Hospice RN Case Manager (Full Time) SIGN ON BONUS

Description

Join a mission-driven team where your nursing expertise truly matters. At Adoray Home Health and Hospice, our Hospice RN Case Managers make a meaningful difference for patients and families during some of life’s most important moments. You’ll be supported by a collaborative interdisciplinary team, trusted to practice with autonomy, and valued for the compassion, clinical judgment, and steady presence you bring to every visit. If you’re looking for purpose-filled work, strong team support, and the opportunity to serve communities across Dunn and St. Croix Counties, we’d love to meet you. This full-time, exempt, role includes a $2,000 sign-on bonus and is benefit eligible.

Minimum Qualifications

• BSN or minimum of two years of hospice care experienced preferred.


• Minimum of two years of clinical experience.


• Current Wisconsin RN license required.


• Current driver's license.


• Able to take on call responsibilities on rotating basis.


• Excellent communication skills.

Knowledge, Skills and Abilities

• High level of attention to detail


• Ability to work autonomously and make independent judgments.


• Ability to manage conflicting priorities and handle multiple tasks/projects concurrently


• Ability to work well as part of a team and independently


• Exhibit excellent written and verbal communication and organizational skills


• Exceptional customer service skills


• Display and promote high standards of ethical conduct and behaviors consistent with organizational standards

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Completes comprehensive assessment within 5 days of patient admission.


• Contacts all other disciplines involved in hospice patient’s care with update within 48 hours of admission (or sooner if patient’s condition warrants it) as well as ongoing.


• Confers with at least one other core IDT member to develop POC at the time of admission.


• Ensures there is appropriate follow-up with MD if there are discrepancies with medications or treatment protocols.


• Updates the MD with changes in patient’s condition and provides a status report to M.D. at least every 14 days.


• Notifies other members of the IDT of hospice death by the next business day at 9AM unless there are special circumstances.


• Implements hospice POC. Updates POC on regular, ongoing basis to reflect current care.


• Exhibits sound nursing judgment which positively affects individual patient outcomes.


• Implements new physician orders timely and accurately.


• Assesses for, provides and documents patient and family teaching related to patient’s


• health situation on an ongoing basis (i.e., medications, disease processes, treatments, etc.) and provides written teaching information as appropriate.


• Ensures Clinical Coordinator is notified if call is placed to physician with update, in case there are call-backs and office staff follow-up is necessary.


• Updates Hospice Manager regarding status of patients on regular basis, including a consultation for any unusual circumstances. Assesses for, provides, and documents staff teaching related to patient care on an ongoing basis when patient resides in a facility.


• Completes comprehensive assessment for hospice admits. Assessment requires minimal corrections by supervisor when reviewed.


• Documents towards patient goals at each visit.


• Completes required hospice recertification paperwork within specified time periods.


• Supervises home health aide at least every two weeks and documents supervision.


• Documents coordination of care of assigned case load with all other disciplines involved in patient’s care weekly.


• Develops accurate and individualized POC at the time of admission and ongoing.


• Ensures medication profile is complete (i.e., \"new\" vs. \"changed\", \"covered vs. \"non-covered\", start and stop dates, all coumadin doses, IV meds, reason for prn meds, etc.) and consistent with physician’s orders. Protocol for initiating standing orders is followed.


• Documents evidence of updates to physician for patients whenever there is a change in status, and minimally every 14 days.


• Ensures all documentation to be included in the medical record is completed within 24 hours of visit.


• Ensures all documentation included in the medical record is thorough, complete and accurate, requiring minimal corrections from supervisor when reviewed.


• Develops initial hospice POC within 24 hours of admission.


• Ensures all hospice admission paperwork is completed and turned in within 12 hours of admit unless there are special circumstances.


• Develops ongoing hospice POC within 5 days of admission.


• Updates hospice POC whenever there are changes in care and minimally every 14 days after the initial POC and no later than by 12N the day before IDT.


• Ensures that all hospice documents are locked at the time of completion.


• Completes hospice discharge summaries within one week of discharge or death.


• Completes medical supply worksheets timely and accurately.


• Completes payroll paperwork timely and accurately.


• Completes visit schedule by 3:30PM each Thursday for the following week and updates schedule as it changes.


• Documents evidence of coordination and collaboration when patient resides in a facility.


• Determines frequency of visits for patients and receives minimal recommendations for changes from supervisor when reviewed.


• Develops and updates patient goals and interventions which require minimal corrections from supervisor when reviewed. There is evidence that problems, goals, and interventions are patient specific.


• In collaboration with IDT, determines need for other disciplines (aide, PT, OT, SpT, SW) or service and notifies staff.


• Continually works to anticipate hospice patient’s needs regarding symptom management, thus minimizing the likelihood of a patient care crisis.


• Meets productivity standards as annually established.

Physical Requirements

Job involves standing more than four hours per day; stooping, bending, lifting/pushing up to 25 lbs. etc. are regularly required