After Hours Nurse - Part Time (Weekends)

Navian Hawaii•Honolulu, HI

3d•Hybrid

About The Position

Under the supervision of the Patient Care Manager, the After Hours Nurse provides clinical nursing support during non-core business hours. This includes telephone assessments, home visits, and documentation, all in accordance with hospice standards and procedures. Navian Hawaii is a legacy kama'aina nonprofit hospice and palliative care organization deeply committed to serving our community. For more than 44 years, we have demonstrated compassion, dignity, and excellence in delivering care to individuals and families facing serious illness and end-of-life journeys. We proudly extend our services across Oahu as well as in-patient at our Kailua Home (closed for renovation, re-opening 2027).

Requirements

Ability to exercise independent and sound judgment in planning and providing patient care
Ability to problem-solve, demonstrate reason and analyze situations
Skilled in providing holistic nursing care to patients
Ability to identify and provide for psychosocial needs of caregivers
Ability to be flexible and organized in planning
Ability to establish and maintain effective working relationships with staff, clients, family members, to the public, and representatives of other agencies and organizations
Ability to communicate effectively with all levels of individuals
Basic computer knowledge of EMRs and MS applications such as Word, Excel, and Outlook
Valid Registered Nurse License in the State of Hawai‘i
3 years of experience as a staff nurse in an acute hospital, or comparable, relevant experience required
A legally compliant background check
Drug screen & physical exam
Valid Hawai‘i Driver‘s License
Reliable transportation with valid registration and insurance
TB Clearance
CPR and BLS Certification

Responsibilities

Uses clinical judgment and assesses needs of the patient and their families and initiates intervention to meet the immediate needs by utilizing principles of palliative care and following (but not limited to) the following guidelines:
Assesses the need for skilled nursing by phone
Makes home visits to calm a situation, to provide necessary skilled interventions, and when a patient expires
When indicated, gives pertinent report to attending physician and/or obtains new medication orders
Reports any administratively complicated situation to the Patient Care Coordinator
Seeks consultation from patient’s primary care physician or Hospice Hawai‘i Medical Director and implements orders/recommendations
Makes routine/follow up calls or home visits to new admissions and current patients while on duty, utilizing backup system as needed, in accordance with Navian Hawai‘i’s 24 hours per day 7 days per week service and admission policy
Obtains updated patient information and physicians orders by: Accessing report via the voicemail system or directly from the RN Case Managers, Reviewing patient medical records in the EMR system or from another On-Call RN with whom the start of work interfaces, whichever is appropriate to the timing of the start of duty hours
Clears calls with answering service within 10 minutes of receiving a phone message
Documents all phone calls, home visits, and medication orders in accordance with Hospice Hawai‘i protocol
Provides clinical report to Interdisciplinary Team regarding all occurrences during after-hours shift and interventions done for those occurrences by 7:00 AM
If patient calls and/or visits are initiated within the last hour of the shift, call logs must be updated and re-distributed to staff before the end of the work shift
Assumes the role of either primary or backup call when other After Hours staff is on leave
Other related duties as assigned by the Patient Care Manager or Director of Clinical Operations