Home Health Nurse- Palliative Care at Home- Mount Sinai Home Health- Part Time Days

Mount Sinai Health System•New York, NY
•$96,461 - $144,692

About The Position

Palliative Care at Home provides home-based palliative symptom assessment, treatment, and ongoing goals-of-care discussions for patients and families facing advanced illness. The interdisciplinary clinical team includes community health workers, nurse practitioners, nurses, social workers, and physicians. It collaborates with patients’ healthcare teams to provide evidence-based complex palliative care and chronic care management, with the goals of improving symptoms and quality of life, reducing caregiver burden and unnecessary inpatient utilization, and facilitating hospice when appropriate. The nurse provides evidence-based complex chronic care management and palliative care in patients’ homes. The role includes assessing and addressing the needs of patients and families facing serious illness, providing direct home care, supporting medical management, coordinating care, and communicating with patients, caregivers, clinicians, and the interdisciplinary team.

Requirements

  • Graduation from an accredited nursing program.
  • A Bachelor’s Degree in Nursing (BSN), or an Associate’s Degree in Nursing (ADN) with current matriculation in a BSN program and graduation expected within the year; an ADN-prepared RN with nursing experience requires approval by the Chief Nursing Officer.
  • Relevant clinical competence in the assigned area of nursing practice; new graduates must have current knowledge of the nursing process and its application.
  • Current New York State registered nurse license and registration.
  • Basic Life Support (BCLS) certification issued by the American Heart Association.
  • At least 2 years of experience managing patients with medically complex and chronic or severe illness.
  • Experience working in interdisciplinary care teams.

Nice To Haves

  • Bachelor’s degree in nursing.
  • Palliative care or hospice experience.
  • CPR or ACLS certification.
  • Spanish-speaking proficiency or fluency.

Responsibilities

  • Work as a member of an interdisciplinary team to assess and address the complex care needs of patients and families facing serious illness.
  • Visit a caseload of patients and families in their homes to complete guided assessments, support medical management, address complex symptoms, and coordinate care.
  • Provide supportive individual and family counseling to reduce anxiety, stress, and symptoms related to advanced illness and hospitalizations.
  • Discuss goals of care with patients and caregivers, review advance directives, and collaboratively develop treatment plans based on their goals.
  • Monitor and coordinate care plans with the clinical care team.
  • Evaluate medical needs for the patient caseload and provide direct in-home care.
  • Facilitate remote visits by providers as needed.
  • Communicate plans of care to consulting clinicians and the Palliative Care at Home interdisciplinary teams.
  • Educate patients and families about illness trajectory and medication use, and assess their understanding of the disease.
  • Participate in weekly interdisciplinary team meetings.
  • Complete required documentation.
  • Perform other related duties as assigned.
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