Hospice Registered Nurse (After Hours)

Care360 Hospice•Monroe, OH

1d•$80,000 - $91,000•Hybrid

About The Position

This role involves providing skilled nursing care to patients receiving end-of-life (EOL) care in facility and home settings. The nurse will respond to phone calls regarding symptom concerns, changes in condition, and emergent situations. Responsibilities include conducting home and facility visits for assessment and management of critical symptoms, providing crisis nursing interventions, conducting death visits, completing after-hours admissions, facilitating hospital discharges, and assisting the RN Case Manager with the plan of care. The nurse will also monitor patient status, respond to facility escalations, provide support for neighboring locations, participate in Interdisciplinary Group (IDG) meetings, reinforce patient and family education, and maintain accurate clinical documentation. Collaboration with patients, families, caregivers, physicians, facilities, and the interdisciplinary team is essential.

Requirements

Licensed RN in state of practice
CPR/BLS Certified
A minimum of 1 year of Clinical experience
Valid Drivers License and Auto insurance Coverage
Reliable transportation: Willing to travel

Nice To Haves

On-call/ triage experience preferred

Responsibilities

Provide skilled nursing care to patients receiving end-of-life (EOL) care in facility and home settings.
Respond to phone calls from patients, families, caregivers, and facilities regarding symptom concerns, changes in condition, and emergent situations.
Conduct home and facility visits to assess and manage patients experiencing critical symptoms, including pain, respiratory distress, agitation, anxiety, and emotional crises.
Provide crisis nursing interventions and urgent symptom management to address acute changes in patient condition and support patient comfort.
Conduct death visits, complete required documentation, and provide support and guidance to families and caregivers following a patient's death.
Complete after-hours admissions, including comprehensive assessments, initiation of the plan of care, and coordination with the interdisciplinary team.
Facilitate hospital discharges and transitions of care by coordinating admissions, ensuring continuity of services, and communicating patient needs to the care team.
Assist the RN Case Manager (RNCM) in implementing and carrying out the patient's plan of care.
Assist the nursing team in performing specialized procedures, as defined by the state Nurse Practice Act, under the direction of the RNCM and physician orders.
Monitor patient status and promptly communicate significant changes, concerns, and observations to the RNCM.
Respond to facility escalations by assessing patient needs, implementing appropriate interventions, and collaborating with facility staff, physicians, and the hospice team.
Provide nursing support for neighboring location overflow, including patient visits, admissions, and urgent care needs as assigned.
Actively participate in Interdisciplinary Group (IDG) meetings to collaborate on patient care plans, ensure plans remain current, and address identified patient and family needs.
Reinforce patient and family education regarding disease progression, symptom management, hospice philosophy, and end-of-life care.
Maintain accurate, timely, and compliant clinical documentation in accordance with organizational, regulatory, and accreditation standards.
Demonstrate accountability for professional growth and development through continuing education, workshops, conferences, in-service training, professional organizations, independent research, and self-directed learning.
Collaborate effectively with patients, families, caregivers, physicians, facilities, and members of the interdisciplinary team to ensure the highest quality of patient-centered care.
All duties as assigned