RN Case Manager - Pediatrics
Effective September 1, 2022:
$15,000 sign-on bonus included - $5,000 paid after 90 days, $5,000 paid at 6 months and $5, 000 paid after 1 year with a 2-year commitment agreement.
These bonuses are currently approved for new hires.
Re-hires who have terminated less than 6 months, are not eligible to receive the bonus.
POSITION SUMMARYThe Pediatric RN Case Manager is a professional caregiver who assumes responsibility for admissions, focused Skilled Nursing Visits (SNVs), and death visits for pediatric patients.
The RN renders professional care in accordance with the physician/provider treatment plan and the nursing process of assessment, diagnosis, planning, implementation and evaluation.
The RN is a clinical practitioner who coordinates and implements patient care specific to the pediatric population.
He/She ensures that compassionate, engaged care meets or exceeds quality standards.
Care is provided in an efficient and safe manner consistent with the Maryland Board of Nursing licensure and Hospice of the Chesapeake (HOC) standard of care.
Utilizes nursing skills to determine the biophysical, psychosocial, environmental, self-care, cultural, ethnic, spiritual, and educational needs of the patient/family/significant other to develop, implement and revise the plan of care.
The RN recognizes the legal responsibilities as specified by law and abides within those responsibilities.
The RN may participate in weekend, holiday, on-call, and evening/night rotations.
SUPERVISIONDirect Supervisor:
Director, Clinical ServicesNext Line Supervisor:
Chief Clinical OfficerDUTIES AND RESPONSIBILITIESFormulates individualized plans of care on admit for patients based on needs, strengths, limitations and goals, as needed and plans nursing care based on medical treatment schedule, nursing assessment data, identified nursing problems and patient/family participation in care.
Communicates relevant information to the provider; including any change in referral diagnosis.
Notifies Physician to obtain any necessary orders.
Provides initial admission assessment and immediately engages with patient to develop rapport and a sense of trust.
During the initial and each visit thereafter, performs appropriately timed physical assessment through observation, palpation, and auscultation, including medical stability and presenting symptoms, including accurately assessing patient's physical, psycho-social, ethnic, cultural and spiritual needs and patient's safety needs (eg fall risk, abuse and neglect).
Consistently uses established assessment criteria for identification of victims of abuse.
Evaluates, treats, reassesses and documents pain as appropriate to patient condition or need and uses appropriate pain scale.
Significant status changes are identified, communicated, responded to and documented.
Conducts focused SNV, wherever a patient resides, to address a specific concernPerforms liaison/consent visits as scheduled to provide information regarding HOC servicesCorrectly identifies, communicates and collaborates on patient problems/priorities/issues based upon assessment data, establishes measurable patient goals and communicates initial/ongoing plan of care appropriately to interdisciplinary team.
Recognizes changes in clinical status and reports them to the appropriate individual.
Consistently demonstrates empathy in interactions with patient/caregiversObtains and documents a complete list of the patient's current medications and compares the medications that the organization provides to those on the patient's list.
Accurately signs out narcotics, signs out wastages and documents on MAR, or other approved flow sheet, as appropriate.
Uses appropriate resources (pharmacy, drug manuals) to ensure his/her understanding of actions, interactions, side effects and proper administration.
Recognizes and reports adverse drug reactions per policy and procedure.
Recognizes and reports medication variances per policy and procedure.
Accurately transcribes physician orders as per policy and procedure and places all information on the appropriate forms.
Reads back orders to provider that are called in.
Follows all prescribed and accepted standards in providing patient care, administering medications, moving/transporting/lifting patients, and documenting patient's condition, infection control, universal precautions and discarding of medical waste, etc.
Consistently follows policy and procedure for all waived testing and complies with Standard Precautions for all bedside invasive procedures.
Assists with procedures and treatments according to physician's/provider's orders.
Notifies physicians/providers or appropriate individual with changes in condition/adverse outcomes.
Communicates relevant information to the provider, including critical test results and values.
Assists in the assessment of family needs for bereavement services following the patient's death and conveys information to bereavement staff no later than three days after death of patient.
Assesses and provides ongoing educational needs and level of understanding and individualizes patient/caregiver teaching.
Takes into account patient's abilities, individual learning preferences and readiness to learn.
Ensures patient/caregiver teaching and patient/caregiver level of understanding and response to teaching are documented.
Incorporates teaching into routine care, involving patient/caregiver.
Incorporates learning needs in discharge plan.
Completes all electronic documentation, at the point of care unless the situation does not allow, following appropriate protocol.
Ensures that the documentation contains pertinent information regarding patient's condition, appropriate focus of treatment, response to treatment and progress towards outcome goal; that entries are legible and that patient events/occurrence reports accurately and completely and follows policy regarding notification.
Uses appropriate agency forms, using approved abbreviations consistently and correctly.
Does not use unapproved abbreviations.
Ensures all documentation is kept within the patient record.
Reports patient/caregiver/employee incidents according to HOC policy.
Adapts communication style to meet population specific needs of patient.
Creates a supportive environment and provides an atmosphere that supports each patient's dignity.
Maintains open and professional communications with all staff.
