RN Case Manager

Working title:  RN Case Manager   

Classification title: Medical and Health Service Managers (11-9111)        

Division: Hospice

Program: Hospice House Facility

Reports to:   RSHH Operations Manager  

FLSA status: Non-Exempt; Full-time 

Schedule: Monday-Friday 8am-5pm

Wage Range: $29.98 TO $42.26 hourly plus a $2 Case Management stipend; based on number of years of transferrable experience and internal equity

RiverStone Health:

Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection – HELP is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life.  Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all of the communities we serve.

Foremost, we are committed to the values of Justice, Equity, Diversity and Inclusion (JEDI) by cultivating an environment that protects and acknowledges the unique identities within our diverse community. 

Hospice Overview:

The RiverStone Health Hospice Services care for terminally ill patients who want to receive comfort-oriented care rather than continue to seek a cure. Hospice care emphasizes quality of life. Care and grief support services are provided wherever home is. Most hospice patients receive care in their home, or the home of a relative or friend.  Hospice care can also be provided in nursing homes or other facilities.  Working together with patient and family, our team of hospice professionals and volunteers help relieve physical symptoms and decrease psychological, social, emotional, or spiritual distress of patients and their caregivers. Our 24 hour on-call nursing services are available to meet urgent needs.

Job Summary:

The RN Case Manager is responsible for the delivery of quality patient care through the nursing process of assessment, nursing diagnosing, planning, implementation, and evaluation.

In tandem with RSHH  Operations Manager and clinical nursing staff, the RSHH Case Manager helps to oversee patient care, nursing case management, clinical documentation and customer satisfaction with RSHH patient care services. The incumbent brings content expertise and knowledge surrounding the program elements, deliverables and metrics.  The work environment is typically fast paced.  Work is performed to ensure efficiency of program delivery, incorporating integrity and innovation to ensure a high level of customer service.

Essential Functions/Major Duties and Responsibilities:

Case Management                                                                                  95%

• Ability to work independently and collaboratively to provide end of life care and instruction for patients and families based on established clinical nursing practice standards.
• Directing end of life care, symptom management, and medication administration in compliance with physician’s orders and plan of care
• Monitoring and interpreting symptoms and treatments
• Providing education and support to patients and families
• Responsible for evaluating RSHH patient referrals, admissions, recertification’s, and discharges.
• Assesses referral patients’ palliative care needs and communicates findings to supervisor(s), hospice medical directors, and/or referring entities.
• Ensures an individualized plan of care is developed in consultation with the patient, family/caregivers, medical provider(s), and the hospice interdisciplinary team.
• Maintain communication between governing boards, medical staff, and department heads by attending meetings and coordinating interdepartmental functioning.
• Assists clinical team members to set priorities to ensure timely, effective, and efficient patient care delivery.
• Reviews initial and recertification order sets and care plans for appropriateness and compliance before sending out for physician’s signatures.
• Performs or oversees patient chart reviews upon admission, discharge/death, and per IDT routines.
• Assures that care, educational, and end of life planning needs of RSHH patients are met.
• Works individually and collaboratively to establish and maintain high quality clinical care across the hospice program
• Facilitates and models teamwork and practice in accordance with hospice standards of care, within RSHH and within the larger hospice program
• Excellent internal communication with other RiverStone employees, and providers to ensure efficiencies and quality customer service.
• Willingness and ability to ensure quality work, support of others and participate in quality improvement processes.
• Represent RiverStone Health in meetings, trainings or public events when needed.
• Rotates on-call with other supervisors to assure back-up supervision is available to give direction and assist on call nursing staff after hours and on weekends.

Non-Essential Functions/Other duties as assigned                                        ≥5%

• Perform other duties as assigned in support of the RiverStone’s mission and goals.

Education and Experience:

Minimum Qualifications

• Graduate from an accredited school with an RN degree.

• Minimum two years nursing experience

• Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work

Preferred Qualifications:

• Experience working with hospice patients

• Experience working with underserved population

• Experience working in a customer service environment

Certificates, Licenses, Registrations:

• Current good standing RN licensure with the Montana State Board of Nursing.

• Current professional license in the State of Montana, if applicable.

• Valid State of Montana Driver’s License in good standing

• Required to obtain emergency preparedness on the job training at a minimum of ICS 100, 200, 700, 300 and 400

Knowledge, Skills, and Abilities:

• Computer literacy in Microsoft Office Suite.

• Knowledge of modern office procedures, practices, and equipment.

• Maintains a calm and positive demeanor during difficult client interactions.

• Demonstrates non-judgmental and empathetic listening skills.

• High degree of detail-oriented level of skill.

• Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.

• Motivated to work collaboratively and maintain a positive work environment.

• Ability to work collaboratively and maintain a positive work environment.

• Ability to display non-judgmental and empathetic listening skills.

• Effective problem-solving skills

• Ability to communicate clearly and effectively with supervisors, co-workers and customers.

• Ability to prioritize and perform a wide range of tasks under pressure of frequent interruptions.

• Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality.

• Understands and adheres to administrative policies and procedures.

Customer Service Excellence:

• Does things right the first time and accepts responsibility for mistakes

• Welcomes people to RiverStone Health

• Shows respect for each customer

• Anticipates customer needs and concerns

• Updates and informs customers

• Assists others and goes the extra mile

• Responsive to client interests and concerns

• Protects privacy and confidentiality

• Demonstrates proper telephone etiquette

• Gathers information and responds to complaints promptly

• Being professional

• Accepts ownership of Service Excellence.

Supervision:

• None

Physical Demands and Working Conditions:

• Standing, bending, sitting, lifting required

• Required to travel occasionally to other hospitals/facilities, including the RiverStone Health Hospice Home.

• Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices.

Freedom to Act & Decision Making:

• Uses independent judgement

• Work is structured by public health regulations and established medical practices.

• Decisions directly affect the quality of services provided to the public.

 Communications & Networking:

• Work directly with other team members to provide quality customer service for patients and customers.

• Facilitates staff meetings, continuing education workshops, in-service meetings, educational materials, and training for staff as necessary.

• Responds to and resolves staff questions, will follow up on complaints and incidents as requested from Compliance Officer, investigates clinical incidents to identify trends and opportunities for process improvement.

 Budget & Resource Management:

The position is responsible for managing resources including time, equipment, and other resources necessary to deliver services.  Decisions made by the position directly affect the efficiency and cost of services.

Salary : $30 - $42