The RN Hospice Case Manager’s overall responsibility is to provide direct client care and case management to an assigned caseload in the home setting in accordance with physician’s orders. This includes admission of clients for service and determining and developing a plan of care. Including but not limited to:
Regularly assesses and reassesses the nursing needs of the Hospice client. Competently implements 24-hour responsibility for each client including nursing and home health aide service.
Provides direct client care and case management. Performs admission procedure as per RVNA policies using legible, accurate documentation. Develops a plan of care consistent with the physician’s plan of treatment.
Performs evaluation of clients’ progress, promptly acts on any changes made to client’s plan of treatment or condition, including appropriate discharge procedure if client no longer meets hospice criteria.
Coordinates the implementation of the plan of care for clients residing in SNF, ALF, hospital contract bed or personal residence.
Provides dietary counseling.
Observes signs and symptoms and reports to the physician and IDG members any unexpected changes in the client’s physical or emotional condition.
Teaches, supervises and counsels the Hospice client and family members about providing care for the client.
Supervises and trains other nursing service personnel.
Develops and re-evaluates the client/family care plan in conjunction with IDG to meet needs and maintain continuity of care. Updates and maintains the nursing care plan.
Graduation from an accredited school of nursing; BSN preferred
Currently licensed to practice as a Registered Nurse in the State of Connecticut.
A minimum of two years of nursing experience, preferably in medical/surgical nursing. Home Health Care and/or Hospice experience preferred. Active client contact within past three years, preferred.
Is computer literate, enters information into computer in a timely and accurate manner. Uses electronic means of communication effectively within agency policies and practices.
Ability to respond appropriately to crisis outside of a hospital setting.
Acceptance of and adaptability to different social, racial, cultural and religious modes.
Ability to work independently, make accurate, and at times, quick judgements.
Able to drive in all types of weather.
Successfully complete hospice training program.
Internal Number: 27
The mission of the Ridgefield Visiting Nurse Association (RVNA) is to provide exceptional home and community health care services, support public health and safety and promote the highest quality of life.
Founded in 1914, RVNA is a private, nonprofit organization that has been providing quality care for over 101 years. A staff of almost 200 provides a wide range of home health and community-based wellness services to residents Fairfield County in Connecticut.
RVNA offers skilled nursing services, hospice, physical therapy and other rehabilitation services, community health & wellness programs such as our aging-in-place program (Quality Living at Home), travel medicine services, pediatric services and public health & safety programs. We also offer live-in and hourly caregivers through HomeCare by RVNA.
Families and their physicians choose RVNA because of the exceptional care we provide. Our services and programs continue to expand to meet area health care needs and our commitment to improving the health of individuals throughout the greater Western Connecticut area remains strong, as it has for nearly a century. We provide not only what our patients and communities need today but anticipate what their future health care needs will be. This makes RVNA unique.