Hospice Registered Nurse (Admissions)

CorsoCare•Troy, MI

About The Position

CorsoCare Hospice Registered Nurse- Hospice Admissions Status: Full-Time, 4 weekly 10hr day shifts Coverage: Oakland and Macomb County SUMMARY: Responsible for all aspects related to the initial patient assessment and plan of care upon admission for patients across the life span (perinatal, pediatrics, and adults) according to established standards and practice. Responsible for providing information about hospice services to potential patients, referral sources, and providing education to the community as needed. Responsible for skilled nursing assessment and hospice plan of care in order to maximize the comfort of patients and families consistent with agency standards. Collaboratively works with the Hospice physician, Medical Director and Interdisciplinary Team to ensure continuity of care for every patient. JOB DUTIES/KNOWLEDGE/JOB PERFORMANCE: Performs visits as needed: Assists with discharges from facilities to the site of Hospice care. Performs Admissions at the site of Hospice Care. Assists the Liaison Team to meet the needs within the hospitals/facilities as needed. Other Hospice nursing visits as assigned. Effectively manages time to meet department expectations in regards to admissions. Responsible for the direction of care provided by LPN in accordance with patients plan of care. Responsible for the supervision of services provided by the LPN per agency policy and regulatory requirements. Assess and evaluate every patient to determine the appropriate plan of care (POC). Obtain relevant information and supporting documentation to include medical records, vital signs, and patient functional status to support clinical eligibility. Independently assess patient/family immediate care/symptom management needs in a timely manner. Consult with attending MD and other required medical personnel to include all relevant information and supporting documentation. Provides hospice MD with information to foster identification of related and non-related services, items, and medications, as well as opportunities to discuss polypharmacy and deprescribing as appropriate. Develop Admissions POC and communicate initial assessment, admission information, financial information, plan of care, and changes to the plan of care to the IDT on all assigned cases. Provides appropriate follow-up to outside case managers in regards to insurance and authorizations. Reviews borderline/complex cases per protocol. Adheres to the Non-Admit Policy by contacting Admissions Manager or Supervisor to discuss case prior to leaving patients home. Coordinate admission to hospice with other facilities, assisting with implementation and coordination of services. Effectively manages symptoms. Completes all components of admission documentation within policy timeframe. Participates in training and mentoring of new staff. Keeps current with all department policies and procedures. Adhering to agency standards is a requirement in performing all job duties. Completes all assigned continuing education by assigned completion date. Other job duties as assigned. AGENCY STANDARDS: Demonstrates organizational awareness and commitment. Understands and appropriately applies the chain of command in relation to job position and supervision. Knows and understands the agency mission in relation to own job description. Observes confidentiality policy at all times. Protects and honors patient and coworker confidentiality. Respects patients and coworkers right to privacy. Observes attendance and attire policies. Meets attendance and punctuality expectations. Demonstrates cooperation with scheduling requests to meet agency and/or department needs. Consistently adheres to agency and/or department dress code. Complies with all other policies, procedures and requests. Recommends and/or supports changes to policies and procedures. Demonstrates knowledge of policies and procedures applicable to own job description. Adheres to policies and procedures. Honors requests of management for interim rules. Supports and complies with agency policy regarding the acceptance of gifts. Conserves agency resources. Maintains agency property, supplies and equipment in a manner that demonstrates ownership and accountability. Maintains the work area to reduce the likelihood of safety hazards and to enhance its general appearance. Manages time and resources effectively. COMMUNICATION SKILLS: Demonstrates interpersonal understanding and utilizes effective communication skills. Considers effects of words and actions on others. Utilizes listening skills that indicate understanding and promotes accurate interpretation of others concerns, motivations and feelings. Recognizes the influence of beliefs and cultures on behaviors and accepts strengths and limitations in others. Works toward resolution of interpersonal conflicts as they arise. Recognizes when others are in need of information, assistance or direction, and consistently offers and provides help. Attends and participates positively in meetings. Regularly reads and appropriately applies information to practice. Uses words that express respect, patience and understanding in interactions with others. Acknowledges others verbally and nonverbally (eye contact, expression, tone of voice) promptly and courteously. Matters of unresolved controversy are promptly referred to supervisor for further evaluation. Exhibits behaviors of cooperation. Develops cooperation and collaborative work efforts that generally benefit all involved parties. Demonstrates initiative to meet the needs of the agency and/or department by assisting coworkers when workload permits. PERSONAL/PROFESSIONAL DEVLELOPMENT: Continuing education and personal/professional development responsibilities. Maintains personal health status requirements in relation to job description. Maintains professional licensure/certification, as applicable. Maintains current personnel file information and provides information to agency in timely manner. Sets own development challenges and volunteers to learn. Adheres to agency infection control and safety policies, including education, reporting, and practice implementation specific to job position. Attends agency provided in-service programs to fulfill requirements of position or agency policies. Assumes responsibility and provides leadership for maintaining up-to-date procedures, equipment, continuing education and level of service provided. Attends and participates positively in meetings, workgroups and projects. Exhibits adaptability, flexibility, self-control and maturing in work and behavior. Maintains stable performance and emotions when faced with opposition, pressure and/or stressful conditions. Develops work relationships that honor and respect others strengths and abilities. Must be able to relate to other people beyond giving and receiving instructions: Can get along with co-workers or peers with a positive, flexible and supportive approach without exhibiting behavioral extremes; Able to adapt to frequent change and rapidly changing situations. Performs work activities requiring negotiating, instructing, supervising, persuading or speaking with others; and Responds appropriately to constructive feedback from a supervisor. QUALIFICATIONS: Must have an Associates Degree, Bachelors Degree preferred, and at least 12 months experience with 1-2 years preferred in acute care, or equivalent combination of education and experience. Current RN license. Prefer certification as hospice nurse. Computer skills (word processing) Current state drivers license and proof of insurance required. General Working Conditions: The physical demands described here are representative of those that must be met by an employee without restriction to successfully perform the essential functions of this job. OSHA Occupational Hazard present. For physical demands of position including vision, hearing, repetitive motion and environment, see following description. This position entails standing for long periods of time. While performing the duties of this job, there will be considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100-pound patient. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must have a current valid drivers license, auto liability insurance and reliable transportation as travel may be required. The work environment requires appropriate interaction with others. The noise level in the work environment is moderate. Occasional travel to different locations may be required. This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision. The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty.

