RN Case Manager-Field - Bend, OR

Why Work for Us? · Partners In Care (PIC) is an independent 501(c)(3) nonprofit organization and the largest, oldest provider of home health, palliative care, and hospice services in Central Oregon. Serving Deschutes, Crook, and Jefferson counties, our dedicated team of over 200 ...

Job description

Why Work for Us?

Partners In Care (PIC) is an independent 501(c)(3) nonprofit organization and the largest, oldest provider of home health, palliative care, and hospice services in Central Oregon. Serving Deschutes, Crook, and Jefferson counties, our dedicated team of over 200 employees and 200 volunteers delivers compassionate, patient-centered care across a 10,000-square-mile area. Additionally, Hospice House in Bend, Oregon, is a specialty hospital for inpatient hospice care, creating an oasis of tranquility and comfort for patients and their families. We prioritize excellence, empathy, and collaboration, fostering a culture of kindness, respect, and learning while valuing diversity and the well-being of our employees, volunteers, patients, and families.

Status: Full Time (hourly, non-exempt) 40 hours per week.

Hours: 8:00 AM to 58:00 PM (8-hour Shift)-Monday-Friday. Work outside of these hours may be required.

Location: This role involves local/regional travel throughout Central Oregon via personal vehicle during the workday, including visits to patients' homes and facilities.

Summary/Objective

The Registered Nurse plans, coordinates, implements, and evaluates home health and hospice services, with an emphasis on community health education and nursing experience. The professional nurse builds from the resources of the organization & community to provide services to meet the needs of individuals and families within their homes. The Registered Nurse is responsible for cost-efficient and effective patient care with quality outcomes.

Essential Functions:

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Complete an initial comprehensive (if HH includes OASIS) and accurate assessment of the patient and family to determine home health needs. Provide a complete physical assessment and history of previous illness (es) and use the health assessment data to determine appropriate diagnosis and need for other disciplines and resources.
• Develop an individualized care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Include the patient and the family in the planning process. Make necessary revisions to the care plan as patient status and needs change. Complete and update the ongoing assessments and care plan as patient's status changes.
• Initiate appropriate preventive and rehabilitative nursing procedures and treatments and/or end of life comfort procedure. Administer medications and treatments as prescribed by the physician.
• Ensure that arrangements for equipment and other necessary items and services are available.
• Provide health care instructions and education to the patient and or family as appropriate per assessment plan and patients' caregivers' ability to learn. Adapt teaching styles to meet patient's needs and family's needs.
• Identify discharge-planning needs as part of the initial care plan development and implement prior to discharge of the patient.
• Develop, monitor, and update the HCA plan of care as necessary including completion of HCA supervisory visits no later than every 14 days. The HCA plan of care is complete, accurate, and updated every certification or as patient needs change.
• Update the primary physician when necessary and at least every sixty days.
• Communicate with the physician regarding the patient's needs, reports, and changes in the patient's condition; obtain/receive physician's orders as required.
• Communicate with all members of the healthcare team to promote coordinated, efficient care and document coordination of care with all involved with patient care.
• Initial assessments are complete, accurate, and submitted within 48-72 hours of admit. Additionally, ongoing clinical documentation is complete, accurate, documented, and submitted within 24 hours of patient visit.
• Participate in weeknight and weekend on-call duties as defined by the on-call policy.
• Adhere to the PIC mission and values. Support the organization.

Required Skills & Qualifications:

• Graduate of an accredited school of nursing with an unencumbered licensure to practice professional nursing in the State of Oregon.
• One to two years of recent medical/surgical care experience in an institutional setting.
• Ideal candidates will possess 1-2 years of home health or hospice experience.
• Valid CPR Certification.
• Current automobile insurance, a valid Oregon driver's license, and reliable transportation are required for those working in the field.
• Ability to pass a reference check, background test, drug screen, and TB test.
• Strong communication and interpersonal skills.
• Excellent assessment, problem-solving skills, and nursing skills per competency check.
• Strong clinical judgment and patient triaging skills are vital; efficient time management with minimal oversight; communication skills (with other care team members, including physicians); positive phone interaction/customer service; and computer skills.
• Ability to work independently and collaboratively within an interdisciplinary team.
• Compassion, empathy, and dedication to patient care.

Supervisory Responsibility: This position has no supervisory responsibility.

Work Environment:

• May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances.
• May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations.
• Handles emergency or crises siutations.
• Physical demands also include the ability to lift patients, assist with ambulation, walking, carrying, and pushing.
• OSHA exposure category 1: Position includes tasks that involve exposure to blood, body fluids, tissues.
• Required Personal Protective Equipment as conditions warrant: Gloves, gown, mask, mask with shield, goggles, shoe covers, bouffant cap.

Company Perks:

• Two medical, dental, and vision plans; insurance starts on the 1st of the month following the hire date
• Generous paid time off.
• $25,000 life insurance policy.
• Short and long-term disability.
• 403b retirement savings with employer match, no vesting required
• Employee Assistance Program
• Voluntary benefits: Legal Shield, AFLAC & MASA Transportation.
• Working for Partners In Care, a community-based nonprofit organization, may make you eligible for the Public Service Loan Forgiveness Program.