Gainesville, FL 32606 Per the Medicare Conditions of Participation; the National Hospice and Palliative Care Organization’s 2011 Interdisciplinary Team Competency Grid; and the Hospice and Palliative Nurses’ Association Nursing Competencies:
Under the direction of the Manager, this position is responsible for the planning and the management of the nursing care of the assigned caseload of patients in home or long term care in collaboration with the interdisciplinary team.
The RN Case Manager will:
- Demonstrate critical thinking, clinical judgment and analysis in the care of patients and families.
- Incorporate ethical principles and hospice standards in the care of patients and families experiencing life-limiting, progressive illnesses as well as identifying and advocating for the wishes and preferences of patients and families.
- Demonstrate knowledge, attitudes, behaviors, and skills that are consistent with the performance standards, code of ethics and scope of practice for hospice nurses.
- Facilitate dialogue with patients and families experiencing life-limiting progressive illness and bereavement to actively address patient and family goals in collaboration with the interdisciplinary team and community.
- Utilize resources necessary to enhance quality of life for patients and families experiencing life-limiting, progressive, illness and bereavement through knowledge and collaboration within the health and human service systems.
- Demonstrate cultural competence by respecting and honoring unique values, diversity, and characteristics of patients, families, and colleagues in hospice and palliative care.
- Coordinate training for patient, family, other team members and community through formal and informal education related to living with and dying from a life-limiting, progressive illness and the grief process1.
- Demonstrate the use of effective verbal, non-verbal, and written communication with patients, families, other team members, and community in order to meet the patient’s and families’ hospice goals and needs1.
Location:
All employees assigned this job title must flex their work location within and between all Community Hospice and Palliative Care locations as needed.
Primary Responsibilities:
- Collaborates with the interdisciplinary team to identify and meet patient/family identified needs.
- Assesses patient / family needs using patient/family-centered, holistic approach.
- Articulates the purpose and value of the interdisciplinary team to patients and families, fellow team members and community.
- Participates in the interdisciplinary team meeting and considers the perspectives of all disciplines in the care planning process.
- Demonstrates compliance by putting regulations into context/practice.
- Participates in discussion of ethical issues and problem-solving.
- Describes the relevance of and applies group process/development to his/her interdisciplinary team
- Participates in team discussion, team meeting, collaborative practice, support, memorial and team activities.
- Participates in interdisciplinary team evaluation and identifies strategies to improve the team’s work and collaboration.
- Promotes interdisciplinary care to meet identified patient/family needs.
- Assesses and identifies desired patient/family-directed goals.
- Participates in the development of the plan of care and uses it to guide interdisciplinary team work and practice.
- Provides appropriate closure with families in compliance with organizational protocols.
- Promotes patient/family centered care, advocacy and support.
- Identifies the strengths and limitations he/she brings to the team.
- Maintains and promotes healthy boundaries.
- Demonstrates understanding and support in interactions with team members.
- Utilizes collaborative team process to meet patient/family needs and effectively and efficiently applies them to care delivery.
- Seeks, provides and receives feedback without judgement.
- Summarizes relevant patient/family information in a professional, efficient manner, ensuring the inclusion of all team members and volunteers.
- Coordinates visits with team members to best meet patient/family identified needs.
- Collaborates with team members to determine a timely and effective response to urgent/changing needs.
- Summarizes key patient/family information in a manner that reflects care and collaboration with team members to implement and continually revise the plan of care.
- Is punctual, follows through and is accountable to other team members.
- Demonstrates courtesy, respect, inclusiveness and non-judgement with respect to patients/families and fellow team members.
- Assists in identifying, creating and /or teaching professional development and interdisciplinary team development activities.
- Actively develops and enhances own practice approaches through supervision, mentoring, coaching or related activities.
- Applies best practices in own discipline to care delivery and interdisciplinary team practice.
- Utilizes critical thinking.
- Articulates the value/role of team conflict and views it as opportunity to enhance team function.
