- Identify and address signs of actively dying.
- Communicating and collaborating with patient care, MSW and SCC
- Assessing all aspects of the patient's pain and developing an individualized pain management plan.
- Anticipating, preventing, and treating undesirable symptoms or secondary symptoms
- Identifying and addressing comfort care needs.
- Supporting, instructing, and educating the patient, family and caregiver using teach back.
- Documenting problems, nursing assessments, appropriate goals, care provided, care interventions and patient and family outcomes achieved from intervention and care provided.
- Maintaining the dignity, confidentiality and privacy of the dying patient.
- Supporting the patient's unique spiritual and cultural beliefs.
- Providing holistic, family-centered care across treatment settings to improve the quality of life.
- Consulting and collaborating with the interdisciplinary team and others involved in the patient's care.
- Coordinating patient care plan with After Hours and Crisis Care Staff.
- Attend, document, and present appropriate patient-related information at the Interdisciplinary Team Meetings utilizing the IDT templates.
- Updating the comprehensive assessment and patient's progress towards desired outcomes at least every 15 days.
- Completing patient-related documentation within 2 hours of the shift worked.
- Adhering to and complies with state and federal regulations, as well as accreditation standards.
- Providing patient and primary caregiver education/training, as appropriate, for care and services identified in the plan of care.
- Adhering to evidence-based standards of practice that are endorsed by the agency.
- Identify and address signs of transitioning
- Coordinate care for transfers to GIP level of care
- Coordinate care with Ahf, RCFE, & SNF
- Communicating with Team Manager as appropriate regarding patient acuity, scheduling, workload, and difficult situations.
- Following the agency's process for effective "hand off" communication.
- Participating in educating new staff members as assigned by the Team Manager.
- Supervising performance of LVN and Home Health Aide.
- Attending appropriate in-services held for Hospice of the East Bay staff.
- Initiating and ongoing monitoring of medication reconciliation processes according to Medicare and accreditation standards.
- Current California Registered Nurse License required.
- A minimum of one year of experience working as a professional nurse in an acute clinical setting required.
- CPR certification required.
- Must have current California Driver's License and a car in good working condition.
- Prior experience in hospice and/or home care preferred.
- Hospice and Palliative Care Nurse Certification highly desirable.
- IV knowledge and expertise desirable
- Work with passionate team members that have the same commitment to our organization as you.
- Fun and exciting environment
- 403b Retirement Account and generous company match.
- Medical, Vision, and dental; some plans qualify for a Health Saving Account (HSA)
- Up to 27 days of PTO/Holiday
- Group & Voluntary Life / Accidental Death & Dismemberment Insurance
- Tuition Reimbursement
- Employee Discounts
- Employee Assistance Program
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RNIII- Case Manager - Pleasant Hill, United States - Hospice East Bay
Description
Founded in 1977, Hospice East Bay (HEB) stands proud as one of the pioneering not-for-profit hospice agencies in the nation. Our mission is fueled by professionalism, compassion, and a team-oriented approach to care. Hospice East Bay provides compassionate end-of-life services to terminally ill patients in our community, while offering emotional, spiritual, logistical and bereavement support for their families and caregivers. Our vision is to build a diverse workplace that is both professionally stimulating and personally satisfying—an environment of collaboration, celebration, opportunity, and growth. This position covers areas from Pleasant Hill, through Livermore and the surrounding cities in these parts of Contra Costa County.
Why work with us?
As part of an IDT Team, you will be working with a diverse group of individuals who are dedicated to delivering the highest quality hospice care while being deeply committed to giving back to the community.
Reporting to the Team Manager, the Registered Nurse (RN) Case Manager is responsible for identifying the patient's and family's physical, psychosocial, environmental, safety and developmental needs and individualizing the patient's plan of care based on the needs identified.
The RN Case Manager coordinates patient/family care and ensures continuous assessment of each patient and family's needs and implementation of the plan of care under the direction of the attending physician and Medical Director/Hospice physician in conjunction with the interdisciplinary team. Hospice nursing services are based on the initial and ongoing assessment of the patient's needs and are provided in accordance with the interdisciplinary team's care plan. Each Case Manager triages and coordinates the care of up to 15 patients with the assistance from Revisit Nurses and in collaboration with the Team Manager.
ESSENTIAL FUNCTIONS
Must have the ability to perform a complete nursing physical assessment, develop a comprehensive care plan and respond to the needs of patients and families in the home setting, which includes SNF, RCFE/Board & Care. Must be able to cope with patient/family emotional stress and be tolerant of individual lifestyles without judgment. Must demonstrate excellent interpersonal communication skills, customer service skills, initiative, dependability, and good judgment. Must be able to work collaboratively as part of an interdisciplinary team, as well as independently, and problem solve in a crisis situation. Must take (and pass with 85% or more) a medication calculation competency exam annually. Demonstrates clinical competency as observed during supervisory visit.
EXPERIENCE & EDUCATION
Monday-Friday 8:00am-4:30pm
Team 1