Intercedes as necessary to promote positive, constructive interactions between staff members/departments/others.
Reports issues to immediate supervisor.
Submits accurate time sheets as determined by current HOC policy.
Participates actively and consistently in all appropriate Interdisciplinary Team (IDT) meetings as a means of on-going assessment of patient and family needs.
Demonstrates problem-solving skills with patients, their family, employees, other departments, visitors and others as indicated.
Demonstrated emotional maturity and the ability to cope and work effectively with job stress of continual loss.
Makes appropriate referrals to other modalities/disciplines.
Develops an effective working relationship with representatives from other agencies who provide services for assigned patients.
Makes community referrals appropriately.
Demonstrates responsibility for scope of position/own standard of practice.
Maintains required skills, licensure, regulatory requirements, and credentials needed to perform assigned duties.
Demonstrates full knowledge of current positions', and departments', relationship to flow of patient services and/or care plan of the patient.
Demonstrates understanding of all other services of the organization.
Assists and/or participates in marketing and community outreach to current and potential referral sources in collaboration with the Pediatric Program Coordinator.
Participates in and supports continuous process improvements.
Other duties as assigned or requested by the Clinical DirectorQUALIFICATIONSPossess a current Maryland Board of Nursing (RN) license and thorough knowledge of nursing principles.
Bachelor's of Nursing and CHPN preferred.
Minimum 2 years pediatric med/surg experience required.
Hospice experience preferred.
Demonstrated ability to provide quality patient care.
Possesses ability to assess patient's needs, eg physical, teaching, mental and spiritual.
Must be able to perform the essential functions of the position with or without reasonable accommodation.
Ability to recognize safety issues to self and others and be able to assess and implement use of lifts or other personnel to lift and move patients of all sizes and weights in a safe manner.
Ability to perform consistently in stressful situations.
Strong and creative, problem-solving skills with the ability to prioritize and delegate.
Demonstrated commitment to quality, timely, and cost-effective patient care.
Ability to simultaneously handle multiple assignments and projects with attention to details, efficiency and accuracy and deadlines.
Participates and supports lean healthcare initiatives.
Basic computer skills, to include but not limited to Microsoft Word and Outlook, requiredREQUIREMENTSMust be able to lift and move up to 50 lbs safely.
Current Maryland driver's license and clean driving record.
Reliable transportation a must.
Compliant with health screening and vaccination requirements of organization and position, including TB screening and Influenza vaccination annually.
ESSENTIAL JOB FUNCTIONSTHIS POSITION IS OVERTIME EXEMPT#IND100.
Estimated Salary: $20 to $28 per hour based on qualifications.
$15,000 sign-on bonus included - $5,000 paid after 90 days, $5,000 paid at 6 months and $5, 000 paid after 1 year with a 2-year commitment agreement.
These bonuses are currently approved for new hires.
Re-hires who have terminated less than 6 months, are not eligible to receive the bonus.
POSITION SUMMARYThe Pediatric RN Case Manager is a professional caregiver who assumes responsibility for admissions, focused Skilled Nursing Visits (SNVs), and death visits for pediatric patients.
The RN renders professional care in accordance with the physician/provider treatment plan and the nursing process of assessment, diagnosis, planning, implementation and evaluation.
The RN is a clinical practitioner who coordinates and implements patient care specific to the pediatric population.
He/She ensures that compassionate, engaged care meets or exceeds quality standards.
Care is provided in an efficient and safe manner consistent with the Maryland Board of Nursing licensure and Hospice of the Chesapeake (HOC) standard of care.
Utilizes nursing skills to determine the biophysical, psychosocial, environmental, self-care, cultural, ethnic, spiritual, and educational needs of the patient/family/significant other to develop, implement and revise the plan of care.
The RN recognizes the legal responsibilities as specified by law and abides within those responsibilities.
The RN may participate in weekend, holiday, on-call, and evening/night rotations.
SUPERVISIONDirect Supervisor:
Director, Clinical ServicesNext Line Supervisor:
Chief Clinical OfficerDUTIES AND RESPONSIBILITIESFormulates individualized plans of care on admit for patients based on needs, strengths, limitations and goals, as needed and plans nursing care based on medical treatment schedule, nursing assessment data, identified nursing problems and patient/family participation in care.
Communicates relevant information to the provider; including any change in referral diagnosis.
Notifies Physician to obtain any necessary orders.
Provides initial admission assessment and immediately engages with patient to develop rapport and a sense of trust.
During the initial and each visit thereafter, performs appropriately timed physical assessment through observation, palpation, and auscultation, including medical stability and presenting symptoms, including accurately assessing patient's physical, psycho-social, ethnic, cultural and spiritual needs and patient's safety needs (eg fall risk, abuse and neglect).
Consistently uses established assessment criteria for identification of victims of abuse.
Evaluates, treats, reassesses and documents pain as appropriate to patient condition or need and uses appropriate pain scale.
Significant status changes are identified, communicated, responded to and documented.
Conducts focused SNV, wherever a patient resides, to address a specific concernPerforms liaison/consent visits as scheduled to provide information regarding HOC servicesCorrectly identifies, communicates and collaborates on patient problems/priorities/issues based upon assessment data, establishes measurable patient goals and communicates initial/ongoing plan of care appropriately to interdisciplinary team.
