About The Position

This full-time professional position is responsible for completing admissions, initial assessments, and associated documentation for new hospice patients in accordance with the agency’s mission, core values, and regulatory requirements. The nurse uses expert clinical decision-making to assess patients and develop plans of care for elective, urgent, and emergent admissions, and coordinates with patients, families, physicians, supervisors, and clinical staff when admission requirements are not met or authorized. The role includes collecting insurance information, arranging appropriate financial screening for self-pay patients, and providing, supervising, and documenting safe and compassionate hospice nursing care. The nurse provides end-of-life education, collaborates with Interdisciplinary Group members on levels of care and contract services, monitors medical equipment, supplies, and medications, and contributes to performance improvement and staff orientation. The position requires travel to patients’ homes or facilities in the service area. The schedule is every other Monday and Tuesday, every other Thursday and Friday, and every other weekend from 9 a.m. to 9 p.m. Holiday commitments are one major and one minor holiday, or three minor holidays, per year.

Requirements

  • Current Registered Nurse license in North Carolina.
  • Minimum of 2 years of recent clinical experience.
  • Expert-level ability to analyze patient clinical information and formulate accurate assessments.
  • Expert knowledge of medical terminology and clinical data interpretation.
  • Knowledge of reimbursement sources, Medicare regulations, licensing laws, and accreditation standards.
  • Strong computer skills.
  • Reliable transportation.
  • Current CPR certification.
  • Ability to travel to, enter, and function in patients’ homes or facilities throughout the service area to assess and provide care.
  • Ability to lift and/or carry items up to 50 pounds.
  • Sensory abilities sufficient to complete physical assessments, communicate with patients, families, care providers, and physicians, and complete reporting and follow-up documentation.
  • Ability to work the scheduled days and hours, including weekend and holiday commitments.
  • Adherence to Transitions LifeCare policies, procedures, and guidelines; CMS and state guidelines; nursing standards of practice; NHPCO Ethical Practices; and the American Nurses Association’s Code of Ethics.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Hospice, home health, nursing home, or equivalent experience.
  • Hospice Nurse Certification (CHPN).
  • Experience with Netsmart, Outlook, and Office 365.

Responsibilities

  • Use expert clinical decision-making to assess patients and develop plans of care for elective, urgent, and emergent admissions.
  • Coordinate with patients, family members, physicians, hospice supervisors, and clinical staff when admission requirements are not met or authorized, facilitating alternative care arrangements, physician or administrative overrides, or delays in service as needed.
  • Collect accurate patient insurance information and escalate self-pay patients through the appropriate financial screening process.
  • Plan, provide, supervise, and document safe, competent, and compassionate hospice nursing care in accordance with physician orders, established policies and procedures, and regulatory guidelines.
  • Maintain required competencies, identify learning needs, and pursue appropriate assistance or educational offerings.
  • Provide and document appropriate end-of-life information and education for patients and families.
  • Identify clinical or operational performance-improvement opportunities and participate in improvement activities.
  • Professionally manage time, people, and technology.
  • Monitor and manage appropriate use of patients’ medical equipment, supplies, and medications.
  • Collaborate with Interdisciplinary Group members to determine patients’ levels of care and coordinate contract services.
  • Participate in orientation and training of new employees across disciplines.
  • Work collaboratively with the Interdisciplinary Group and other Transitions LifeCare departments to achieve patient-care goals.
  • Maintain current knowledge of best practices in end-of-life care.
  • Perform other duties as assigned by the supervisor.

Benefits

  • Sign-on bonus available.
  • Six weeks of paid time off for full-time team members, with the ability to carry over up to 80 hours.
  • Medical, dental, and vision coverage.
  • Flexible spending and health savings accounts.
  • 100% employer-paid life insurance, short-term disability, and long-term disability.
  • 403(b) retirement plan with a 4% employer contribution, regardless of employee contribution.
  • Mileage reimbursement for clinicians traveling in the field.
  • Career development opportunities, including education credits toward licensure and CHPN/CHPNA certifications.
  • Service recognition programs.
  • Credit union membership.
  • AT&T cell phone plan discounts.
  • Employee Assistance Program (EAP).
  • Casual Fridays and the option to bring a pet to work on Fridays.
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