Hospice RN - After-Hours, On-Call

Integritus Healthcare•Greenfield, MA

About The Position

The Hospice RN helps triage, coordinate, and administer hospice care for patients, families, and caregivers through hospice services and resources. The RN uses hospice and community resources to coordinate services through a plan of care that meets patients’ and families’ needs. The RN manages the plan of care from referral through discharge, assesses patients and families, and provides care focused on patient outcomes, dignity, autonomy, and comfort. The role includes administering prescribed medications and treatments, supporting pain and symptom management, coordinating care with the interdisciplinary team, family, and physicians, and documenting patient conditions, care, and outcomes. The RN also completes pronouncement visits and live discharges, communicates changes in patient status, provides handoffs, participates in quality improvement, and meets program expectations. Two part-time on-call positions are available: Monday–Friday, 4:30 p.m.–8 p.m., and Monday–Friday, 8 p.m.–8 a.m. The hourly salary range is $38.00–$47.97, with evening and weekend shift differentials available.

Requirements

One to two years of experience in health care.
Associate degree in nursing.
Current CPR certification.
Current Massachusetts Registered Nurse licensure.
Valid driver’s license.
Understanding of hospice philosophy and issues related to death and dying.

Nice To Haves

Experience in hospice or home health.
Experience in acute care in an institutional setting.
Bachelor’s degree in nursing.
Hospice and Palliative Care Nurse Certification.

Responsibilities

Demonstrate understanding of hospice philosophy and principles and explain them to others.
Manage the plan of care from referral through discharge for assigned hospice patients and families, following regulations and agency standards.
Complete initial nursing assessments, physical assessments, and histories of current and previous illnesses.
Initiate and implement plans of care in collaboration with patients and families, promoting optimal outcomes while maintaining dignity, autonomy, and comfort.
Administer prescribed medications and treatments; observe and document responses, communicate adverse reactions, and modify the plan of care as indicated.
Teach and guide patients and families about interventions for pain and symptom management in collaboration with the interdisciplinary team.
Coordinate patient care with the team, family, and physicians.
Complete, maintain, and submit accurate clinical notes and document measurable symptom-management outcomes.
Complete patient discharges, including pronouncement visits and live discharges, with required communication and documentation.
Document at the point of service, synchronize patient data, and communicate effectively with the interdisciplinary team.
Communicate patient needs and changes to the medical director and attending physician and obtain physician orders as required.
Participate in interdisciplinary team meetings.
Provide and maintain a safe environment for patients.
Keep the supervisor informed about potentially problematic patient or family issues and significant changes in patient status.
Communicate effectively in person, in writing, by phone, and by computer, while providing exceptional customer service.
Manage multiple priorities and demonstrate effective problem-solving and decision-making.
Maintain and improve professional knowledge and skills through continuing education and in-services.
Provide complete and timely nursing reports and handoffs to hospice staff, facility staff, and providers.
Participate in the agency Quality Improvement Program.
Meet individual program expectations and goals identified through performance appraisal, annual plan, and supervisor direction.
Perform other duties as assigned.

Benefits

Weekly pay.
Generous paid time off, including vacation, sick, and holiday time.
Medical insurance.
Flexible spending account (FSA).
Dental insurance.
Vision insurance.
Life insurance.
Long-term disability insurance.
Health reimbursement arrangement (HRA).
401(k).
Evening and weekend shift differentials.
Employee satisfaction, growth and career advancement opportunities, cookouts and luncheons, a culture of respect and empowerment, celebration of individuality, and recognition of excellence.