Hospice RN Case Manager

Apply specific criteria for admission and re-certification to establish patient eligibility and appropriate care levels. Assess terminal diagnosis impacts on physical, functional, environmental, safety, ADL, and psycho-social needs, including risk for pathological grief. Develop individualized pain management plans and palliative care plans demonstrating symptom relief and discomfort management. Determine service scope and frequency based on acuity, then implement care plans using preventative and rehabilitative procedures. Collaborate with interdisciplinary teams to coordinate patient and family services, prioritize needs, and revise care plans during group meetings. Educate patients, families, and caregivers regarding disease processes, self-care, end-of-life care, and ethical concerns. Document all assessments, care plans, interventions, and outcomes while communicating information via current agency technology. Participate in orientation, in-service education, performance improvement activities, and the on-call rotation as requested.