RN, Case Manager

Description The RN Case Manager is the member of the interdisciplinary team who is the pivotal person in identifying the physical, psychological, social and spiritual needs of the patient and family. The RN Case Manager initiates appropriate intervention and support for the patient and family upon admission and provides a continuously appropriate, comprehensive and responsive plan of care. ##### Professional Duties - Coordinates the patients and families care and services including those of the team, social worker, chaplain, home health aide, volunteer and physician. - Responds necessary information to the Team Manager. - Monitors the re-certification process. - Participates in Interdisciplinary Team Meetings as indicated. - Documentation is complete, accurate and timely. - Ensures and documents appropriate use of the medications, durable medical equipment and supplies. - Educates patients, families and other caregivers. - Provides skilled nursing as determined by the interdisciplinary plan of care. - Updates care plan regularly and integrates plan of care with any new changes in patient condition. - Appropriately utilizes the skills and resources of contract personnel such as PT, OT, Dietary, Speech and Pharmacy. - Performs on site evaluations of Certified Home Health Aides (CHHA) and volunteers. - Participates in the on-call rotation, weekends and holiday schedules if situation arises. - Integrates Quality Improvement results into the established plan of care. - Participates in the orientation of new team members and / or act as a preceptor to nursing students as assigned by the Team Manager. - Attends regularly scheduled in-services and educational conferences. - Reconcile medication with each change of level of care and update the electronic health record and Hospice pharmacy. - RN Case Manager case load will consist of a 12:1 ratio - Performs other duties as assigned. - Be accountable for your work - Speak positively about your work, co-workers and Desert Oasis Healthcare and Family Hospice Care - See the positive in situations and in others - Avoid gossip and negativity - Inform patients and co-workers of how and when to contact you under normal circumstances (phone number, email, a help line, Immediate Care, etc.) or when unforeseen issues arise ##### Qualifications - Current California RN License - 1 year experience as a professional nurse, with Diploma, Associate of Science in Nursing (ASN) or Bachelor of Science in Nursing (BSN), BSN may substitute for 1 year of work experience. Previous experience in hospice or home health, preferred. - Knowledge of the principles and practices of primary medical and nursing care. - Ability to communicate effectively with individuals within all levels of the organization, patients, providers, and others. - Ability to work independently. Ability to utilize critical thinking and judgement to problem solve. - BLS required within 60 days of hire. - Valid Californias Drivers license and proof of auto insurance. ##### Physical Demands Type Description Sitting Approximately 60% of day Standing Approximately 20% of day Walking Approximately 20% of day Lifting 0 - 40 lbs - approximately 20% of day Bending Approximately 10% of day. Kneeling < 20%. Hearing/Visual Acuity Adequate for use with computers, cell phone and tablets - Approx 50% of day Computer Highly technical work environment - Must be able to work = 4 hours / day using keyboard, mouse, monitor and tablet. Reaching Above head 75 degrees - approximately 25%. Hand grip dexterity Approximately 40% of day