Hospice RN - PRN

Luminos Hospice•Crockett, TX

About The Position

The Hospice RN administers nursing care to hospice patients in their place of residence and coordinates care with the Interdisciplinary Group/Team, patients, families, and referring agencies. The nurse is responsible for and participates in coordinating care. This is a PRN position paid per visit. The role involves assessing the impact of terminal illness on patients’ physical, functional, psychosocial, and environmental needs; determining hospice eligibility and levels of care; implementing and documenting individualized plans of care; educating patients and families; directing Hospice Aides and LPNs/LVNs; monitoring cases for payer compliance; and communicating changes and care outcomes to physicians and other care team members. The RN also performs assigned on-call responsibilities, participates in in-service programs and the Hospice QAPI program, and promotes the organization’s philosophy and policies.

Requirements

Current state license as a Registered Nurse.
Current driver’s license.
Current CPR certification.
Two years of experience as a Registered Nurse in a clinical care setting.
Nursing skills consistent with generally accepted standards of practice.
Knowledge of state and federal regulations.
Ability to work independently and make sound decisions.
Strong attention to detail and organizational habits.
Excellent verbal and written communication skills.
Good interpersonal skills.
Reliable transportation and valid auto liability insurance.

Nice To Haves

One year of full-time hospice experience is preferred.

Responsibilities

Conduct initial and ongoing comprehensive assessments of the terminal disease’s impact on patients’ physical, functional, psychosocial, and environmental needs, and document findings.
Apply admission and recertification criteria to determine appropriate levels of care and patient eligibility for hospice care.
Develop, implement, and document plans of care to ensure quality and continuity, and recommend revisions as needed.
Consult with and educate patients and families about the disease process, self-care, end-of-life care, nutrition, and dietary needs; prioritize needs with the interdisciplinary team.
Determine the scope and frequency of services based on acuity and patient and family needs, and assess caregivers’ ability to meet immediate and ongoing needs.
Apply infection-control concepts and standard precautions when coordinating and providing patient care.
Provide clinical direction to Hospice Aides and LPNs/LVNs to ensure quality and continuity of services.
Prepare clinical and progress notes documenting progress toward established goals and continuity of quality care.
Inform physicians and other personnel of changes in patient needs and intervention outcomes, and evaluate patient and family responses to care.
Monitor assigned cases for compliance with third-party payer requirements.
Participate in Hospice-sponsored in-service programs, maintain or improve competency, and participate in the Hospice QAPI program.
Promote the Hospice’s philosophy and administrative policies.
Perform assigned on-call responsibilities and provide on-call services to patients and their families.
Communicate effectively with patients, families, team members, and other health care professionals.