Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Gloucester/Salem/Cumberland County area. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Burlington County area. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Serenity Hospice Care Pennsylvania

RN Case Manager Lancaster PA 2000.00 Sign on Bonus

Serenity Hospice PA – Now Hiring! Position: Hospice RN Case Manager Location: Lancaster, PA Sign-On Bonus: $2,000 Serenity Hospice PA is seeking a compassionate and skilled Registered Nurse Case Manager to join our dedicated hospice team in Lancaster, PA. This is a meaningful opportunity to make a true difference in the lives of patients and families during their most tender moments — now with a $2,000 Sign-On Bonus . Position Overview As a Hospice RN Case Manager, you will: Coordinate and oversee the care of patients on your caseload Conduct nursing assessments and develop individualized care plans Provide direct patient care, education, and emotional support to families Collaborate closely with the interdisciplinary hospice team Ensure comfort-focused, compassionate end-of-life care Participate in on-call rotation as needed About Serenity Hospice Hospice care focuses on comfort, dignity, and quality of life . At Serenity Hospice PA, we treat every patient like family. Our mission is to walk alongside patients and their loved ones with compassion, respect, and unwavering support. What We Offer $2,000 Sign-On Bonus Supportive, family-like team environment Meaningful, purpose-driven work Competitive pay (add specifics if you’d like) Mileage reimbursement (optional) Benefits package (optional) Qualifications Active RN license in Pennsylvania Hospice or home health experience preferred Strong assessment, communication, and organizational skills A genuine passion for hospice and patient-centered care Apply Today Join a team where your work truly matters. #OCEAN2024
Anchor Health

HOSPICE NP

Anchor Hospice Job Title/Position: Hospice Nurse Practitioner (NP) Reports To: Clinical Director JOB DESCRIPTION SUMMARY The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinicaltraining who provides comprehensive hospice services in compliance with the state Nurse Practice Act andunder the supervision of a collaborating physician. He/She provides hospice care through the evaluation andassessment of the health history, health promotion, diagnosing medical conditions, management of healthproblems by directing and developing the plan of care, prescribing medications or treatments, coordinatingand collaborating with patients, families and other healthcare practitioners. Under the supervision of aphysician, the nurse practitioner visits patients, completes physical assessments, performs face to faceassessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The nurse practitioner builds from the resources of the community to plan and direct services to meetthe need of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Provides medical care, palliates and manages terminal illness in compliance with the state NursePractice Act under the supervision of a collaborating physician. 2. Completes history and physical examinations by evaluating the patient's medical condition and healthhistory, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosinghealth conditions and documents the findings in the patient's medical record. 3. Manages health conditions and terminal illnesses by developing an individuaiized plan of care,prescribing medications and / or treatments, obtaining consultations or making referrals andcoordinating hospice care services. 4. Completes the hospice face to face visit requirements prior to the third and subsequent hospicebenefit periods to assess hospice eligibility based on the hospice conditions of participation and thelocal coverage determinations. Provides clinical information to the hospice medical director forinterpretation for eligibility for hospice recertification. 5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospiceinterdisciplinary team and other healthcare practitioners. 7. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members. l Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with thecollaborating physician. California CHAP Hospice Human Resources/Revised April 2020 @corridor2003 215 Anchor Health LLC 9. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitionersregarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in hospice interdisciplinary group meetings. 5. Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessmentvisit notes, medical orders, collaboration notes and other documentation in the medical record. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of careand meet the care needs of the patient and tamily/caregiver. 10. Serves as a nursing resource for consultation and educations to members of the interdisciplinary team andother healthcare practitioners in the community. 11. Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 4. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. California CHAP Hospice Human Resources/Revised April 2020 ©Corridor 2003 Anchor Health LLC 5. Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge andpractice skills through attendance at seminars, conferences and participation in continuing education and in-service classes. 6. Fulfills the obligation of requested and/or accepted assignments. 7. Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues. POSITION QUALIFICATIONS 1. Graduation from an accredited School of Nursing 2. Has a current DEA license 3. Completion of an accredited Nurse Practitioner Program which conforms with the Board's educational standardsset forth in the California Code of Regulations Section 1484 or certification by a national organization/associationwhose standards are equivalent to those set forth in the California Code of Regulations Section 1484 or aregistered nurse who has not completed a nurse practitioner program of study which meets the Board ofRegistered Nursing's educational standards as specified in the California Code of Regulations Section 1484. 4. Current nursing licensure in State and CPR certification. 5. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 6. Accreditation from an approved certifying body for advanced practice nursing as required by State. 7. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) 8. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 9. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to liftsupplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 10. Must be a licensed driver with an automobile that is insured in accordance with state/or organizationrequirements and is in good working order.
Ascend Hospice & Palliative Care PA

