About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!
About the Role
- Ennoble Care is hiring for a Full-time Hospice Registered Nurse Case Manager to work within and around hospitals in Gwinnett, GA and surrounding areas. As a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Responsible for identifying patient and loved ones/caregiver needs and for providing supportive care in accordance with the attending physician’s orders and plan of care and the policies and procedures. The functions of this position will include the following: Shall be assigned patient caseload by the Patient Care Coordinator or designee Assume primary responsibility for a patient caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process Initiate communication with attending physicians, Hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient and loved ones/caregivers Maintain regular communication with the attending physician concerning patient and loved ones/caregivers Seek input from other team members regarding the patient plan of care to obtain additional knowledge and support Provide accurate and timely documentation in electronic medical records. Participates in and contributes appropriate information for Interdisciplinary Group meetings Accept responsibility for coordinating physical care of the patient by teaching primary caregivers, volunteers, and employed caregivers or by providing direct care as appropriate Meet regularly with the Hospice nursing staff to review problems or unique issues from caseloads; share professional support; and exchange feedback aimed toward enhancing professional growth Attend patient care conferences and facilitate discussion of issues from caseload for full staff discussion, consultation and evaluation Supervise and document the NAC every two weeks or as assigned Inform the Patient Care Coordinator of unusual or potentially problematic patient/family issues Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off-hour times or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses Provide appropriate support at time of death and period of bereavement Participate in the Hospice orientation and in-service training programs for professional staff Participate in agency and community programs as required to promote professional growth and understanding of hospice care Maintain familiarity with policies of the agency and rules and regulations of State and Federal bodies which govern hospice Accept other assignments as appropriate Additional Job Responsibilities for Hospital Setting: Goals of Care discussions with identified patients Participate in discharge planning for GIP and/or RHC discharges into the community Work with case managers and physicians to identify potential hospice eligible patients Interact, educate and discuss Primary Care, Palliative and Hospice service lines with hospital employees Provide hospice evaluations (including RHC and GIP level of care) Provide GIP level of care daily visits and updating the plan of care Support Routine home visits (RHC) and/or admissions in the field as needed
