Capital Caring Health

Manager

• Provides, coordinates, teaches and supervises the nursing care of Hospice patients and families/caregivers.
• Working in collaboration with other members of the interdisciplinary team/group, the RN Case Manager plans and manages the nursing component of the hospice caseload.
• Makes initial and ongoing nursing assessments, judgments and treatment decisions based on patient and family/caregiver needs and wishes and in accordance with her/his professional skills.
• Completes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner.
• Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs.
• Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, caregiving, dying process and safety practices.
• Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals.
• Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
• Supervises patient care provided by Community Health Workers and Home Health Aides as requested.

Case Manager, RN

• Assessing and identifying patient/family needs utilizing the nursing process
• Coordinating the Plan of Care with the Interdisciplinary Team (IDT)
• Providing clinical, palliative, and supportive care to the patient/family unit
• Keeping the participant in their home environment as long as possible
• Documenting patient/family contact information in the EMR
• Completing initial and semi-annual assessments for all Company services
• Acting as the Company representative at assigned facilities while facilitating referrals to all service lines
• Communicating frequently with other members of the IDT
• Developing strong relationships with case managers and physicians at facilities
• Performing other duties as assigned.

Case Manager, RN

RN, Case Manager