Registered Nurse (RN) Case Manager - Overlook Visiting Nurse Association Inc.

POSITION SUMMARY:

The RN Case Manager – Hospice is responsible for the provision of patient care clinical assessments assigned to them, and assist with the development of the plan of care in accordance with the attending physician and the Interdisciplinary Team. Coordinates patient care services by providing updates to HMO for skilled residents, and is actively involved in the discharge process in conjunction with the unit manager, and social worker for PAU unit.

PRINCIPLE DUTIES/ESSENTIAL FUNCTIONS:

The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

üResponsible for the assessment, planning, implementation and evaluation of care ofpatients.

üObtains data on the physical, psychosocial, spiritual and other factors that may influence the patient/family health status and incorporates the data into the plan of care.

üCommunicates with physicians, members of the Interdisciplinary team and other agencies to coordinate optimal care and resources for the patient/family.

üMaintains regular communications with the PAU manager and Social Worker to reviewcare and participate in the discharge process.

üAttends the Interdisciplinary Risk meeting and Baseline Care plan meeting and other patient conferences as deemednecessary.

üFunctions as a liaison between all HMO disciplines approving skilled level care for PAU unit residents.

üMaintains the patient medical record and other documentation in accordance with agency standards. Records problems, plans, actions and goals accurately and concisely in the patient record so that changes are reflected as theyoccur.

üReceives phone calls from patients, their families, physicians, health and other service providers, medical suppliers, payers and members for purposes of facilitating timely and appropriate provision of patient services and maintenance of communication/exchange ofinformation.

üCoordinates patient care by all service disciplines in PAUsettings.

üParticipates in quality management and safetyactivities.

üPerforms duties according to the standards of nursingpractice.

üAdheres to policies and procedures set forth by theagency.

üMaintains required licensure, certifications and vaccinations as required.

üPerforms other duties asrequired.

QUALIFICATIONS:

• Current license to practice as a registered nurse in the state of Massachusetts – required
• Current CPR - required
• Three years nursing experience, one year in hospice - required
• Excellent nursing assessment and problem solving skills
• Excellent interpersonal communication skills, both oral and written
• Exceptional customer service
• Strong clinical assessment, critical thinking, problem solving and organizational skills
• Ability to utilize independent judgment and to follow through
• Current State of Residence driver's license and reliable transportation
• Computer proficiency
• Ability to read, write and speak the English language