Registered Nurse (RN) Case Manager - Hospice - PRN

Job DetailsJob Location: ATEX Hospice - Valley - McAllen, TX 78501GENERAL PURPOSE: Plans, organizes, and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Ensure staff and other support resources are appropriately utilized and a high level of interdisciplinary teamwork is maintained through delegation of duties for both Home Health and Hospice.

Qualifications

• vision to the plan, as necessary. Initiates the plan of care and makes necessary re
• visions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventative and rehabilitative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventative and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. Counsels the patient and family in meeting nursing and related needs. If applicable, consult with and educate the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition, and dietary needs. Prioritize any needs with the members of the IDG/T. Provide training to other staff as needed. Provides health care instructions to the patient as appropriate per assessments and plan of care. Determine scope and frequency of services needed based on acuity and patient/family needs. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication Prepares clinical notes and updates primary physician when necessary and at least every sixty (60) days. Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required. Communicates with community health related persons to coordinate the care plan. Inform physicians and other personnel of changes in the patient’s needs and outcomes of intervention. Additional Duties Participate in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Provides clinical directions to the Aides and LPN/LVN to ensure quality and continuity of service provided. Instructs, supervises, and evaluates HH and/or Hospice aide care provided every fourteen (14) days. Adhere to all the Company’s policies and procedures. Perform other duties as assigned. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications