Job Description Position Title:             RN Case Manager - Hospice   

　　FLSA STATUS:                     Non-Exempt         REPORTS TO:                     Director of Hospice                

　　SUPERVISES:                       N/A

　　DEPARTMENT:                  Hospice          

　　COMPANY:                          Overlook Home Health and Hospice 

　　**Territory - Marlborough, Northborough, Hudson, Hopkington, Southborough, Shrewsbury

　　POSITION SUMMARY :

　　The RN Case Manager – Hospice is responsible for the provision of patient care clinical assessments assigned to them and  assist with the development of the plan of care in accordance with the attending physician and the Interdisciplinary Team. Coordinates patient care services by providing updates to HMO for skilled residents and  is actively involved in the discharge process in conjunction with the unit manager, and social worker for PAU unit.

　　PRINCIPLE DUTIES/ESSENTIAL FUNCTIONS :

　　The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned.

　　Responsible for the assessment, planning, implementation and evaluation of care of patients.

　　Obtains data on the physical, psychosocial, spiritual and other factors that may influence the patient/family health status and incorporates the data into the plan of care.

　　Communicates with physicians, members of the Interdisciplinary team and other agencies to coordinate optimal care and resources for the patient/family.

　　Maintains regular communications with the PAU manager and Social Worker to review care and participate in the discharge process.

　　Attends the Interdisciplinary Risk meeting and Baseline Care plan meeting and other patient conferences as deemed necessary.

　　Functions as a liaison between all HMO disciplines approving skilled level care for PAU unit residents.

　　Maintains the patient medical record and other documentation in accordance with agency standards. Records problems, plans, actions and goals accurately and concisely in the patient record so that changes are reflected as they occur.

　　Receives phone calls from patients, their families, physicians, health and other service providers, medical suppliers, payers and members for purposes of facilitating timely and appropriate provision of patient services and maintenance of communication/exchange of information.

　　Coordinates patient care by all service disciplines in PAU settings.

　　Participates in quality management and safety activities.

　　Performs duties according to the standards of nursing practice.

　　Adheres to policies and procedures set forth by the agency.

　　Maintains required licensure, certifications and vaccinations as required.

　　Performs other duties as required.

　　QUALIFICATIONS :

　　Current license to practice as a registered nurse in the state of Massachusetts – required

　　Current CPR - required

　　Three years nursing experience, one year in hospice - required

　　Excellent nursing assessment and problem-solving   skills.

　　Excellent interpersonal communication skills, both oral and written

　　Exceptional customer service

　　Strong clinical assessment, critical thinking, problem solving and organizational  skills.

　　Ability to utilize independent judgment and to follow  through.

　　Current State of Residence driver's license and reliable transportation

　　Computer proficiency

　　Ability to read, write and speak the English  language.

　　PHYSICAL REQUIREMENTS/WORKING CONDITIONS :

　　Primary work will be performed in the patient’s place of residence, may be exposed to the elements (heat, cold, rain, snow); walking and standing frequently; occasional lifting of up to 25 pounds. May be subject to emotionally upset residents, family members, personnel or visitors. Possible exposure to the outdoors, unpleasant odors, house hold chemicals, and ill patients.

　　Required to travel to multiple work sites.

　　  COMMUNITY OVERVIEW: The Overlook is a non-profit organization operating since 1911 and offering a full continuum of care and services for older adults in MA. The organization embraces its rich history and heritage, owning and managing 218 Independent Living Apartment Homes and Cottages, 28 Enhanced Care Private Suites, a 14- Suite Assisted Living Memory Care neighborhood, 27-unit Short-term Post-Acute Rehabilitation, 112-bed Long Term Care Skilled Nursing, as well as Home Health, Hospice, Palliative Care, Private Duty and Care Management divisions.

　　The Overlook and its 3 subsidiaries are based in Charlton, MA, with satellite home health and hospice offices across the state. The organization employs approximately 600 talented and compassionate Team Members and serves 1,500+ Residents/Patients.

　　The Overlook has a Vision to design a mixed-use Community beyond its singular function as a Retirement Community, a pedestrian-friendly, walkable "Village Center" environment, with select retailers, restaurants featuring fresh, locally sourced food, a brewery, a large banquet, and events center, enriching programs, health and wellness-focused on mind, body and spirit, and more. The Overlook’s bucolic setting on 450 acres of beautiful New England countryside, 16 miles of nature trails, a dog park, and a wealth of amenities offer limitless possibilities in helping us reposition our Campus.

