Rn Case Manager - Hospice (pt)
Central Texas Medical Center (Austin, Texas)

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POSITION PURPOSE:

To provide palliative nursing services to hospice clients in a variety of hospice settings, according to client’s and families’ values, abilities, cultural and spiritual needs.

KEY RESPONSIBILITIES: The Hospice Case Manager is responsible for providing nursing care to hospice patients, in accordance with the physician’s orders and the interdisciplinary plan of care, with the goal of maintaining the comfort of the patient and family, and the highest quality of life that is possible, and in accordance with the standards of care and policies of CTMC Hospice.

1.       Able to perform basic nursing functions in all aspects of care required in the Hospice setting.
 

2.       Ensures the comfort and control of symptoms of hospice patients by provision of nursing care, teaching and support of patients and families, preparation of the patients and families for the patient’s death, and by arranging for the provision of supplies, equipment, and medications needed for the patient’s comfort.

3.       Organizes and implements individual patient care based on ongoing interpretation of physiologic, psychological, and sociological needs which affect the comfort and quality of life of the patient and family.

4.       Plans and supervises the activities of the hospice aides as appropriate to individual patient requirements and in accordance with department policy.

5.       Works as a member of and cooperates with the interdisciplinary team members to provide comprehensive care and continuity of services.

6.       Communicates with the patient’s physician in all matters pertaining to patient’s care, and adjusts the patient's plan of care as directed.
 

7.       Provides on-call coverage as needed on a rotating basis.

8.      Maintains accurate, complete documentation of care in the clinical record on admission and at all times thereafter, in accordance with established agency standards and within established timeframes.

9.       Prepares and submits schedule planner of patient visits, and schedules visits in conjunction with the Patient Care Coordinator.

10.   Participates in weekly Interdisciplinary Team Meetings and submits required documentation for the Plan of Care Update prior to meetings.

11.   Complies with all department policies and procedures, practices, and standards of care.

12.  Attends all mandatory inservices and certification classes.

13.   Participates in all quality activities including task force committee involvement as required.

14.   Demonstrates cost effective practices

15.   Responsible for insuring own clinical competence by maintaining professional and clinical skills through attendance at staff development meetings, pertinent educational activities, and professional affiliations. Keeps abreast of current trends by reading professional articles and journals.

16.   Completes related tasks as assigned by Hospice Patient Care Coordinator.

17.  Communicates with the patient’s physician in all matters pertaining to patient’s care, and adjusts the patient's plan of care as directed.

18.  Provides on-call coverage as needed on a rotating basis.

19.  Maintains accurate, complete documentation of care in the clinical record on admission and at all times thereafter, in accordance with established agency standards and within established timeframes.

20.   Prepares and submits schedule planner of patient visits, and schedules visits in conjunction with the Patient Care Coordinator.

21.   Supervises the home health aide by evaluating compliance with the aide care plan and interview with the patient/family every two weeks in the patient’s home.