Job: Registered Nurse Case Manager - Hospice Division

Registered Nurse Case Manager responsible for planning, coordinating, providing and documenting care for an assigned caseload of hospice clients from day of admission through day of discharge. Utilizes physician's orders and professional skills to develop and implement a home health plan that meets the client's specific need and is in compliance with Federal and State regulations governing Home Healthcare and with company policies and procedures.

Performs admission assessment within 48 hours of referral or as directed by referral source including completion of OASIS.
2. Develops a written plan of care in collaboration with physician for each patient based on assessment.
3. Initiates a plan of care determined by the assessment process with goals established for the appropriate outcomes and in compliance with physician orders.
4. Provides periodic reassessment of the patients nursing needs.
5. Provides those services requiring substantial and specialized nursing skills.
6. Initiates appropriate preventive and rehabilitative nursing procedures.
7. Prepares and submits timely and accurate OASIS, clinical and progress notes, payroll and other agency documentation per agency policy.
8. Coordinates and oversees all services related to care and treatment of patient.
9. Informs the physician and other personnel of changes in the patients condition and needs.
10. Counsels and educates the patient and family regarding disease process, self care techniques in health prevention, disease prevention strategies and health promotion.
11. Participates in in-service programs, team meetings, and case conference.
12. Maintains productivity standards per policy.
13. Supervises and teaches other nursing personnel as directed by Clinical Manager.
14. Refers patients to other services as appropriate.
15. Promotes patient and family independence.
16. Participates in on-call as scheduled.
17. Evaluates the ongoing effectiveness and outcomes of care.
18. Provides supervision of LPNs and Paraprofessionals providing services to the patient.
19. Plans for the patients discharge from home healthcare service.
20. Notifies the physician and Clinical Manager of SOC report/status within 24 hours of admission.
21. Ability to accurately assess and document client condition, teaching, skilled care provided every visit.

Requirements:

Current New Mexico license as a Registered Nurse.One year experience in acute care, long-term care or community health service. Ability to exercise independent and sound judgement. Current drivers license and auto insurance.Ability to push, pull, lift and carry up to 50 pounds.Ability to stand, walk, bend, squat, stoop, and sit for prolonged periods of time.