Facility Care Nurse, RN (Fayetteville, NC)

HOME HEALTH & HOSPICE CARE INC•Fayetteville, NC

About The Position

3HC Home Health and Hospice Facility Care Nurse, RN Location: Fayetteville, NC Hours: Full-time Compassionate Care is our Calling! Why choose 3HC: 3HC has provided compassionate care to North Carolinians since 1981. We strive to ensure our patients enjoy life’s journey, recover quickly, and live comfortably. We believe in providing high-quality, cost-effective care that surpasses industry standards. If you want to make a difference, provide meaningful one-on-one care, and develop relationships with both your patients and team members, join Team 3HC! 3HC strives to provide a positive work culture that feels more like a family atmosphere where we support our team members so they can reach their personal & professional best. Summary: The Facility Care Nurse, RN is responsible for the coordination of all Hospice services in Long-Term Care Facilities and Nursing Homes assigned in accordance with the Hospice philosophy, Agency goals, objectives, and policies.

Requirements

Registered Nurse currently licensed to practice nursing in the state of North Carolina
Minimum of one-year experience as a professional nurse in an acute care setting
Evidence of leadership qualities
Ability to understand and communicate well with patients, family, staff, physicians, and the public
Maintain current CPR certification (BCLS)
Must be dependable and capable of dealing pleasantly and tactfully with patients, family, staff, providers, and the public
Must be competent to perform delegated tasks to facilitate positive patient outcomes as indicated in the patient's individualized plan of care
Possess valid Driver's License and reliable transportation

Nice To Haves

Previous experience working with terminally ill patients preferred

Responsibilities

Abides by and supports 3HC's Compliance Program and Code of Ethics. 3HC's Compliance motto is "Compliance for all and all for Compliance". It is the intent of 3HC to comply with all applicable laws and regulations and that spirit is embedded in all aspects of our services and business practices. Our success hinges on doing things ethically and legally, to which, each and every employee plays a critical role.
Creates positive experiences for internal and external customers that will meet their expectations. (External customers include our patients, families, referral sources, vendors, the community, etc. Internal customers are the people within the agency with whom you work.) Displays a high degree of courtesy, tact, and knowledge of services provided by the agency in all contact with staff, patients, and visitors.
Provides comfort to patient/family to facilitate quality of life and death with dignity: (a) provides skilled nursing care as outlined in the physician's plan of care, according to 3HC's policies and procedures and as allowed by the Practice Act of the N. C. State Board of Nursing; (b) responsible for completing hospice admissions, educating patients and families on the hospice concept and the hospice benefit. (c) Plans, coordinates, provides and directs the delivery of compassionate, quality patient care. (d) actively participates in the coordination of all aspects of the patient's hospice care, in accordance with current professional standards and practice, including participating in on-going interdisciplinary comprehensive assessments, developing and evaluating the plan of care, and contributing to patient counseling and education. (e) Provides continuity of care to all hospice patients. (f) Assist the interdisciplinary team in the development and implementation of the patient/family care plan (g) Refers hospice patients to other services as needed. (h) Provides end of life care as outlined in plan of care and policy and procedures. Provides ongoing assessment of medicinal, DME needs. (i) Participates in QAPI and QI projects as requested. (j) assists the Social Workers with bereavement counseling as requested. Continuously evaluates the patient’s condition to provide support and nursing visits individualized to the patient need.
Maintains current electronic documentation and downloads daily: (a) ensures complete documentation on an ongoing basis supporting Hospice guidelines & COPs. (b) assessment information to be entered in EMR and completed in 48 hours.
Ensures that the physician and/or Hospice Medical Director is involved ongoing with the patient's care: (a) reports to the physician/or Hospice Medical Director and other applicable personnel, reactions to treatments, including drugs, and change in the patient's physical or emotional condition and outcomes of intervention, and (b) consults with the attending physician and/or Hospice Medical Director concerning alterations of the plan of treatment and documents appropriate change of orders where necessary. Verifies that physician listed on order/plan of treatment will sign orders.
Provides regular supervision to the Licensed Practical Nurses and paraprofessionals who are providing services to the patient according to CMS/Hospice guidelines. Ensures task assigned to the LPN: (a) are within the Nurse Practice Act, (b) Supervises LPN on every patient at least every 30 days. Ensures that care is provided by the nursing assistant: (a) provides the certified nursing assistant with a telephonic plan of care and specific duties to be performed (b) supervises and evaluates the care given at least every 14 days, and (c) participates in periodic conferences with supervisor concerning the certified nursing assistant's performance.
Collaborates with supervisor to meet assigned productivity standard. Rotates weekday, weekend, and holiday "on-call" and "back-up call". During low hospice census: (a) covers visits in other offices as assigned by supervisor (b) makes home health visits, (c) visits referring hospice physicians for marketing, and (d) visits nursing homes and talks with administrators, (e) acts as a resource person for the community on the Hospice Program if needed, and (f) ensures referrals are evaluated timely with a NPU rate of less than 6%.
Works as part of an interdisciplinary team, collaborating with physicians, social work, chaplain, and other staff in facility care settings to ensure that coordination of care is met between hospice and facility. Ensures patient, family, hospice staff, and facility staff are all in constant communication to ensure adequate care and symptom management is provided to patient.
Participates in care planning meetings with facility and hospice IDG team as well as patient and family at regular intervals to maintain quality of care and coordination of care. Keeps facility staff abreast of all patient updates regularly and communicates during each visit to provide updates to both the staff verbally and in the patient’s chart.
Maintains regular communication with supervisor: (a) communicates problems of the patient(s) on a timely basis following chain of command, (b) communicates information using current process and technology available to 3HC, (c) coordinates hospice care with Director of Clinical Practice/Assistant Clinical Director and the IDG team.
Ensures that 3HC can bill for services appropriately: (a) completes certifications and re-certifications within designated timeframes; (b) obtains verbal orders from Hospital, MD and attending within 48 hours of SOC; and (c) keeps up-to-date on reimbursement criteria and documentation requirements for all patients under his/her care and management, including preauthorization and re-authorizations for insurance.
Stays abreast of overall patient care and improves nursing care skills: (a) participates in office staff meetings, hospice's quality assessment and performance improvement program, the intra-disciplinary team in the development and implementation of the patient/family care plan, patient care conferences, record audits, utilization reviews, quality improvement activities, and in-services; (b) attends and participates in interdisciplinary team conferences at least 75% of the time; (c) attends agency mandatory in-services, hospice sponsored in-service training/continuing education seminars, IDG and satisfies CEU requirements of the State Board of Nursing; and (d) strives to improve nursing care through continuing education, active participation in professional and related organizations and individual research and readings.
Notify attending physicians, staff members and family members of patient deaths when they occur.
Collaborates with Procare Pharmacy regarding medication changes, administration, and recommendations. Share Procare recommendations with the attending MD.
Collaborates with supervisor to meet assigned productivity standard. The hospice nurse floater is not required to take on call hours.
Demonstrates an interest in personal and professional growth for self and staff: (a) attends and participates in workshops, seminars, webcasts to keep abreast of current changes in rules, regulations, relating to job functions and department; (b) does individual reading and research; and (c) recommends educational opportunities for staff and encourages participation.
Demonstrates a willingness to be cost effective in the use of agency resources, the monitoring of waste, and the proper and safe use of supplies and equipment.
Adheres to 3HC's Personnel Policy and performs other appropriate duties as assigned by supervisor to promote the successful operations and future growth of 3HC.