Recognizes changes in clinical status and reports them to the appropriate individual.
Consistently demonstrates empathy in interactions with patient/caregiversObtains and documents a complete list of the patient's current medications and compares the medications that the organization provides to those on the patient's list.
Accurately signs out narcotics, signs out wastages and documents on MAR, or other approved flow sheet, as appropriate.
Uses appropriate resources (pharmacy, drug manuals) to ensure his/her understanding of actions, interactions, side effects and proper administration.
Recognizes and reports adverse drug reactions per policy and procedure.
Recognizes and reports medication variances per policy and procedure.
Accurately transcribes physician orders as per policy and procedure and places all information on the appropriate forms.
Reads back orders to provider that are called in.
Follows all prescribed and accepted standards in providing patient care, administering medications, moving/transporting/lifting patients, and documenting patient's condition, infection control, universal precautions and discarding of medical waste, etc.
Consistently follows policy and procedure for all waived testing and complies with Standard Precautions for all bedside invasive procedures.
Assists with procedures and treatments according to physician's/provider's orders.
Notifies physicians/providers or appropriate individual with changes in condition/adverse outcomes.
Communicates relevant information to the provider, including critical test results and values.
Assists in the assessment of family needs for bereavement services following the patient's death and conveys information to bereavement staff no later than three days after death of patient.
Assesses and provides ongoing educational needs and level of understanding and individualizes patient/caregiver teaching.
Takes into account patient's abilities, individual learning preferences and readiness to learn.
Ensures patient/caregiver teaching and patient/caregiver level of understanding and response to teaching are documented.
Incorporates teaching into routine care, involving patient/caregiver.
Incorporates learning needs in discharge plan.
Completes all electronic documentation, at the point of care unless the situation does not allow, following appropriate protocol.
Ensures that the documentation contains pertinent information regarding patient's condition, appropriate focus of treatment, response to treatment and progress towards outcome goal; that entries are legible and that patient events/occurrence reports accurately and completely and follows policy regarding notification.
Uses appropriate agency forms, using approved abbreviations consistently and correctly.
Does not use unapproved abbreviations.
Ensures all documentation is kept within the patient record.
Reports patient/caregiver/employee incidents according to HOC policy.
Adapts communication style to meet population specific needs of patient.
Creates a supportive environment and provides an atmosphere that supports each patient's dignity.
Maintains open and professional communications with all staff.
Intercedes as necessary to promote positive, constructive interactions between staff members/departments/others.
Reports issues to immediate supervisor.
Submits accurate time sheets as determined by current HOC policy.
Participates actively and consistently in all appropriate Interdisciplinary Team (IDT) meetings as a means of on-going assessment of patient and family needs.
Demonstrates problem-solving skills with patients, their family, employees, other departments, visitors and others as indicated.
Demonstrated emotional maturity and the ability to cope and work effectively with job stress of continual loss.
Makes appropriate referrals to other modalities/disciplines.
Develops an effective working relationship with representatives from other agencies who provide services for assigned patients.
Makes community referrals appropriately.
Demonstrates responsibility for scope of position/own standard of practice.
Maintains required skills, licensure, regulatory requirements, and credentials needed to perform assigned duties.
Demonstrates full knowledge of current positions', and departments', relationship to flow of patient services and/or care plan of the patient.
Demonstrates understanding of all other services of the organization.
Assists and/or participates in marketing and community outreach to current and potential referral sources in collaboration with the Pediatric Program Coordinator.
Participates in and supports continuous process improvements.
Other duties as assigned or requested by the Clinical DirectorQUALIFICATIONSPossess a current Maryland Board of Nursing (RN) license and thorough knowledge of nursing principles.
Bachelor's of Nursing and CHPN preferred.
Minimum 2 years pediatric med/surg experience required.
Hospice experience preferred.
Demonstrated ability to provide quality patient care.
Possesses ability to assess patient's needs, eg physical, teaching, mental and spiritual.
Must be able to perform the essential functions of the position with or without reasonable accommodation.
Ability to recognize safety issues to self and others and be able to assess and implement use of lifts or other personnel to lift and move patients of all sizes and weights in a safe manner.
Ability to perform consistently in stressful situations.
Strong and creative, problem-solving skills with the ability to prioritize and delegate.
Demonstrated commitment to quality, timely, and cost-effective patient care.
Ability to simultaneously handle multiple assignments and projects with attention to details, efficiency and accuracy and deadlines.
Participates and supports lean healthcare initiatives.
Basic computer skills, to include but not limited to Microsoft Word and Outlook, requiredREQUIREMENTSMust be able to lift and move up to 50 lbs safely.
Current Maryland driver's license and clean driving record.
Reliable transportation a must.
Compliant with health screening and vaccination requirements of organization and position, including TB screening and Influenza vaccination annually.
ESSENTIAL JOB FUNCTIONSTHIS POSITION IS OVERTIME EXEMPT#IND100.
Estimated Salary: $20 to $28 per hour based on qualifications.
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