　　  THE OVERLOOK WAY: All Team Members of The Overlook must embrace and commit to conducting themselves at all times in support of our 28 Guiding Principles, Culture of Excellence, and core values, which form the foundation of our unique culture. The Overlook strives to exceed expectations, inspire and "Do what's best for those we serve."

　　Integrity: saying what you mean, meaning what you say (in action and words), even if it hurts you personally or professionally

　　Respect for Individual Choice: empowering and supporting others in their Self-determination for health and well-being, as they define it

　　Compassion: understanding and empathy for others

　　Creativity/Innovation: thinking wildly, planning accordingly

　　Grace: putting people at ease, without compromising performance or outcomes

　　  JUST SOME OF OUR BENEFITS AND PERKS:  

　　Solid Track Record of Promoting

　　Team Members from within Plenty of Free Parking Free Daily Lunch on

　　Campus

　　Vacation, Sick, Holiday Time + Floating Holidays

　　Travel Reimbursement

　　Professional Development

　　Flexible Spending and Health Reimbursement Accounts Employee Assistance Programs

　　Tuition Reimbursement

　　Short + Long Term Disability, Life Insurance Medical, Dental, and Vision Insurance Access to Fitness Center, Pool, and Onsite Massages

　　In compliance with the Americans with Disabilities Act, The Overlook will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective Team Members and incumbents to discuss potential accommodations with the employer. The Overlook is strongly committed to diversity and a workplace environment that respects, appreciates, and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, The Overlook will better serve our communities. The Overlook is an employment-at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally, The Overlook prohibits retaliation against an applicant or employee because he or she has engaged in protected activity under the statutes prohibiting discrimination in the workplace.

　　IND1

　　COMMUNITY OVERVIEW:

　　The Overlook is a non-profit organization operating since 1911 and offering a full continuum of care and services for older adults in MA. The organization embraces its rich history and heritage, owning and managing 218 Independent Living Apartment Homes and Cottages, 28 Enhanced Care Private Suites, a 14- Suite Assisted Living Memory Care neighborhood, 27-unit Short-term Post-Acute Rehabilitation, 112-bed Long Term Care Skilled Nursing, as well as Home Health, Hospice, Palliative Care, Private Duty and Care Management divisions.

　　The Overlook and its 3 subsidiaries are based in Charlton, MA, with satellite home health and hospice offices across the state. The organization employs approximately 600 talented and compassionate Team Members and serves 1,500+ Residents/Patients.

　　The Overlook has a Vision to design a mixed-use Community beyond its singular function as a Retirement Community, a pedestrian-friendly, walkable "Village Center" environment, with select retailers, restaurants featuring fresh, locally sourced food, a brewery, a large banquet, and events center, enriching programs, health and wellness-focused on mind, body and spirit, and more. The Overlook’s bucolic setting on 450 acres of beautiful New England countryside, 16 miles of nature trails, a dog park, and a wealth of amenities offer limitless possibilities in helping us reposition our Campus.

　　THE OVERLOOK WAY:

　　All Team Members of The Overlook must embrace and commit to conducting themselves at all times in support of our 28 Guiding Principles, Culture of Excellence, and core values, which form the foundation of our unique culture. The Overlook strives to exceed expectations, inspire and "Do what's best for those we serve."

　　Integrity: saying what you mean, meaning what you say (in action and words), even if it hurts you personally or professionally

　　Respect for Individual Choice: empowering and supporting others in their Self-determination for health and well-being, as they define it

　　Compassion: understanding and empathy for others

　　Creativity/Innovation: thinking wildly, planning accordingly

　　Grace: putting people at ease, without compromising performance or outcomes

　　JUST SOME OF OUR BENEFITS AND PERKS:

　　Solid Track Record of Promoting

　　Team Members from within

　　Plenty of Free Parking

　　Free Daily Lunch on

　　Campus

　　Vacation, Sick, Holiday Time + Floating Holidays

　　Travel Reimbursement

　　Professional Development

　　Flexible Spending and Health Reimbursement Accounts

　　Employee Assistance Programs

　　Tuition Reimbursement

　　Short + Long Term Disability, Life Insurance

　　Medical, Dental, and Vision Insurance

　　Access to Fitness Center, Pool, and Onsite Massages

　　In compliance with the Americans with Disabilities Act, The Overlook will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective Team Members and incumbents to discuss potential accommodations with the employer. The Overlook is strongly committed to diversity and a workplace environment that respects, appreciates, and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, The Overlook will better serve our communities. The Overlook is an employment-at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws. Additionally, The Overlook prohibits retaliation against an applicant or employee because he or she has engaged in protected activity under the statutes prohibiting discrimination in the workplace.

　　Powered by JazzHR