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Posted: Saturday, March 25, 2017 10:23 AM


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Operates under the director of the Clinical Director and under the Medical Director’s orders.

Responsible for identifying and coordinating patient/family care to support terminally ill patients and

families in home, skilled nursing facility or residential care facility. Frequency of patient / family contacts

will be at the discretion of the Case Manager and his/her assessment of need, but will be a minimum of

once per week. The Case Manager endeavors to utilize teaching, assessment, and intervention skills to

provide comfort care and maximize the quality of life for the patients and families.

Depending on the acuity of the patient, the Case Manager is expected to make 4-5 visits per week with

documentation. Case load can be up to 10-16 patients for 40 hrs/week. May include additional hours based on patient requirements.

1. Assess home care needs, being aware of the physical, emotional, and spiritual aspects and

gather data on social, economic and cultural factors which may influence health, well-being and

quality of life.

2. Assist patients, family members or other clients with concern and empathy; respect confidentially and

privacy and communicate in a courteous and respectful manner.

3. Provide direct care to patients as prescribed in the Interdisciplinary Plan of Care in order to maintain the

highest level of comfort and quality of life and assuming primary responsibility for case management.

4. Evaluate and perform ongoing assessment and revise initial written plan of care with Interdisciplinary

collaboration weekly or as the needs and conditions of the patient/family change.

5. Authorize, coordinate and supervise care, as prescribed in the Interdisciplinary Plan of Care, with contracted

vendors in order to meet the needs of the patient.

6. Document accurate and ongoing assessment of patient status via a variety of mediums of communication

(verbal, written, email, computer documents and databases). Document patient care reflecting nursing

interventions, patient response to care, patient needs, problems, capabilities, limitations, and progress

toward goals. Documentation includes evidence of appropriate patient/significant other teaching, and the

understanding of these instructions is noted in the medical record. Maintain up-to-date charts and records

on patient care and regular communication with the patient’s physician regarding changes in the patient’s

plan of care.

7. Investigate and follow through on unusual orders or requests for service or information.

8. Perform blood / Urine draws, if required.

9. Participate in the agency’s on-call rotation as prescribed by the needs of the agency to provide nursing

service to clients when required outside office hours.

10. Be available, when possible, to meet a patient/family's need for continuous care in time of crisis.

11. Coordinate community resources and other agency disciplines participating in patient care.

12. Minimize non-productive time and fill slow periods with assigned activities that will enable you to prepare to meet the future needs of the agency.

13. Supervise and maintain ongoing effective communication with other hospice personnel involved with patient

care. This may involve formal and informal team meetings in addition to IDT.

14. Knowledge of and availability to perform patient intakes and information visits as needed including

explanation of the hospice benefit/Medicare, complete physical assessment, completion of all pertinent

paperwork, and communication of new patient status to the Hospice Team.

15. Knowledge and availability to handle patient information calls and overflow of intake/Triage calls.

16. Provide bereavement resources to the family as appropriate.

17. Participate in hospice and community health programs as requested to promote the growth and

understanding of the hospice concept.

18. Participation in agency functions including attendance at Open Forms, Training and attending

NDHH sponsored in-services when requested.

19. Establish HHA plan of care as well as indirectly and directly supervising the plan of care per regulations.

20. Perform as a member of the New Dawn Health and Hospice team as a whole and participate in the Total Quality Management philosophy of the agency.

21. Performs other duties as assigned consistent with skills and training and the mission and goals of the


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1005 E. Pleasant Run DeSoto, Texas, 75115    google map | yahoo map

• Location: Dallas, New Dawn Health and Hospice

• Post ID: 32915849 dallas is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2017