Type of position: Case Manager, Nursing
Date Posted: Friday, May 10, 2013
Hospice Program: Samaritan Care Hospice of Florida, Inc.
Location: Orange and/or Osceola counties
The Registered Nurse, working as the Case Manager, has primary responsibility for the interdisciplinary physical, psychosocial and spiritual care of the patient with the goal of maintaining the highest level of comfort and quality of life.
The following highlights some of the position responsibilities:
- Completes initial assessment of physical and home care needs of the patient; provides information to the patient and family regarding the hospice philosophy of care.
- Provides emotional support to patient and family.
- Collaborates with interdisciplinary team to establish patient goals at the time of admission.
- Travels to and from patient’s physical location (Home, ALF, Nursing Home etc.) to provide care.
- Assumes primary responsibility for physical care of the patient following orders of the attending physician and under the guidance of the Patient Care Manager. Provides direct nursing care to the patient.
- Responsible for entering patient information into an electronic medical record upon admission and throughout the patient course of treatment.
- If any changes or refills are required for medications, the case manager will fax/call to Hospice Pharmacia.
- Monitors medications taken by the patient, ensures adequate supplies are on hand, and instructs patient and family in appropriate use.
- Contacts the attending physician when changes in patient’s condition require alteration or addition to the Plan of Care (e.g., changes in medication).
- Educates patient and family regarding symptom control, palliative care and patient care skills.
- Documents all care given on nursing visits at point of service and in a timely manner..
- Responsible for ordering and coordinating the delivery of durable medical equipment (DME). Will also notify of discharge and arrange for pick up of equipment.
- Licensure as a Registered Nurse in the State of Florida.
- All clinical staff must have and maintain CPR.
- One year of experience as an RN in an acute care facility or other equivalent experience.
- Ability to perform weight-bearing activities (e.g., lifting, turning and ambulating the patient) without physical restriction.
- Willingness to care for all terminally ill patients, regardless of the nature of the illness.
- Flexible Benefit Package
- Medical and Dental Coverage
- Growth and advancement opportunities
For consideration, please contact Gaye Gonzalez, 1-407-514-1318, fax: 407-514-1301 or e-mail:email@example.com.
Type of position: Case Manager, Nursing
Date Posted: Monday, May 6, 2013
Hospice Program: Tidewell Hospice
Statement of Purpose: Uses the nursing process and nurse case management strategies to coordinate care and provide nursing services for hospice patients and their families in the home, long term care facility, assisted living facility, hospice house or hospital. Works under a per-diem agreement and is scheduled in accordance with business needs and team requests.
Primary tasks, duties, and responsibilities:
- Promotes and practices the Hospice mission and core values, and follows all policies and procedures of Tidewell Hospice.
- Under the direction of a licensed physician, manages discomfort and provides symptom relief using specialized nursing skills related to palliative and end-of-life care.
- Provides initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychosocial and environmental needs and activities of daily living.
- In collaboration with the other members of the Interdisciplinary Team (IDT), develops, implements and updates the individualized plan of care, initiates appropriate preventive and rehabilitative procedures and initiates referrals to other services
- Educates patient, family and caregivers regarding disease process and decline, palliative interventions, care giving, dying process and safety practices.
- Supervises LPN’s and paraprofessionals providing services to the patient according to regulations.
- Recognizes and maintains professional boundaries in relationships with patient/family/caregiver.
- Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and patient’s eligibility.
- Completes “point of service” documentation within the electronic medical record database.
- Reviews and updates PIO’s/ Careplan, physician’s orders, MAR/ Pharmacy profile, PPOC and other records to ensure patient/ family needs are met.
- Demonstrates knowledge of and adheres to the Florida Nurse Practice Act, Standards of Practice of Hospice Nursing as well as legal, regulatory and CHAP requirements.
- Remains awake and alert during entire shift; demonstrates responsibility in work attendance.
- Frequently lift/carry up to 25 pounds independently and utilize proper techniques / assistance to lift greater weights, including the human body.
- Ability to turn, reposition, and assist patients to transfer and ambulate.
- Visual acuity, (including near/far vision) color discrimination and depth perception; other senses necessary for patient observation, communication and driving, including touch, hearing, and smell.
- Sitting, standing, walking and driving for prolonged periods of time; frequently walk on uneven surfaces which may be located indoors or outdoors, and may not be handicap accessible.
- Frequently climb in and out of car, ascend/ descend stairs while carrying computer equipment.
- Frequently stoop, kneel, and crouch during the provision of patient care.
- Fine motor skills to reach to administer patient care services, treatments and procedures and grasp objects, including medical supplies/equipment, the human body and a writing instrument, during the provision of patient care.
- Ability to provide own reliable transportation and travel within the four county service areas as needed during daylight and night time hours.
- Able to work flexible hours (evenings, weekends, holidays) to cover shifts in a 24 hour a day, 7-day a week patient care environment.
- Graduate of approved nursing program and current Florida RN license. BSN or MSN preferred.
- Minimum one year experience in an acute-care Hospital environment providing direct patient care; previous experience as a Hospice RN preferred.
- CHPN certification is strongly encouraged within three years of employment.
Knowledge, Skills and Abilities Required:
- Possess a valid Florida driver’s license and appropriate auto insurance.
- Possess exceptional clinical, counseling and organizational skills.
- Able to demonstrate an effective and working knowledge of computers, clinical information systems, software related to pharmaceutical information/ management and communications.
- Solid keyboarding skills with free-form and data entry proficiency of 30-35 wpm.
- Excellent communication and collaborative skills; establish and maintain effective relationships.
- Must be able to work independently and as part of a team.
- Requires ability to manage multiple priorities, work under pressure and to be detail oriented.
Responsible to: Clinical Director
Interested candidates can contact Renee Bergman at: gro.lleweditnull@namgrebr or 941-552-5911.