Employment Type:

　　Full time

　　Shift:

　　Description:

　　Hospice case manager weekends

　　Hours: Friday-Sunday 8am-9pm

　　Position Purpose:

　　The Hospice RN Case Manager provides professional nursing care to the organization’s hospice clients as prescribed by the physician, and/or requested by the client/family, and in compliance with the state’s Nurse Practice Act, any applicable licensure/certification requirements, and the organization’s policies and procedures. The RN is fully responsible for the client assessment, care planning, therapeutic intervention, and overall supervision of client care and outcomes, is designated as the case manager for hospice patients. The Hospice RN in collaboration with the physician and other Hospice team members anticipates and manages patient’s symptoms, assists in identifying pt/family/caregiver grief/loss issues and assists in implementing the Hospice plan of care. Provides functional support to Hospice Aides and LPN/LVNs as needed.

　　What You Will Do:

　　Informs the client/caregiver about the agency, care/services available, client obligation for payment, and other responsibilities and rights, before care is initiated. Accurately explains/understands the Hospice Benefit.

　　Develops and implements an individualized Plan of Care that incorporates realistic, and attainable goals that is also outcome-focused so that the services provided will improve the patient’s quality of life and promote dignity.

　　Makes appropriate referrals for evaluation/care to other disciplines and services, and coordinates care with others to ensure effective and efficient care is provided.

　　Utilizes interview, observation, and evaluation in assessing clients and applies nursing judgment, practice standards, in formulating nursing interventions and making recommendations to the physician, client/family and IDT/IDG.

　　Reports changes in client condition as appropriate and in a timely manner, to the client’s physician and/or Case Manager/designee and obtains orders for changes in the plan of treatment to respond to the client’s condition.

　　Re-evaluates and updates patient’s plan of care based on patient goals and progress towards outcomes.

　　Assess patient and family learning styles and needs for teaching regarding disease process, self-care, end of life care, and dealing with ethical concerns as well as patient goals as part of plan of care.

　　Responds appropriately to changes in patient’s physical, psychological, or spiritual conditions.

　　Models’ teamwork to accomplish to accomplish organizational goals and provide quality patient care.

　　Demonstrates respect for cultural diversity in all care delivery and communication with co-workers, patients, and families.

　　Maintains and enhances knowledge of pain and symptom management in hospice and palliative care patients, utilizing evidence-based protocols and standing guidelines per policy.

　　Adequately prepares patients and families regarding the expected disease process.

　　Provides anticipatory education and guidance to patients and families regarding the death and dying process.

　　Accurately documents observations, interventions and evaluations pertaining to client care management and services in accordance with agency policy and procedure utilizing the point of care information system. This will include assessments, visit reports, medication information, treatments, coordination of services, client progress or lack of progress toward goals, and contacts with physicians and agency and community providers.

　　Takes appropriate steps to assure timely submission of client data to the office for inclusion in the client record (by timely electronic transmission of data, or when appropriate by fax or mail).

　　Documentation reflects progress towards patient/family goals.

　　Documents all collaborative contact with physicians and other members of IDT/IDG team.

　　Assures that documentation and orders are up to date and completed in a timely manner.

　　Minimum Qualifications:

　　Graduate of an approved Nursing education program

　　Current Registered Nurse licensure in the state of practice.

　　Must have a minimum of one (1) year experience as a professional acute care nurse.

　　Home healthcare/hospice experience preferred.

　　Exhibits strong communication and interpersonal skills, with a special emphasis on grief/loss management.

　　Must have current Driver’s license and reliable transportation to and from work site.

　　Ability to consistently demonstrate commitment to the mission and Organizational Code of Ethics and adhere to the Compliance Program.

　　Other Benefits

　　$15K Sign-On Bonus

　　Day 1 Benefits - Health, dental and vision insurance

　　Employee Referral Reward Program

　　Work Today, Get Paid Tomorrow

　　Short and long-term disability

　　Tuition Reimbursement

　　403b

　　Generous paid time off

　　Mileage reimbursement

　　Comprehensive orientation

　　Position Highlights:

　　We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

　　We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.

　　Ministry/Facility Information:

　　Trinity Health At Home is shaping the future of healthcare. Our standard, evidence-backed care models and operations are enhancing our colleagues' experience, empowering families, and delivering better care at lower costs.

　　We use the industry's best technology, including:

　　Lightweight tablets

　　Advanced, easy-to-use EMR

　　Messaging and communication tools

　　Apply Today!!!

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

　　Our Commitment to Diversity and Inclusion

　　Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

　　Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

　　EOE including disability/veteran