RN Palliative Care - WellMed at Medical Ctr - San Antonio, TX - Full-time / Part-time

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)
 
The Palliative Care RN / Case Manager coordinates care and provides initial ongoing nursing assessment of the patient and family needs and coordination of the patient’s plan of care with interdisciplinary team members and the palliative care attending physician. Primary Responsibilities:


Conducts medical home visits on established Bridges in Complex Care patients performing a hands-on exam at each visit.

Conducts urgent/acute visits on established Bridges in Complex Care patients with the goal of keeping the patient out of the hospital in order to receive the best medical care at home.

Provides ongoing assessments of the impact of life-limiting chronic illness on the patient’s physical, functional, psychosocial and environmental needs.

Assess for caregiver burnout, and provide community resources when appropriate.

Implement the individualized plan of care and recommend revisions to the plan as necessary.

Ability to perform procedures, to include, but not limited to:


Wound care and dressing changes

Phlebotomy

Injection (B12, vaccines)

Ability to conduct an advanced care discussion with a patient and their family and properly document their wishes in the electronic medical record

Consults and educates the patient/family and other caregivers regarding the disease process, pain and symptom management, end of life care and processes for dealing with issues of ethical concern

Initiates appropriate preventive and rehabilitative nursing procedures when appropriate

Ensure continual assessment of patient and family needs from admission to Bridges in Complex Care throughout the course of care

Provides ongoing evaluation of the patient and family/caregiver response to care, and recommends alteration of the plan when necessary

Attends the interdisciplinary meeting and is a crucial and vocal member of the team

Solves problems by gathering and/or reviewing facts and selecting the best solution from identified alternatives. Decision making is usually based on prior practice or policy, with some interpretation

Applies individual reasoning to the solution of a problem devising or modifying processes and writing procedure

Conducts telephonic nursing follow up and case management when necessary

Serves as a resource or consultant for LVN

Attends educational offerings to keep abreast of palliative care and complies with licensing requirements

Establishes a trusting relationship with identified patients, caregivers, clinic staff members and physicians

Collaborates with the providers to recommend policies, procedures and standards which affect the care of the Bridges in Complex Care Patient

Exhibits professionalism and is courteous with all patients, physicians and co-workers

Informs the provider of patient’s needs and outcomes of interventions as per standards

Determines the scope and frequency of services needed based on acuity and patient/family needs

Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary team

Documents in the electronic health record progress toward established goals as per standards

Uses the case management approach and refers to other services as needed

Maintains a patient case load, daily visits and point of care documentation levels as per standards

Participates with the on-call rotation schedule and weekends as assigned

Performs all other related nursing duties as assigned

Ability to lift up to 100 pounds

Ability to sit for extended periods of time

Ability to use fine motor skills to operate office equipment and/or machinery

Ability to receive and comprehend instructions verbally and/or in writing

Ability to use logical reasoning for simple and complex problem solving
 
 

Required Qualifications:


Registered Nurse with a current license to practice in the state of employment

5+years experience in a physician’s office, clinical, hospice or hospital setting

Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area

Demonstrated experience of excellent nursing skills

Proficient knowledge of palliative care and end-of-life symptom management

Experience related to advanced care planning and discussions with patients regarding end-of-life wishes

Excellent verbal and written skills

Ability to interact productively with individuals and with multidisciplinary teams

Proficient computer skills, including Microsoft Word, Excel, Access and Outlook

Excellent organizational and prioritization skills

This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor’s diagnosis of disease.
Preferred Qualifications:


Knowledge of palliative and hospice medicine

Hospice and Palliative Care Nursing certification

2+ years of hospice experience

Bilingual (English/Spanish) language proficiency
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
 
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
 
Job Keywords: Registered Nurse, palliative care, end of life management, hospice medicine, El Paso, Texas, TX, Wellmed