RN Case Manager

Great new Career Opportunity in Hospice! Now Hiring – RN Case Manager – Lancaster , PA (York/Lancaster Area) Hours: M-F 8AM-5:30PM The RN Case Manager will be responsible for assisting the Team with On Call/Case Management/Visits to aid in coverage and call outs. Job duties can include, but are not limited to: Completing an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide are that is continuous and well-coordinated Counsels the patient and family in meeting end of life needs Initiates appropriate preventative and palliative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides Education: Associate's Degree in Nursing Professional Experience: Must have a State Certified RN license 2 years' experience as a professional nurse, hospice experience preferred Must have a valid Driver's license and reliable transportation Must be willing to travel Strong verbal and written communication skills. Ascend Hospice & Palliative Care PA - is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees. We are proud to Offer: Competitive Salaries • Comprehensive Healthcare Benefits • 401(k) Retirement Plan • Paid Time Off • Mileage Reimbursement • Opportunities to advance and grow your career • And More! If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. Ascend Hospice & Palliative Care PA is an Equal Opportunity Employer EEO/AA/M/F/DV #APPLOINURSE
Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This position will oversee the Warren County area. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Harmony Hospice Care

RN Case Manager

Monday through Friday 8:30-4:30 NO WEEKENDS or Holidays REGISTERED NURSE - RN - CASE MANAGER - HOSPICE - Akron/Canton and surrounding area : Harmony Hospice Care is looking to hire a 'Registered Nurse (RN) Case Manager to join our team of professionals for Akron/Canton and the surrounding areas.The RN Case Manager will be responsible for assisting the Team with Case Management/Visits to aid in coverage and call outs. Job duties can include, but are not limited to: Completing an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide are that is continuous and well-coordinated Counsels the patient and family in meeting end of life needs Initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Registered Nurse Supervises the Hospice Aides and LPN's The proper candidate must have a current Ohio Registered Nurse RN License in good standing, must be familiar with and willing to travel the area and have hospice experience. Must also have reliable transportation and insurance. Monday through Friday 8:30am to 4:30pm. Care for Hospice patients in their homes and facilities. We offer a competitive salary based on experience and a generous benefit package, 401k and paid time off. Harmony Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Registered Nurse
Ascend Hospice & Palliative Care MA

Assistant Clinical Director (RN Hospice)

Great new Career Opportunity in Hospice! Now Hiring – Assistant Clinical Director/(Registered Nurse) - Randolph , MA Hours: Monday -Friday 8:30am-5pm The Assistant Clinical Director is responsible, as the leader/manager of all regional Staff including the regional Interdisciplinary Teams (IDT), to the Clinical Director, for the implementation, delivery, coordination and clinical and administrative supervision of all hospice services delivered by respective regional team and regional IDT's consistent with Ascend Hospices' policies and procedures. Job Duties can include but are not limited to: Participates and provides leadership for the team for regular IDT meetings Reviews and revises the patient/family care plan Serves as a member of the clinical management team in order to address problems associated with the delivery of clinical services; identifies staff development needs; and puts forth suggestions for appropriate changes in policies and procedures Supervises the maintenance of medical records assuring accuracy, completeness and compliance with regulations, legal and ethical standards and team meets compliance standards and team meets compliance standards and team meets compliance standards on quarterly and random clinical record audits Collects and reviews pertinent clinical data at team meetings Monitors IDT in completion of care plans Submits Plans of Correction to Administrator and Clinical Director when required by audit results and/or patient family satisfaction surveys Monitors documentation of all team members, and counsels IDT when documents do not meet company standards Conduct supervisory visits to allow for observation for performance of all team members Maintains accounts by developing relationships, maintaining a presence and providing education Provides the number of customer in-services to each contracted facility required by law, and provides appropriate supporting documentation Arranges team coverage for on-call and staff time off Provides leadership and counsel to regional personnel to enhance staff development Meets budgeted Average Daily Census and Admissions goals Meets referral conversion goals as set by State Administrator Engages with regional community education liaison regarding regional business development and displays commitment to the growth of the region and organization Education: Bachelor's Degree in Nursing Professional Experience: Must have a State Certified RN license 5 years experience as a professional nurse, hospice experience strongly preferred CHPN certification, a plus Must have a valid Driver's license and reliable transportation Must be willing to travel Strong verbal and written communication skills. Ascend Hospice - is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees. We are proud to Offer: Competitive Salaries • Comprehensive Healthcare Benefits • 401(k) Retirement Plan • Paid Time Off • Mileage Reimbursement • Opportunities to advance and grow your career • And More! If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. Ascend Hospice is an Equal Opportunity Employer EEO/AA/M/F/DV #APPLOINURSE
Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This position will oversee Hospitals throughout Morris County . Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing One year Hospice Experience REQUIRED One year of Hospital Setting Experience REQUIRED Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Bergen/Morris/Passaic County area. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Continuum Care of Washington

