Palliative Care Case Manager RN

1w1 week ago

Hospice of Humboldt

Eureka, US · Full-time · $94,000 – $114,000

About this role

This Palliative Care Case Manager RN is part of a multidisciplinary team providing specialized medical care for people with chronic and/or complex conditions. The role focuses on community-based palliative care. Cross-training in hospice ensures seamless transitions for patients needing end-of-life services.

Provides nursing services to patients in Hospice of Humboldt's Community Based Palliative Care Program, including assessments, interventions, and evaluations. Services occur in homes, long-term care facilities, or via video-conference technology. Manages a caseload per agreed-upon standards.

Determines the overall plan of care in discussion with patient, caregiver, physician, and interdisciplinary team. Documents assessments, interventions, and outcomes using electronic medical record at point of care. Coordinates and communicates with the primary care physician.

Triages calls from enrolled patients and families, assessing needs and coordinating care over the phone. May provide hospice nursing care, including direct care in residences and adjusting Plans of Care. Collaborates with physicians and team on changing patient conditions.

Requirements

Graduate of an accredited nursing program
Current California Registered Nurse license
Minimum of one (1) year of experience as a professional nurse within the previous three (3) years or equivalent experience in a BSN program
Valid driver's license, proof of acceptable automobile insurance coverage, and reliable transportation
Reliable mobile phone with plan that provides good local coverage
Basic computer skills
Experience in hospice or home health
CHPN certification

Responsibilities

Provide nursing services to patients enrolled in Community Based Palliative Care Program, including patient assessments, interventions and evaluations in homes, long-term care facilities or via video-conference
Manage a caseload of patients per agreed-upon standards
Determine the overall plan of care in discussion with patient, caregiver, physician, and other members of the interdisciplinary team
Document assessment, interventions, and outcomes utilizing electronic medical record at point of care
Coordinate and communicate with the primary care physician
Triage calls from enrolled patients and families, assess needs, and coordinate needed care over the phone
Provide direct hospice nursing care to patients in their place of residence
Develop, evaluate and adjust the patient's Plan of Care as indicated