Hospital Based Hospice Admissions RN

Beth Israel Lahey Health•Los Angeles, CA

6d•$87,000 - $128,900•Onsite

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Based out of Mount Auburn Hospital. No weekends! The Hospital Based Admissions Nurse determines appropriateness of General Inpatient (GIP) Level of care, coordinates and conducts preadmission activities. Increases accessibility to hospice care, to manage the hospice admission process via effective communication. Describes and explains hospice services to a potential patient/family and elicits responses to questions regarding patient/family attitude toward hospice care, physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program. Gathers pertinent information necessary for admission. Speaks to patient/family about insurance coverage and financial obligations, using knowledge of hospice fees, cost and reimbursement sources. Promotes hospice services, to ensure appropriate GIP referrals to hospice program to discharge planners, physicians, other health care providers and referral sources. Manages care of patients, coordinates all services and facilitates communication between all providers. Assesses patient and coordinates cares with hospital care team including MD, Case Manager, RN and hospice team. Provides expert symptom management and recommendations in coordination with the Hospice Medical Director. Maintains productivity expectations. Provides documentation of services utilizing problem-oriented record. Plans for continuity of care with nursing team members, patient, family, and other disciplines. Uses opportunities for teaching nursing care, comfort measures and health practices to the patient, families and hospital staff. Responsible for daily nursing visits and assessment of ongoing eligibility of patients admitted to GIP level of care. Coordinates with the hospice IDT if the patient becomes no longer eligible and an alternative plan becomes necessary. Communicates and coordinates with other health and social agency personnel to assist in planning, implementing, and evaluation of services to the patient and family. Patient Care Assumes responsibility to coordinate patient care for assigned patients including but not limited to: Completion of Hospice Outcomes and Patient Evaluation (HOPE) time points. Accepts accountability for patient/ family satisfaction scores and quality of care outcome measure results. Completes and documents an initial assessment of patient and family, as assigned, to determine GIP eligibility and hospice care needs. Provides a complete physical assessment and history of current and previous illness(es). Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions, with emphasis on pain and symptom management. Includes the patient, family, and hospital care providers in the planning process. Initiates the plan of care, as assigned, and makes necessary revisions as patient status and needs change. Recommends medications and treatments as prescribed by the physician. Counsels the patient, family and hospital care providers in meeting patient needs related to physical, emotional, and spiritual needs.

Requirements

Registered Nurse from a Graduate of National League for Nursing accredited school of nursing
Current license to practice as a registered professional nurse in the Commonwealth of Massachusetts
Current Basic Life Support Certification
Valid Massachusetts driver’s license
Minimum 3 years Hospice Experience
Hospice or end of life care experience required
Must be sensitive to the needs of terminally ill patients and families and one's own feelings about dying and death
Must demonstrate the ability to interact in a positive and courteous manner with patients, families, other employees, hospital staff and outside vendors
The ability to work both independently and as part of a team are essential
Demonstrates excellent observation and problem solving/critical thinking skills
Well-developed verbal and written communication skills; essential computer skills to work with EMR
Self-directed and able to work with minimal supervision
Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist

Nice To Haves

BSN strongly preferred
Inpatient hospice experience preferred

Responsibilities

Determines appropriateness of General Inpatient (GIP) Level of care, coordinates and conducts preadmission activities
Increases accessibility to hospice care, to manage the hospice admission process via effective communication
Describes and explains hospice services to a potential patient/family and elicits responses to questions regarding patient/family attitude toward hospice care, physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program
Gathers pertinent information necessary for admission
Speaks to patient/family about insurance coverage and financial obligations, using knowledge of hospice fees, cost and reimbursement sources
Promotes hospice services, to ensure appropriate GIP referrals to hospice program to discharge planners, physicians, other health care providers and referral sources
Manages care of patients, coordinate all services and facilitate communication between all providers
Assesses patient and coordinate cares with hospital care team including MD, Case Manager, RN and hospice team
Provides expert symptom management and recommendations in coordination with the Hospice Medical Director
Maintain productivity expectations
Provide documentation of services utilizing problem-oriented record
Plan for continuity of care with nursing team members, patient, family, and other disciplines
Use opportunities for teaching nursing care, comfort measures and health practices to the patient, families and hospital staff
Responsible for daily nursing visits and assessment of ongoing eligibility of patients admitted to GIP level of care
Coordinates with the hospice IDT if the patient becomes no longer eligible and an alternative plan becomes necessary
Communicates and coordinates with other health and social agency personnel to assist in planning, implementing, and evaluation of services to the patient and family
Completion of Hospice Outcomes and Patient Evaluation (HOPE) time points
Accepts accountability for patient/ family satisfaction scores and quality of care outcome measure results
Completes and documents an initial assessment of patient and family, as assigned, to determine GIP eligibility and hospice care needs
Provides a complete physical assessment and history of current and previous illness(es)
Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and palliative nursing actions, with emphasis on pain and symptom management
Includes the patient, family, and hospital care providers in the planning process
Initiates the plan of care, as assigned, and makes necessary revisions as patient status and needs change
Recommends medications and treatments as prescribed by the physician
Counsels the patient, family and hospital care providers in meeting patient needs related to physical, emotional, and spiritual needs