RN CASE MANAGER HOMECARE- VERONA
Agrace
Verona WI 53593 US
Agrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.
Agrace has a strong culture of employee engagement. In 2023, Agrace was named the#1 Top Workplaceby the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!
Hours Monday-Friday 8am-5pm
Weekend Rotation Every Eighth Weekend
Holiday Rotation Two Holidays/Year
On Call Rotation One Weekend/Quarter
Bonus Eligibility $6000
WHO YOU'LL WORK WITH (AND WHAT THEY HAVE TO SAY)
The RN Case Manager works on a collaborative interdisciplinary team including Social Workers, RNs, CNAs, Volunteer Coordinators, and Clinical Assistants.
Management cares and offers support, nobody at the organization belittles anyone for asking questions or help. Agrace makes everyone feel valued. - Homecare Employee
HOW YOULL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)
The RNCM is responsible for patient and family satisfaction through the provision of nursing care and case management by conducting assessments, creating and updating the plan of care, providing interventions, communicating, and documenting. The RNCM provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.
Patient and Family Assessments
Assess patients and familys physical, pain, psychosocial, emotional, spiritual, environmental and educational needs as outlined by the plan of care (POC).
Collect data from the patient, family, significant other or other members of the interdisciplinary team and other health care professionals.
Identify, interpret, and document assessment data collected in the nursing interview, physical assessment and other health data.
Document and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms or violence, etc.
Collaborate with IDT and primary care provider to create HES for determination of hospice eligibility.
Patient Visits
Respond to patient and family needs or change in condition or need for acute patient intervention.
Provide interventions, treatments, and pain management to patient and family to meet needs. Evaluate the effectiveness of pain management or other intervention and adjust to meet needs.
Provide patient and family education on pain, symptom management, end of life, etc. Evaluate the effectiveness of education and adjust to meet needs.
Plan of Care
Formulate, implement, and revise individualized POC in collaboration with Interdisciplinary Team (IDT), patient, and family. The POC to include goals, pain management, interventions, education, discharge plan, etc.
Develop reasonable and achievable outcome measures and establish priorities in the planning and provision of care.
Read, understand, and follow the plan of care. Document interventions, outcomes, and changes in patient condition in electronic health record (EHR).
Delegate visits to appropriate disciplines and manage visit sets.
Oversee work of Certified Nursing Assistants (CNA) and Licensed Practical Nurses (LPN).
Miscellaneous
Participate in meetings to plan and evaluate patient/family services.
Precept new staff and students.
YOU BRING (EXPERIENCE & QUALIFICATIONS)
ADN orBSNrequired
Current, unrestricted Registered Nursing License in state of employment
One-year nursing experience, preferred
Valid drivers license, auto insurance, and access to a reliable vehicle
Must be at least 18 years of age
Ability to develop, maintain, and apply knowledge of hospice and end of life process
Ability to maintain professional boundaries with patients, families and co-workers
Ability to create and follow plans of care, and patient, family, and clinical staff directions
Basic Microsoft Office skills
Intermediate electronic health records skills; Epic preferred
Ability to work effectively and cooperatively with others
Ability to communicate effectively verbally and in writing
Ability to be flexible in time and task to meet organizational needs
Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property
Ability to use proper body mechanics, safe patient handling, and standard precautions
Dont meet these qualifications as written? We would still love to talk about roles at Agrace:Join Here
At Agrace we are strengthened by thediverseexperiences, cultures and traditions of our staff, patients, and clients.
Together, we pursue a vision ofequityin whicheveryAgrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.
We foster a culture of belonging andinclusionthat celebrates peoples uniqueness and leads to meaningful, empathetic connections.
Agrace HospiceCare is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Agrace has a strong culture of employee engagement. In 2023, Agrace was named the#1 Top Workplaceby the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!
Hours Monday-Friday 8am-5pm
Weekend Rotation Every Eighth Weekend
Holiday Rotation Two Holidays/Year
On Call Rotation One Weekend/Quarter
Bonus Eligibility $6000
WHO YOU'LL WORK WITH (AND WHAT THEY HAVE TO SAY)
The RN Case Manager works on a collaborative interdisciplinary team including Social Workers, RNs, CNAs, Volunteer Coordinators, and Clinical Assistants.
Management cares and offers support, nobody at the organization belittles anyone for asking questions or help. Agrace makes everyone feel valued. - Homecare Employee
HOW YOULL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)
The RNCM is responsible for patient and family satisfaction through the provision of nursing care and case management by conducting assessments, creating and updating the plan of care, providing interventions, communicating, and documenting. The RNCM provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.
Patient and Family Assessments
Assess patients and familys physical, pain, psychosocial, emotional, spiritual, environmental and educational needs as outlined by the plan of care (POC).
Collect data from the patient, family, significant other or other members of the interdisciplinary team and other health care professionals.
Identify, interpret, and document assessment data collected in the nursing interview, physical assessment and other health data.
Document and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms or violence, etc.
Collaborate with IDT and primary care provider to create HES for determination of hospice eligibility.
Patient Visits
Respond to patient and family needs or change in condition or need for acute patient intervention.
Provide interventions, treatments, and pain management to patient and family to meet needs. Evaluate the effectiveness of pain management or other intervention and adjust to meet needs.
Provide patient and family education on pain, symptom management, end of life, etc. Evaluate the effectiveness of education and adjust to meet needs.
Plan of Care
Formulate, implement, and revise individualized POC in collaboration with Interdisciplinary Team (IDT), patient, and family. The POC to include goals, pain management, interventions, education, discharge plan, etc.
Develop reasonable and achievable outcome measures and establish priorities in the planning and provision of care.
Read, understand, and follow the plan of care. Document interventions, outcomes, and changes in patient condition in electronic health record (EHR).
Delegate visits to appropriate disciplines and manage visit sets.
Oversee work of Certified Nursing Assistants (CNA) and Licensed Practical Nurses (LPN).
Miscellaneous
Participate in meetings to plan and evaluate patient/family services.
Precept new staff and students.
YOU BRING (EXPERIENCE & QUALIFICATIONS)
ADN orBSNrequired
Current, unrestricted Registered Nursing License in state of employment
One-year nursing experience, preferred
Valid drivers license, auto insurance, and access to a reliable vehicle
Must be at least 18 years of age
Ability to develop, maintain, and apply knowledge of hospice and end of life process
Ability to maintain professional boundaries with patients, families and co-workers
Ability to create and follow plans of care, and patient, family, and clinical staff directions
Basic Microsoft Office skills
Intermediate electronic health records skills; Epic preferred
Ability to work effectively and cooperatively with others
Ability to communicate effectively verbally and in writing
Ability to be flexible in time and task to meet organizational needs
Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property
Ability to use proper body mechanics, safe patient handling, and standard precautions
Dont meet these qualifications as written? We would still love to talk about roles at Agrace:Join Here
At Agrace we are strengthened by thediverseexperiences, cultures and traditions of our staff, patients, and clients.
Together, we pursue a vision ofequityin whicheveryAgrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.
We foster a culture of belonging andinclusionthat celebrates peoples uniqueness and leads to meaningful, empathetic connections.
Agrace HospiceCare is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.