- Participates in problem-solving about team function and process.
- Practices teamwork without yielding to pitfalls.
- Demonstrates awareness and adherence to Standard Precautions and Infection Control and trains patients and caregivers on same2.
Participates in organizational operations:
- Operational systems are maintained in regard to Federal and State Hospice Standards.
- Compliance with Community Hospice Pharmacy and State Regulations in regard to obtaining, disposing, dispensing pharmaceuticals.
- Takes initiative in addressing areas of need noted regarding facility operations/services and advising the appropriate department for resolution.
- Demonstrates professional relationships with internal and external customers.
- Promotes organizational mission, values and image within Community Hospice and Palliative Care and the community.
- Demonstrates appropriate dress and grooming.
- Displays integrity, courtesy, patience, and respect.
- Adheres to organizational policies and procedures per Employee Handbook; including attendance, tardiness, professionalism and conduct/misconduct.
- Participates in organization Quality Assurance Performance Improvement (QAPI) as appropriate.
- Documentation is completed per organizational standards and reflects organization and regulatory requirements.
- Patient occurrence reports are completed accurately and submitted timely to the manager.
Actively seeks ways to develop professionally by:
- Developing basic knowledge of Hospice Medicare/Hospice Medicaid and other reimbursement sources.
- Developing areas of expertise in hospice nursing skills.
- Pursuing professional growth through academic and continuing education programs.
- Assisting in the orientation and mentorship of new employees.
Additional Duties:
- May facilitate the IDG meeting in the absence of the manager
- Performs other duties as assigned.
Required Licenses/Certifications:
- Current licensure as Registered Nurse in the State of Florida.
- Current CPR certification.
- Current State of Florida Driver’s license with driving record acceptable to Community Hospice and Palliative Care insurance carrier.
Qualifications:
Education/Experience:
Any combination of education and experience of required skills and knowledge for successful performance is qualifying. Typical qualifications are equivalent to:
- Possession of a two year Associate Degree in nursing or a Bachelor’s Degree in nursing from an accredited school of nursing program,
- One or more years Registered Nurse experience with at least one year hospital medical-surgical/ oncology experience preferred or
- Five years Licensed Practical Nurse experience within the past five years and at least one year hospital medical–surgical/oncology experience preferred.
Knowledge of:
- Appropriate educational principles and methods as applied to hospice nursing.
Skilled at:
- Effective communication and teamwork.
- Demonstration of confidence and ability to manage inpatient facility functions and patient care needs on his/her shift
- Working long and occasionally irregular hours as needed.
Professional Development:
Community Hospice and Palliative Care adheres to local, state and federal mandated educational and continuing education requirements.
- Maintains competency by participating in in-service and continuing educational programs. The organization’s Professional Development Department will inform and provide you with a monthly Education Calendar indicating dates and times for all programs.
- Attends and participates in internal staff development programs. Obtains continuing education as required by regulations.
- Assists in training and education of other healthcare staff members.
- Complies with accepted ethical conduct and professional standards of nursing practice as set forth by the American Nursing Association and follows the guidelines as set forth in the Nurse Practice Act.
Physical Requirements/Work Environment:
The physical requirements described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to person essential functions.
- Must be able to bend, push, pull, twist and reach to perform patient care.
- Must have the ability to see for performance of skilled duties and hearing for good communication.
- Must be able to ambulate on rough surface and climb stairs.
- Must be able to withstand exposure to dust, fume, gases, or animal dander.
- Must be able to lift 25 pounds, carry 15 pounds.
- Must have the use of both hands for precision work.
- Reliable transportation that allows employees to shift work locations when needed.
- Furnish one or more active telephone numbers that enables management to contact employee should an unexpected change of work location be required.
We are an equal opportunity employer.
We do not discriminate on the basis of race, color, religion, marital status, age, national origin, disability, pregnancy, genetic information, gender, sexual orientation, veteran status, or any other status protected under federal, state, or local law.
