About The Position

The After Hours RN provides direct patient care to hospice patients and supportive care to their families after normal business hours on an on-call basis. The role manages an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff to enhance hospice care quality, and case manages assigned patient clinical records. It includes after-hours availability, telephone triage response, clinical support, care coordination, admission-related coordination, triage follow-up, visit synchronization, and other activities that support continuity of care and operational needs. The schedule requires one weekend and one weekday. A $7,500 sign-on bonus is advertised. The RN provides and documents care in accordance with each patient’s Plan of Care, completes initial and ongoing assessments, helps develop and implement the Hospice Plan of Care with the physician and Interdisciplinary Group, and educates patients, families, and caregivers about identified care needs. The RN coordinates physical, psychosocial, educational, emotional, and spiritual services, including bereavement support; serves as the primary liaison among the physician, patient and family, and hospice team; and reports changes in patient condition to the Attending Physician and Hospice Physician. The position maintains accurate clinical records, reviews assigned records for quality and regulatory compliance, practices infection control, conducts routine supervisory visits, monitors staff scheduling, participates in quality improvement, and may perform routine visits during normal business hours. The position serves patients in their homes and/or institutional settings and uses an automobile. It is safety-sensitive and may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

  • Registered Nurse education/qualification.
  • At least one year of RN experience in acute care hospital, oncology, long-term care, hospice, or home health; school internships and clinical hours may be considered in individual cases.
  • Current license to practice nursing in the state of employment.
  • Completion of required onboarding, orientation, competency validation, and ongoing competency requirements for the After Hours RN role.
  • Current CPR certification.
  • Current automobile insurance and a valid driver’s license.
  • Maintain transportation for work.
  • Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper.
  • Knowledge of terminally ill patients and their families and understanding of hospice.
  • Ability to apply knowledge of the special needs of hospice patients and families.
  • Knowledge of the roles of disciplines providing hospice services.
  • Excellent patient assessment skills.
  • Knowledge of community resources.
  • Good oral and written communication skills.
  • Knowledge of documentation and program management, general nursing practice, managed care principles, regulatory guidelines, and management principles.
  • Sensitivity to life-and-death issues faced by people with terminal illness; tact in dealing with patients and families; and ability to support others during a crisis.
  • Flexibility to perform varied tasks, including changing tasks without loss of efficiency or composure.
  • Ability to communicate effectively with people of all socioeconomic backgrounds.
  • Responsible workplace functioning, maturity, cooperation, flexibility, and tact in dealing with coworkers and hospice team members.

Responsibilities

  • Provide direct hospice patient care and supportive care to families after normal business hours on an on-call basis.
  • Provide after-hours availability, telephone triage response, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization.
  • Manage an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff.
  • Case manage assigned patient clinical records.
  • Ensure care is provided and documented in accordance with the Plan of Care.
  • Perform initial and ongoing patient assessments.
  • Help develop and implement the Hospice Plan of Care with the physician and other members of the Interdisciplinary Group.
  • Educate patients, families, and caregivers about care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
  • Coordinate physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
  • Maintain primary control and professional management of assigned patients and act as the primary liaison among the physician, patient and family, and hospice team.
  • Report changes in patient condition to the Attending Physician and Hospice Physician.
  • Maintain contact with patients’ families and/or significant others to provide information, support, and continuity of care.
  • Maintain accurate and updated medical records, including Interdisciplinary notes, Plans of Care, assessments, and other pertinent information.
  • Review and follow up on assigned clinical records to ensure quality services, standards of practice, and compliance with policies, procedures, and regulatory requirements.
  • Practice infection control measures and standard precautions.
  • Conduct routine supervisory visits of and with other team members at least monthly.
  • Monitor staff scheduling.
  • Maintain knowledge of pain and symptom management in the dying process.
  • Participate in the Quality Assessment and Performance Improvement Program.
  • Perform routine visits during normal business hours when requested.
  • Attend staff meetings, complete required annual training, promote company core values, and perform other assigned activities.

Benefits

  • Competitive pay
  • 401(k) with company match
  • Career advancement opportunities
  • National and local recognition programs
  • Teammate Assistance Fund
  • Medical insurance (additional full-time benefit)
  • Dental insurance (additional full-time benefit)
  • Vision insurance (additional full-time benefit)
  • Generous paid time off and 7 paid holidays (additional full-time benefits)
  • Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care (additional full-time benefits)
  • Education support and tuition assistance (additional full-time benefits)
  • Company-paid life insurance and long-term disability insurance (additional full-time benefits)
  • Voluntary pet, critical illness, accident, and long-term care benefits (additional full-time benefits)
  • $7,500 sign-on bonus
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