Hospice RN - After-Hours, On-Call

Integritus Healthcare•Springfield, MA

8d•$38 - $48

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 coordinates services through a plan of care to meet patient and family needs, managing care from referral through discharge in accordance with regulations and agency standards. This is an after-hours, on-call role with two part-time schedules available: Monday–Friday, 4:30 p.m.–8 p.m., or Monday–Friday, 8 p.m.–8 a.m. The listed pay range is $38.00–$47.97 per hour, with evening and weekend shift differentials available. The RN assesses patients and families, develops and implements individualized plans of care, administers prescribed medications and treatments, monitors responses, and teaches patients and families about pain and symptom management. The role involves coordinating with physicians, families, hospice staff, and the interdisciplinary team; maintaining timely, accurate clinical documentation; supporting safe care; and participating in quality improvement and continuing education.

Requirements

One to two years of experience in health care.
Associate degree in nursing.
Current Massachusetts Registered Nurse licensure.
Current CPR certification.
Valid driver’s license.
Understanding of hospice philosophy and issues surrounding 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 communicate them clearly to others.
Manage the plan of care for assigned hospice patients and families from referral through discharge in accordance with regulations and agency standards.
Complete initial nursing assessments and obtain histories of current and previous illnesses.
Develop 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 on interventions for pain and symptom management in collaboration with the interdisciplinary team.
Coordinate care with the team, families, and physicians for assigned patients.
Complete, maintain, and submit accurate clinical notes and document measurable symptom-management outcomes.
Complete pronouncement visits and live discharges, including 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 patient environment.
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, and provide exceptional customer service.
Manage multiple priorities and use 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 guidance.
Perform other duties as assigned.