RN Case Manager Hospice

JOB DESCRIPTION SUMMARY The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of VA state, local, and federal law and ethics as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person to the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities if required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice in the state of Virginia. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides may be applicable. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
Visiting Nurse & Hospice of Litchfield County

RN Hospice Palliative Care Case Manager

Visiting Nurse & Hospice of Litchfield County is seeking an RN with experience in hospice & palliative care to join our progressive team to cover the Salisbury, Lakeville, Sharon area. Salaried full-time: 37.5 hours per week. Schedule: Monday - Friday. Weekend rotation is one weekend every 7 weeks and one holiday per year. Recent experience in the home care setting required. We offer a flexible work environment, salary plus bonus and a competitive benefits package including a generous retirement plan. OR Per Diem Case Manager: per diem position requires coverage one weekend per month and one holiday per year. The Agency utilizes Netsmart for its EMR and adheres to National Best Practice Guidelines for caseload and visit productivity. Send resume to jhall@vnhlc.org
Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Essex County areas. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Affinity Hospice Management LLC

RN Case Manager

JOB DESCRIPTION SUMMARY The Clinical Manager is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Manager is responsible for ensuring that care and services are delivered appropriately and for the supervision of clinical personnel. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES 1. Receives case referrals. Reviews available patient information related to case, including home visits, to determine hospice/home care needs. Assigns appropriate hospice personnel to case as needed. Conferences with MEDICAL DIRECTOR regarding any questions about an individual's eligibility for services. 2. Reviews and evaluates each case through a variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services; and is available at all times during operating hours to assist clinicians as appropriate. 3. Reviews patient's medical diagnosis, prognosis, medications, procedures and clinical course. 4. Performs medical records management and workflow in EMR system 5. Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care. 6. Attends case conference meetings with hospice personnel to facilitate coordination of care and discussion of interdisciplinary group involvement. 7. Conducts quarterly record reviews and communicates findings and recommendations to Clinical Director/Director of Patient Care Services and hospice personnel. 8. Assists in the screening and interviewing process of new employees and makes recommendations for employment of individuals. Assists in the orientation of new employees. 9. Assists Clinical Director/Director of Patient Care Services and other supervisory hospice personnel in the planning, implementation and evaluation of inservice and continuing education programs. Assists in the formulating, revising, implementing, and evaluating organization policies, procedures, goals and objectives, both short and long range. 10. Complies with accepted professional standards and principles. 11. Assesses health needs of community and assists in the development of plan(s)/ program(s) to meet needs. Participates in public relation and community activities that promote the organization's role as an effective member of the hospice and health care delivery system. Promotes customer service orientation to all hospice personnel. 12. Participates actively in quality assessment performance improvement teams and activities. 13. Performs other duties and activities as delegated by the Clinical Director/Director of Patient Care Services. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. POSITION QUALIFICATIONS 1. Registered nurse with current licensure to practice professional nursing in the state. 2. Graduate of NLN accredited school of nursing with a BSN degree is preferred or a minimum of one (1) year experience as a professional nurse within the last three (3) years. 3. Previous experience in hospice/home care setting and with two (2) years management or supervisory experience. Proven ability to work within an interdisciplinary setting. 4. Complies with accepted professional standards and practice. 5. HCHB and Pointcare experience preferred 6. Has excellent observation, good nursing judgment and communication skills. Understands hospice philosophy and issues of death/dying. 7. Understands principles of pain/symptom management. 8. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. 9. Complies and maintains current CPR certification. 10. Demonstrates excellent observation, verbal and written communication skills.
Anchor Health

