Home Health- Hospice Admission Registered Nurse

Yale New Haven Health•Guilford, CT

4d•Onsite

About The Position

The Admitting Nurse serves as a member of the Interdisciplinary Team (IDT) and is primarily responsible for admission and resumption of care visits of patients for home care and hospice services, development of the patient plan of care, coordination with the patient's provider and other disciplines for the provision of services, and safe delivery of patient care.

Requirements

Nursing diploma or Associate's degree in Nursing required.
Registered Nurse with a valid (or eligible) Connecticut license required.
A valid driver's license and proof of car insurance are required when using a personal vehicle for company business.
Access to a dependable vehicle in order to travel to multiple stops a day.
CPR certification is required and must be maintained. Candidates who do not have certification are required to obtain it within 3 months (90 days) of hire.
Understanding of Medicare certification and CMS data collection tool documentation experience.
Strong organizational skills and the ability to work independently.
Strong computer skills and the ability to learn new software.
Ability to manage a variety of assignments while establishing priorities and ensuring that necessary duties are completed.

Nice To Haves

Bachelor's in Nursing preferred.
Minimum of two (2) years of nursing experience preferred.
Previous home care/hospice experience preferred.

Responsibilities

Completes an initial assessment of the patient and family to determine home care/hospice needs. Provides a complete physical assessment and history of current and previous illnesses to support eligibility for hospice services.
Assesses/reassesses patients and establishes plans of care that are patient-specific.
Collaborates with providers, other disciplines, and communicates all changes promptly.
Educates patients/caregivers regarding hospice philosophy, disease progression, physical components of care, stages of dying, and other aspects of the POC as necessary.
Completes all documentation within twenty-four (24) hours. Must include changes in condition, follow-up with the provider or other disciplines, with supporting documentation.
Oversight of LPNs and Home Health Aides.
Reviews and updates the POC per regulatory standards.
Schedules patients independently according to the individual plan of care.
Thorough and accurate CMS data collection tool documentation.
Builds and nurtures relationships with referral sources, physicians, and facility staff to enhance visibility and trust in hospice services.
May be asked to participate in Interdisciplinary Team (IDT) case management conferences and documents per guidelines.
Attends all staff meetings, in-services, and other required meetings. Compliance with all mandatory requirements.
Coordinates and manages the care of patients receiving services in their home.
Participates in case management conferences and documents per guidelines.
Participates in after-hours, weekend, and holiday coverage as needed.
Follows policies and procedures.
Understands and exemplifies hospice philosophy, values, beliefs, and team concepts in all job-related roles.
May perform other duties as assigned.