FT Hospice Case Manager (RN)
Location : Address
Home and Community Services--Southern
Excellent FT Benefits: Medical Coverage After Two Months, Tuition Reimbursement, 403B Including Retirement Matching, Vacation and Holiday Pay
Enhanced New Benefits Include:
Increased Tuition Assistance
Generous Paid Time Off Policy
Full Time Benefits Eligible With 30 Hour Work Week
Increased Dental and Orthodontic Insurance
Company Paid Long Term Disability
Growth Opportunities: National Church Residences is comprised of multiple facilities and locations in the Central, Northern and Southern Ohio areas and promotes internal growth.
According to prescribed policies and procedures including all applicable state, federal and accreditation regulations and under the supervision of the Director of Nursing, assumes responsibilities for managing, planning and executing the care transitions programs in the healthcare centers.
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• Meets prospective residents pre discharge in hospital to assess transitional healthcare needs.
• Connects with hospital discharge planners for coordination of care
• Prepares for transitional healthcare needs with interdisciplinary team at healthcare center.
• Improves the care plan with focus on: a) Medication Management, b) Resident Health History c) Primary Physician and Specialist follow-up, d) Early Warning of Clinical Risk Factors and e) Patient Centered Record.
• Utilize evidence-based Care Paths to improve assessment and care processes.
• Monitor for early warnings via nurse aide observations and interactions.
• Educate nurses and nurse aides on early observations and assessment findings that may represent an Acute Change of Condition.
• Analyze early warnings and determine if an Acute Change of Condition has been identified.
• Educate nurses to communicate to physicians via the SBAR (Situation, Background, Assessment, Recommendation) Communication and Progress Note.
• Establish rapport with residents’ families through education and frequent communication.
• Assist with advance care planning discussions as indicated/appropriate should the resident experience a sudden life threatening condition or the resident’s health is gradually deteriorating (such as progression of disease process).
• Collaborate with the interdisciplinary team to guide healthcare processes and make plans to prevent unanticipated developments.
• Analyze circumstances to improved transitional care when resident is transferred to an emergency department or hospital.
• Participate in QAPI program to identify possible opportunities to prevent avoidable transfers.
• Consults with Administrator regarding action plans and works collaboratively to improve documentation.
• Attends facility meetings, corporate meetings, and education programs as required.
• Assists with continuity of care and care transitions at discharge for residents being discharged with home health services from InCare Home Health
• Demonstrates and maintains a positive, professional manner, manages time efficiently and effectively, promotes a team approach, participates in appropriate problem solving methods.
• With respect to Resident Rights, ensures all care is provided with respect and dignity for residents, reports all complaints made by residents and/or families to the appropriate supervisors, reports all allegations of abuse, misappropriation of funds/client property and/or any other corporate compliance items immediately.
• Must adhere to all policies, procedures, terms and conditions set forth in the NCR Employee Information Guide (EIG) as well as any facility handbook including but not limited to corporate compliance, drug free workplace, safe work practices, all federal, state, local regulations and laws.
• Performs other duties as assigned
Education: Completed registered nursing education, licensed practical nursing school or equivalent.
Experience: Three -Five years of working with the elderly required. Minimum 1 year nurse experience on short-term rehab unit.
Mental: Must have good communication, comprehension, and interpersonal skills. Must have the ability to speak, read, write and understand English.
Skills: Must possess excellent clinical assessment, critical thinking and communication skills. Also must have the ability to monitor, manage and coordinate the care needs of all skilled residents during their stay at the facility.
Knowledge of acute and chronic disease management for diabetes, congestive heart failure, chronic obstructive pulmonary disease, renal failure, and change in condition management.
Ability to assist in discharge planning for continuity of care with or without home health services.
Must have working knowledge of Windows, Microsoft Office Suite, and World Wide Web.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, ancestry, military status, disability, genetic information and/or any other characteristics protected by applicable law.