Hospice RN On Call

Big Sky Home Health, Palliative & Hospice•Missoula, MT

About The Position

The Registered Nurse case manager is directly responsible to the Director of Nursing and oversees care delivery for assigned patient and family caseloads. The nurse is informed about other patients and families receiving hospice care to assist with call coverage and directly supervises certified nursing assistants, homemakers, and massage therapists. The role provides and coordinates hospice nursing care, supports patients and families, maintains complete and current medical records, and contributes to education and outreach. The nurse may share 24-hour call coverage for active hospice patients and families and new referrals, as assigned by the Director of Nursing or arranged by the team. The nurse may also serve as clinical nurse backup when the Director of Nursing is absent.

Requirements

  • Graduate of an accredited Registered Nursing Program.
  • Maintain a current Registered Nurse license in the State of Montana.
  • Demonstrate knowledge of and ability to apply sound nursing principles to hospice care.
  • A minimum of one year of experience in hospice, home health, or an experiential equivalent is preferred.
  • Demonstrate ability to supervise volunteers and peers.
  • Have competent home nursing care skills.
  • Have conflict-resolution skills.
  • Have interagency and referral skills and experience.
  • Have organizational skills.
  • Have interpersonal skills.
  • Hold a valid current driver’s license.
  • Furnish own transportation and maintain current automobile insurance coverage.
  • Meet the stated heavy-work physical demands: sit or stand and exert up to 100 pounds occasionally, 50 pounds frequently, and 20 pounds constantly.
  • Be able to perform repetitive tasks or motions, distinguish colors, hear alarms, telephone, tape recorder, and normal speaking voice, and demonstrate good manual dexterity and eye-hand-foot coordination.
  • Have clear vision, with or without corrective lenses, at all times.

Nice To Haves

  • At least one year of experience in hospice, home health, or an experiential equivalent is preferred.

Responsibilities

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