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

Mount Sinai Health Systems•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, and collaborates with patients’ healthcare teams to provide evidence-based complex palliative care and chronic care management. The program aims to improve symptoms and quality of life, reduce caregiver burden and unnecessary inpatient utilization, and facilitate hospice when appropriate. The nurse provides evidence-based complex and chronic care management and palliative care in patients’ homes, working with patients, families, and the interdisciplinary team to assess needs, manage symptoms, coordinate care, and support treatment planning.

Requirements

  • Graduation from an accredited nursing program.
  • Bachelor’s degree in Nursing, or an Associate’s degree in Nursing with RN matriculation in a BSN program and graduation expected within the year. An ADN RN with nursing experience requires approval by the CNO.
  • 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 (BLS/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/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 associated with advanced illness and hospitalizations.
  • Engage patients and caregivers in goals-of-care discussions, review advance directives, and collaboratively develop treatment plans based on their goals.
  • Monitor and coordinate care plans with the rest of the clinical care team.
  • Evaluate medical needs for a caseload of patients and provide direct in-home care.
  • Facilitate remote visits by providers as needed.
  • Communicate the plan of care to consulting clinicians and 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 with the care team.
  • Complete required documentation.
  • Perform other related duties as assigned.
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