinical and progress notes that demonstrate progress toward established goals.
• Coordinates all Patient/family services and prioritization of needs with the members of the interdisciplinary team.
• Uses case management approach and refers to other services as needed.
•  Informs the physician and other personnel of changes in the Patient’s needs and outcomes of intervention.
• Determines scope and frequency of services needed based on acuity and Patient/family needs.
• Supervises LPNs/LVNs and paraprofessionals providing services to the Patient according to regulatory guidelines.
• Participates in in-service programs.
• Provides specialized hospice training to other staff, family members and informal caregivers to insure adequate care.
• Assesses the ability of the caregiver to meet the Patient’s immediate needs upon admission and throughout care.
• Evaluates family/Patient response to care on an ongoing basis.
• Evaluates own needs for support and uses identified systems to meet the need.
• Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the Patient’s eligibility.
• Communicates information using current process and technology available to the organization.

Additional information will be provided upon request.

QUALIFICATIONS:

• Currently licensed as a Registered Nurse (RN) in the state and in good standing with the Board in which he/she will practice
• A minimum of six (6) months institutional nursing experience within the past 3 years, unless state regulations differ. The Director of Professional Services or Administrator may waive this experience requirement based upon a personal interview.
• Registered Nurses providing skilled intervention for PASSPORT Patients must have two (2) years experience as an RN
• Must have at least two (2) years of Hospice experience
• Minimum of Associate’s degree
• Ability to manage Patient care with specific knowledge and experience in bedside nursing, symptom management, crisis intervention and family intervention.
• Ability to work well with an interdisciplinary team.
• Excellent written and verbal communication skills.
• Demonstrate problem solving and decision making abilities.
• Ability to develop and maintain rapport with the Patient and family
• Physical Demands: Lifting 50 pounds maximum with frequent lifting and or carrying of objects weighing up to 25 pounds; Walking, standing, talking, hearing, pushing, fingering, reaching, seeing, stooping, smelling, depth perception, color vision, driving
• Travel:  Necessary on a daily basis; 100%.
• Working Conditions:  Patient’s home/living facilities; Exposure to disagreeable conditions including odors, infection, illness, and physical contact from disruptive Patients.
• Work Schedule: Must be flexible to accommodate completion of tasks, Patient needs and referrals. Comfortable being On-Call