Registered Nurse Case Manager - Hospice

Livingston Memorial is looking for a Full Time Registered Nurse Case Manager, 40 hours a week, to support our Hospice team. Must be able to work 1 weekend a month.

Come be a part of a company whose mission for the last 78 years is to deliver the highest quality, compassionate in-home healthcare and support services to Ventura County residents!

Position Summary:

Under limited supervision provides and documents intermittent therapeutic, palliative, end-of-life skilled services in the patient's place of residence. Patient problems range from simple to very complex. Provides services when ordered by a physician and in accordance with the Medicare Conditions of Participation, California Hospice Standards and accepted standards of nursing practice and Livingston policies and procedures.

What You’ll Do:

• Conducts and documents the nursing component of the comprehensive assessment on admission, recertification (90, 60 days) and/or when the patient's condition warrants.
• Determines program eligibility, needed services, and verifies payer sources.
• Reviews patient's medications at every visit, maintains a list of current medications, and reconciles the Hospice medication list with medication lists from other providers; e.g. inpatient discharge.
• Collaborates with the interdisciplinary care group (IDG) in developing and maintaining an individualized patient centered plan-of-care. Evaluates the patient's response to care, updates the care plan and makes referrals to internal and external resources to meet patient's needs.
• Develops and implements an individualized teaching plan for the patient and family/caregiver with a goal of assisting the patient and family in reaching a safe and comfortable death in accordance with the patient's wishes.
• Timely obtains physician orders for necessary care and services.
• Case manages assigned patients ensuring continuity of care and efficient and effective utilization of resources to ensure patient goals and desired outcomes are met.
• Communicates timely and effectively with physicians, Case Managers, Patient Care Coordinator(s), Director(s), and appropriate members of the IDG regarding changes in the patient's condition, plan-of-care, needs, and goals.
• Ensures clinical documentation is complete, accurate, professional, and submitted to Livingston within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Presents assigned patients at weekly case conferences.
• Proactively ensures patients have correct supplies.
• Supervises LVNs and CHHAs. Ensure a current CHHA plan-of-care is on record and available to the CHHA. Makes CHHA supervisory visits at least every two weeks.
• Ensures that all required notices are provided to the patient or patient's legal representative timely and in compliance with regulations.
• In collaboration with designated office staff, ensures prior authorization requests are completed in accordance with policy.
• Monitors case communication follow-up notes, e-mail and mailbox, and takes appropriate action in a timely fashion.
• Meets or exceeds productivity expectations.
• Work weekends and holiday rotations as assigned.
• Accurately and timely records and reports hours worked as required by state regulations.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to Livingston policy and procedure.
• Actively participates in quality improvement, in-services, and other activities as requested or required.
• Communicates regularly with Director(s) about department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.