Palliative Care RN-Case Manager Sign on Bonus $5,000
The Registered Nurse
works closely with other palliative care team members in planning, organizing
and coordinating palliative care consultations as described in the patient’s
Plan of Care. The Registered Nurse is responsible for direct patient care that
meets the needs of patients, caregivers, and family members.
- Acts as Case Manager as assigned by Director of Patient
Care Services and assumes responsibility to coordinate patient care for
- Completes an initial comprehensive and ongoing
comprehensive assessment of patient and family/caregiver to determine
- Provides a complete physical assessment, record of
current illnesses and history of previous illnesses.
- Assesses and evaluates patient’s status.
- Writes and initiates the Plan of Care.
- Regularly re-evaluates patient and family/caregiver
- Develops and documents the Plan of Care that
establishes goals, based on nursing diagnosis and incorporates palliative
nursing actions; makes necessary revisions as patient status and needs
- Counsels the patient and family/caregiver in meeting
nursing and related needs.
- Provides health care instructions to the patient and
family/caregiver as appropriate per assessment and Plan of Care.
- Facilitates the patient’s efforts toward optimal
- Provides nursing care to patients through visits and
telephone calls per the patient’s needs and Plan of Care.
- When not in the field, may be in office available to
triage patient calls.
- Completes, maintains and submits accurate and relevant
clinical notes regarding patient’s condition and the care given. Records
pain/symptom management changes and outcomes as appropriate.
- Provides documentation, consistent with Hospice
Services Palliative Care Policy and Procedures and Standards of Practice,
to the medical record no more than 24 hours following the contact.
- Communicates with the Medical Director and/or Attending
Physician regarding the patient’s needs and reports changes in the
patient’s condition; obtains/receives physician’s orders as required.
- Communicates with Interdisciplinary Group to coordinate
the Plan of Care.
- Teaches the patient and family/caregiver self-care techniques
as appropriate. Provides medication, diet and other instructions as
ordered by the physician and recognizes and utilizes opportunities for
health counseling with patients and families/caregivers.
- Provides and maintains a safe environment for the patient.
- Assists the patient and family/caregiver and other
Interdisciplinary Group members in providing continuity of care.
- Works in cooperation with the family/caregiver and
Interdisciplinary Group to meet the emotional needs of the patient and
Current California RN license
and a minimum of one year of acute or SNF care experience preferred. Hospice
experience a plus. Driver’s license, drug screening and background check will