Requirements

Must have an Associates Degree, Bachelors Degree preferred, and at least 12 months experience with 1-2 years preferred in acute care, or equivalent combination of education and experience.
Current RN license.
Computer skills (word processing)
Current state drivers license and proof of insurance required.
Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position.
Must have a current valid drivers license, auto liability insurance and reliable transportation as travel may be required.

Nice To Haves

Prefer certification as hospice nurse.

Responsibilities

Responsible for all aspects related to the initial patient assessment and plan of care upon admission for patients across the life span (perinatal, pediatrics, and adults) according to established standards and practice.
Responsible for providing information about hospice services to potential patients, referral sources, and providing education to the community as needed.
Responsible for skilled nursing assessment and hospice plan of care in order to maximize the comfort of patients and families consistent with agency standards.
Collaboratively works with the Hospice physician, Medical Director and Interdisciplinary Team to ensure continuity of care for every patient.
Performs visits as needed
Assists with discharges from facilities to the site of Hospice care.
Performs Admissions at the site of Hospice Care.
Assists the Liaison Team to meet the needs within the hospitals/facilities as needed.
Other Hospice nursing visits as assigned.
Effectively manages time to meet department expectations in regards to admissions.
Responsible for the direction of care provided by LPN in accordance with patients plan of care.
Responsible for the supervision of services provided by the LPN per agency policy and regulatory requirements.
Assess and evaluate every patient to determine the appropriate plan of care (POC).
Obtain relevant information and supporting documentation to include medical records, vital signs, and patient functional status to support clinical eligibility.
Independently assess patient/family immediate care/symptom management needs in a timely manner.
Consult with attending MD and other required medical personnel to include all relevant information and supporting documentation.
Provides hospice MD with information to foster identification of related and non-related services, items, and medications, as well as opportunities to discuss polypharmacy and deprescribing as appropriate.
Develop Admissions POC and communicate initial assessment, admission information, financial information, plan of care, and changes to the plan of care to the IDT on all assigned cases.
Provides appropriate follow-up to outside case managers in regards to insurance and authorizations.
Reviews borderline/complex cases per protocol.
Adheres to the Non-Admit Policy by contacting Admissions Manager or Supervisor to discuss case prior to leaving patients home.
Coordinate admission to hospice with other facilities, assisting with implementation and coordination of services.
Effectively manages symptoms.
Completes all components of admission documentation within policy timeframe.
Participates in training and mentoring of new staff.
Keeps current with all department policies and procedures.
Adhering to agency standards is a requirement in performing all job duties.
Completes all assigned continuing education by assigned completion date.
Other job duties as assigned.