Supportive Care Case Manager, Palliative Care RN

Job Description:

• Must have Palliative Care Experience
• Full-time Fully Remote position, work from your designated home office Monday- Friday schedule with the ability to accommodate patient’s availability.
• Collaborate with Operations Manager, Clinical Services Manager, Nurse Practitioners, Social Worker, and Case Managers to review patient cases, identify gaps/barriers, and coordinate on advance patient care plan
• Lead complex conversations and conduct in-depth, compassionate telephonic discussions to support patients with potentially declining conditions to educate on treatment options, ensure patients care aligned with their wishes, and navigate to appropriate resources
• Lead Goals of Care (GOC) discussions with ability to translate patient wishes into actionable care plans; document and update GOC to ensure alignment across the entire healthcare team (Nephrologists, Dialysis Centers, IKC RNs).
• Educate patients on Advanced Directives (MOLST/POLST) and encourage completion to prevent unwanted aggressive interventions.
• Assess symptom burden (pain, anxiety, dyspnea) and collaborate with providers to implement nursing interventions that improve Quality of Life (QOL).
• Strong clinical acumen with the ability to recognize the trajectory of chronic illness, identify critical changes to proactively identify those at risk of rapid decline or readmission and intervene immediately for transition to supportive care.
• Expertly assess patient appropriateness and readiness for palliative care or hospice and facilitate seamless transitions to these external services.
• Educate pts on curative treatments, palliative support, and hospice care, to help reduce barriers to access.
• Exceptional active listening and motivational interviewing skills; ability to discuss sensitive topics (death, dying, prognosis) with empathy and clarity.
• Ability to work independently in a remote environment, managing a caseload of high-complexity patients with minimal supervision.
• Facilitate patient/family communication and develop and/or update advance care plans.
• Provide comfort case management for patients where palliative care is not available or when patients are not ready to stop dialysis but would like to pursue comfort care
• Coordinate care for patients’ care including care transitions, management of complex/at risk patients, managing ongoing needs and establishing a treatment plan in partnership with the care team.

Requirements:

• Minimum of 2+ years experience as an RN in Palliative medicine required
• Minimum of five (5) years experience as an RN required
• 2+ years of care plan creation, proactive discharge planning and utilization.
• Current RN License is required, BSN preferred.
• Current Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification.
• Proficiency in EMR systems (Cerner), Microsoft Office (Teams, Excel), and virtual communication platforms.
• Home office with internet connectivity at a minimum of 1MB upload and 1MB download speed required.

Benefits:

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access Headspace ® , backup child and elder care, maternity/paternity leave and more
• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

Apply tot his job Apply To this Job