Hospice RN On Call

Big Sky Hospice•Missoula, MT

About The Position

The Registered Nurse case manager reports directly to the Director of Nursing and is responsible for supervising care delivery to patient and family caseloads. The nurse may be informed about other patients and families receiving hospice care to assist with call coverage. The role also directly supervises certified nursing assistants, homemakers, and massage therapists. The nurse conducts intake assessments, helps develop comprehensive plans of care, coordinates services with the hospice team and community agencies, and provides or supervises nursing care. The role may include 24-hour call coverage for active hospice patients and families and new referrals. Additional work includes bereavement follow-up, volunteer selection and supervision, community and volunteer education, employee orientation, and maintaining complete and current patient medical records. The nurse may provide office clinical backup when the Director of Nursing is absent and perform other assignments as directed by hospice leadership.

Requirements

  • Graduate of an accredited Registered Nursing Program.
  • Maintain a current Registered Nurse license in the State of Montana.
  • Valid current driver’s license.
  • Furnish own transportation and maintain current automobile insurance coverage.
  • Demonstrate knowledge of and ability to apply sound nursing principles to hospice care.
  • Demonstrate ability to supervise volunteers and peers.
  • Interpersonal skills.
  • Competent home nursing care skills.
  • Skills in conflict resolution.
  • Interagency and referral skills and experience.
  • Organizational skills.
  • Meet physical requirements described as heavy work: sitting or standing and exerting up to 100 pounds occasionally, 50 pounds frequently, and 20 pounds constantly; perform repetitive tasks or motions; distinguish colors; hear alarms, telephone, tape recorder, and normal speaking voice; have good manual dexterity and eye-hand-foot coordination; and have clear vision with or without corrective lenses.

Nice To Haves

  • A minimum of one year’s experience in hospice, home health, or experiential equivalent is preferred.

Responsibilities

  • Perform new patient intake assessments covering physical, psychological, social, and spiritual parameters.
  • Develop or assist in developing comprehensive patient care plans based on assessments.
  • Refer patients and families to community agencies according to their needs and available resources.
  • Coordinate care with hospice staff, the primary physician, volunteers, the spiritual care coordinator, and patients and families; direct referrals and ensure they are appropriate.
  • Provide and/or supervise direct patient care within registered nursing practice guidelines in Montana and Hospice of Missoula guidelines.
  • Provide bereavement follow-up and/or referrals according to hospice policy.
  • Share in 24-hour call coverage as assigned, covering active hospice patients and families and new referrals.
  • Refer and assist in selecting hospice volunteers for patients and families; introduce and supervise volunteers as needed.
  • Attend volunteer support and educational meetings as schedules allow.
  • Assist with public education presentations when appropriate.
  • Assist with volunteer training presentations as needed.
  • Participate in new employee orientation and training.
  • Participate at times in community educational preceptor training programs.
  • Ensure patient medical records are complete and documentation is current in patient charts.
  • Provide clinical nurse backup in the office when the Director of Nursing is absent, supporting office and clinical staff, accepting new referrals, and handling telephone service.
  • Complete other assignments as directed by the Hospice Director of Nursing, Administrator, Director, or Unit Manager.
  • Directly supervise certified nursing assistants, homemakers, and massage therapists.
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