Weekend Hospice Visit Nurse (Per Diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Anchor Health

Weekend Hospice Visit Nurse (Per Diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Serenity Hospice Care

RN Case Manager

Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Union/ Essex/ Hudson County areas. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Anchor Health

Weekend Hospice Visit Nurse (Per Diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Anchor Health

Weekend Hospice Visit Nurse (per diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Anchor Health

Weekend Hospice Visit Nurse (per diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Anchor Health

Weekend Hospice Visit Nurse (Per Diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Anchor Health

Weekend Hospice Visit Nurse (Per Diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Anchor Health

Weekend Hospice Visit Nurse (Per Diem)

Compassionate care when families need support the most. Anchor Health is seeking a Per Diem Weekend Hospice Visit Nurse to provide scheduled, in-person nursing visits to hospice patients on Saturdays and Sundays. This role is ideal for nurses who value meaningful patient connections and a consistent weekend schedule. We are committed to our patients, families, and employees—and we believe hospice nurses deserve a workplace that feels supportive, genuine, and appreciative. Position Overview The Weekend Hospice Visit Nurse provides professional nursing care to hospice patients through planned weekend visits. The nurse supports symptom management, patient comfort, and family education while collaborating closely with the interdisciplinary care team. Schedule Saturdays and Sundays 8am-5pm Visit-based schedule (no routine on-call unless assigned) Key Responsibilities Conduct scheduled hospice nursing visits on weekends Perform comprehensive patient assessments and symptom management Provide education and emotional support to patients and caregivers Communicate patient status and needs to the interdisciplinary team Coordinate care with physicians and hospice staff Document all visits accurately and timely Support hospice goals of comfort, dignity, and quality of life Qualifications & Requirements Current LVN or RN license in good standing Hospice, home health, or related nursing experience preferred Strong interpersonal and communication skills Ability to work independently and manage time effectively Compassionate approach to end-of-life care Valid driver’s license Reliable, insured vehicle in good working condition (per state and organizational requirements) Why Join Anchor Health? Competitive weekend pay Flexible scheduling Supportive and collaborative team Purpose-driven work with real impact A workplace that values your skill and heart
Transcend Hospice

RN Case Manager

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patients home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting 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/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
Transcend Hospice

RN Case Manager

Job Summary: Primary functions are to administer skilled nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assumes the responsibility for coordination of care. Job Classification: Clinical Lines of Authority: Reports to Director of Nursing/Director of Patient Services Job Qualifications: Education: Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Licensure: Current state licensed as a Registered Nurse, current State Driver’s License Experience: Two years’ experience as a Registered Nurse in a clinical care setting preferred, hospice or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Excellent interpersonal skills and ability to communicate effectively. Proof of Hepatitis consent/declination. Specialized skills preferred in palliation and end-of-life. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patients home in various conditions; possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule; ability to travel locally; some exposure to unpleasant weather; PRN emergency call. Physical and Mental Effort: Prolonged sitting 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/family individualized psycho social needs. Requires hand-eye coordination and manual dexterity. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs and ADLs, i.e. risk for grief, cultural/spiritual,… Implement the individualized POC and recommend revisions to the plan as necessary. Consulting with and educating the patient/family regarding disease process, dietary needs, self-care techniques, end-of-life care. Providing training to other staff as needed. Initiating appropriate preventive and rehabilitative nursing procedures. Preparing clinical and progress notes that demonstrate progress toward established goals. Coordinating all patient/family services and prioritization of needs with the members of IDT. Use of case management approach and referring to other services as needed. Informing physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care. Determining scope and frequency of services needed based on acuity and patient/family needs. Assessing ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care. Evaluating own needs for support and using identified systems to meet the need. Communicating information using correct process and technology available to the organization. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.