On Call RN

Job Description Summary 

The Hospice On Call RN Case Manager position plays a critical role in providing comprehensive hospice care to patients during after-hours and weekends. This position will be responsible for assessing patient needs, developing care plans, coordinating services, and providing support to patients and their families during times of crisis.

Key Responsibilities:

1. Assessment and Care Planning:
   • Conduct comprehensive assessments of patients' physical, emotional, and psychosocial needs.
   • Develop individualized care plans in collaboration with the interdisciplinary team and patients' physicians.
   • Continuously reassess and update care plans to ensure they meet the evolving needs of patients and families.
2. Coordination of Services:
   • Coordinate the delivery of hospice services, including nursing care, medication management, therapies, and support services.
   • Collaborate with other healthcare professionals, including physicians, social workers, and spiritual counselors, to ensure continuity of care.
   • Facilitate communication and coordination between patients, families, caregivers, and the hospice team.
3. Patient and Family Support:
   • Provide emotional support and counseling to patients and families facing end-of-life issues.
   • Educate patients and families about their illness, treatment options, and available resources.
   • Serve as a resource and advocate for patients and families, addressing their concerns and providing guidance throughout the hospice journey.
4. Crisis Intervention:
   • Respond promptly to after-hours calls and emergencies, providing triage and intervention as needed.
   • Assess and manage symptoms, pain, and discomfort, utilizing evidence-based practices and medications.
   • Collaborate with the on-call interdisciplinary team to address urgent care needs and ensure patient comfort and safety.
5. Documentation and Reporting:
   • Maintain accurate and up-to-date patient records, documenting assessments, interventions, and outcomes.
   • Communicate effectively with the primary care team, providing comprehensive reports and updates on patient status and care plans.
   • Adhere to regulatory requirements and documentation standards, ensuring compliance with hospice policies and procedures.

Qualifications:

• Valid RN license in the state of practice.
• Minimum of 2 years of clinical experience in hospice, palliative care, or a related field.
• Strong assessment, critical thinking, and problem-solving skills.
• Excellent communication and interpersonal skills, with the ability to interact compassionately with patients and families.
• Ability to work independently and as part of a multidisciplinary team.
• Flexibility to work evenings, weekends, and holidays as required for on-call duties.
• Knowledge of hospice regulations, Medicare/Medicaid guidelines, and best practices in end-of-life care.

Essential Job Functions/Responsibilities 

The Hospice On Call RN Case Manager position must exhibit the following competencies: 

1. Critical Thinking: 

Synthesize complex and diverse information; collect and objectively weigh data; use experience, intuition, and critical thinking to complement data; and design effective processes and workflows. 

2. Results Orientation: 

Actively involved in achieving or exceeding identified strategic patient census goals, patient service excellence, internal systems and processes, learning and growth initiatives, and financial health.

3. Integrity and Ethics: 

Treat others with respect and individuality regardless of their status or the situation; do what you say; be fair and equitable in all interactions; be a good steward of company resources; actively contribute toward the company’s success and goals; uphold organizational values. 

4. Dependability:

Maintain work behavior that invites trust and reliance; role model positive attendance and punctuality standards; ensure work responsibilities are completed correctly and are covered  when absent; arrive at meetings and appointments prepared and on time. 

5. Professionalism:

Uphold high work standards that reflect the company’s purpose and goals; accept responsibility for own actions; react to challenges positively and calmly; provide leadership in maintaining highest technical and customer service standards for the benefit of the patients served.  

6. Innovation: 

Meet challenges with creativity and resourcefulness; remain open to change, others’ ideas,

and trying new things; generate suggestions for improving work processes, services, and

products.  

7. Oral Communication: 

Speak persuasively, with intention and thought, in both positive and negative situations; fully

listen and get clarification; respond well to questions; demonstrate group presentation skills;

participate in meetings without dominating others. 

8. Written Communication: 

Write clearly and informatively; present numerical data effectively; read and interpret written

information; ensure adequate, effective communication with all team members to maintain

company values, goals, and culture. 

9. Quality: 

Demonstrate accuracy and thoroughness; look for ways to improve and promote quality;

monitor and self-correct own work processes and outcomes; apply feedback from others to

improve performance.  

Physical/Sensory Requirements (with or without the aid of mechanical devices)

Prolonged standing and walking required, with ability to lift up to 50 lbs and move patients. Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resource acquisition; meet patient and family individualized psychosocial needs. Requires eye-hand coordination and manual dexterity.