On-Call Hospice Registered Nurse (RN) Case Manager
Arnold, MO
This caring hospice organization recognizes the significance of each precious, end-of-life journey. We will do all we can to provide an empowering hospice experience to each patient we have the privilege of working with.
We are seeking a talented Hospice Registered Nurse (RN) Case Manager for On-call nights & weekends / 7 days on & 7 days off.
Job Summary:
The On-Call Hospice Registered Nurse (RN) organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse directs the immediate services necessary to meet the needs of individuals and families within their homes and communities. The schedule for this position is 7On/7Off; 5p-8a Monday -Thursday and 5p-8a Friday-Monday.
Responsibilities:
- Available to receive and respond to calls from Triage during assigned shifts making visits to patients with changing conditions, and completing weekend admissions.
- Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs for after-hours calls. Provides a complete physical assessment and history of current and previous illness.
- Provides professional nursing care by utilizing all elements of nursing process.
- Assesses and evaluates patient’s status by:
- Writing and initiating plan of care
- Re-evaluating patient and family/caregiver needs
- Participating in revising the plan of care as necessary
- Initiates the plan of care and makes necessary revisions as patient status and needs change.
- Uses health assessment data to determine nursing diagnosis.
- Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.
- Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.
- Counsels the patient and family in meeting nursing and related needs.
- Provides health care instructions to the patient as appropriate per assessment and plan.
- Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.
- After-hours on-call responsibilities included remaining available for all calls related to patient care and making all appropriate visits as necessary.
- Remaining with patient and or family through a crisis period until resolved and or relieved.
- Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate.
- Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
- Communicates with community health related persons to coordinate the care plan.
- Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.
- Provides and maintains a safe environment for the patient.
- Assists the patient and family/caregiver and other team members in providing continuity of care.
- Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver.
- Attends interdisciplinary group meetings.
- Ensures that arrangements for equipment and other necessary items and services are available.
- Supervises ancillary personnel and delegates responsibilities when required.
- Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
- Fulfills the obligation of requested and/or accepted case assignments.
- Actively participates in quality assessment performance improvement teams and activities.
Qualifications:
- A passion for hospice care and the ability to build relationships with both patients and their family members.
- The ability to work efficiently with little direct supervision.
- A valid driver's license and an insured automobile that is in good working order.
- 1-2 years of recent acute care experience in an institutional setting (required). 1-2 years of recent home care experience (preferred). We're excited to train RN's that are passionate about hospice care.
- Graduation from an accredited school of nursing.
- Understands hospice philosophy, secure with issues of death/dying. Comfortable providing specialized care to the terminally ill.
- Displays empathy for the needs of the ill, injured, frail and impaired.
- Provides a calm demeanor when in a patient’s home.
Benefits of Employment:
- Excellent compensation
- The opportunity to work 1-1 with our patients, impacting their life and their families.
- Two medical plan choices
- Dental, vision and life insurance benefits
- Tuition reimbursement
- Customized Mental Health Support Program
- Employee Assistance Program
- Paid time off and paid holidays
- 401k Retirement Plan with up to 4% employer matching
- Flexible Spending Account (FSA)
- Company-paid Basic Life Insurance, AD&D, Short Term and Long-Term Disability
Schedule:
- Monday – Monday (Monday night – Monday morning)
- Monday-Thursday; 5pm-8am; Friday-Monday: 5pm-8am
- 7 days on & 7 days off
Compensation:
- $78,000 - $88,000 per/year
- Mileage reimbursement at $0.58 per/mile
Work Location:
- Mix of facility and home-based hospice care
Coverage Area:
- Must be willing to cover the entire territory
Productivity:
- Only called when a visit is required
- Triage nurses on staff to answer calls
- May do some admissions/patient visits as needed
EMR Used:
- Homecare Homebase + nVoq voice app for seamless documentation
Equipment:
- All-in-one smart phone with keyboard attachment
- Necessary supplies