Registered Nurse (RN)

Stillwater Hospice, LLC•Billings, MT

10d•$38 - $44

About The Position

The Hospice RN Registered Nurse Case Manager plans, organizes, and directs hospice care, drawing on nursing experience and community health education to plan and direct services for patients and families in their homes and communities. The role provides professional nursing care, assesses patient and family needs, develops and revises plans of care, administers prescribed treatments, and supports comfort, self-sufficiency, and continuity of care. The nurse communicates with physicians, patients, families, caregivers, community health professionals, and the hospice interdisciplinary group. The position also participates in on-call duties, arranges necessary equipment and services, supervises hospice aides and other ancillary personnel as required, and takes part in continuing education and quality improvement activities.

Requirements

Graduate of an accredited school of nursing.
One to two years of recent acute care experience in an institutional setting.
One to two years of recent home care experience.
Current licensure in the state.
Licensed driver with an automobile insured according to state and/or organization requirements and in good working order.
Excellent observation, verbal communication, written communication, problem-solving, and basic math skills.
Nursing skills as specified by the competency checklist.
Ability to perform prolonged or considerable walking or standing; lift, position, and transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, and/or crouching.
Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

Bachelor’s degree.
One year of hospice care experience.

Responsibilities

Complete initial, comprehensive, and ongoing assessments of patients and families, including physical assessments and histories of current and previous illnesses.
Provide professional nursing care in accordance with the nursing process and the state Nurse Practice Act.
Assess patient status, write and initiate plans of care, regularly reevaluate patient and caregiver needs, and revise care plans as necessary.
Use assessment data to determine nursing diagnoses and develop care plans with goals and palliative nursing actions, including the patient and family in planning.
Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed in the physician’s plan of care.
Counsel patients and families on nursing and related needs, provide health care instructions, and assist with activities of daily living and comfort care.
Act as Case Manager when assigned by the Clinical Supervisor and coordinate care for the assigned caseload.
Complete, maintain, and submit accurate clinical notes, including documentation of patient condition, care provided, and pain or symptom management changes and outcomes.
Communicate patient needs and condition changes to physicians and obtain or receive orders as required.
Coordinate the care plan with community health-related personnel and work in concert with the interdisciplinary group.
Teach patients and caregivers self-care techniques and provide medication, diet, and other physician-ordered instructions.
Provide and maintain a safe patient environment and help ensure continuity of care.
Work with families, caregivers, and the hospice interdisciplinary group to address patients’ and families’ emotional needs.
Attend interdisciplinary group meetings.
Participate in on-call duties as defined by the on-call policy.
Ensure arrangements are made for equipment and other necessary items and services.
Supervise ancillary personnel and delegate responsibilities when required, including supervising hospice aides.
Maintain and develop professional knowledge and skills through continuing education and in-service classes.
Fulfill requested and accepted case assignments.
Participate in quality assessment and performance improvement teams and activities.