Nurse Manager--Sawtelle Hospice House

Beth Israel Lahey Health•Reading, PA

2d•$87,360 - $120,640•Onsite

About The Position

The Hospice House Nursing Manager plans and delivers care to patients utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients, significant others, and other interdisciplinary team members while maintaining standards of professional nursing and clinical competency. The Hospice House Nursing Manager is responsible for the management of the nursing staff and clinical care of all patients receiving care at the hospice house. The Nursing Manager is responsible for directing the team in the provision of high quality, effective, and efficient end of life care. Promotes quality in patient care delivery in accordance with agency objectives, policies, and procedures. Supervises, supports, and educates staff at the point of service. The Hospice House team leader is a clinical resource for all staff and remains current in skills and in state and federal regulations.

Requirements

Graduate of an 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
3-5 years hospice experience
1-2 years of supervisory experience
Knowledge of Medicare/Medicaid regulations in hospice
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 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.
Strong organizational and problem-solving skills
Strong clinical assessment skills
Strong interpersonal skills.
Able to facilitate cooperation and communication among team members
Well-developed written and oral communication skills
Work collaboratively in a multi-disciplinary team for quality patient outcomes.
Reports to Clinical Manager: case conferences with on a weekly basis
Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts
The position requires a high degree of mental and visual concentration.
Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).
Flow of work and nature of duties require high manual coordination.
Responsibilities require high range of motion.
Performance of duties requires remaining in position for prolonged periods of time.
Responsibilities require frequent repetitive motion.
Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.
Performance of duties frequently involves exposure to hazardous materials.
Responsibilities entail exposure to blood and body fluids; standard precautions must be used.
Responsibilities include transporting, transfer and positioning of patients.
Incumbent must be continuously prepared to prevent a patient fall.
Performance of duties requires the ability to discern and identify colors
Performance of duties requires the ability to discern sharp from dull and hot from cold
Performance of duties requires the ability to hear soft and loud noises
Position has a direct impact upon health outcomes of the patient.

Nice To Haves

BSN preferred.

Responsibilities

Manage care of patients, coordinate all services and facilitate communication between all providers.
Manage the daily clinical operations of the hospice house
Oversee all patient care service and nursing personnel at the hospice house
Provide oversight of skilled nursing care and prescribed treatments to patients residing at the hospice house
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 others.
Instruct and supervise care given by the Hospice Aides.
Communicate and coordinate with other health and social agency personnel to assist in planning, implementing, evaluation service to the patient and family.
Facilitate IDT bi-weekly
Builds and evaluates team members through employment and termination (recruitment and retention efforts/activities), holding clinicians accountable to established hospice standards of clinical practice and documentation.
Evaluates clinical competency in area of practice of those with direct reporting responsibility through direct observation, skills assessment, and performance appraisals.
Oversees compliance with timely and accurate completion and submission/synching of all documentation.
Collaborates with QI Coordinators regarding hospice eligibility, individual abilities and deficits
Communicates well with Associate Medical Director
Ensures adequate coverage for patient care service 24/7 in coordination with hospice house director
Encourages and fosters: a. A positive attitude and high morale toward establishing and maintaining a culture of customer focused service. b. Critical thinking amongst multidisciplinary team members. c. Development and adherence to individualized patient Plans of Care. d. Employee feedback and staff engagement.
Assumes responsibility to coordinate patient care for assigned caseload including but not limited to: Appropriate delegation to LPN staff, patient condition change visits, and completion of Hospice Item Set (HIS) time points.
Accepts accountability for patient satisfaction scores and quality of care outcome measure results.
Completes and documents an initial assessment of patient and family to determine 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.
Includes the patient and the family in the planning process.
Initiates the plan of care and makes necessary revisions as patient status and needs change.
Counsels the patient and family in meeting patient needs related to physical, emotional, and spiritual needs.
Respects and supports patient and family’s cultural beliefs and values, individual needs, health goals and treatment preferences.
Provides information to the patient and family regarding the dying process and expectations.
Provides instruction regarding medication actions, side effects, dosage, route, and frequency.
Instructs, supervises and evaluates hospice house nurses and health aide care provided, Supervises the care provided by the hospice aide every two (2) weeks minimally, and as needed.
Manages the hospice benefit periods in accordance with evolving patient needs and continued eligibility for services.
Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.
Attends and facilitates IDT meetings every two weeks at a minimum, and as needed.
Communicates and coordinates with the hospice house nurses when delegating appropriate visits.
Communicates with other community providers to coordinate the care plan (i.e. Insurance case managers, elder services, protective service, etc.).
Practices confidentiality principles set by the agency and federal HIPAA guidelines.
Demonstrates proficiency in HIS completion.
Documentation supports that the patient meets hospice criteria ongoing.
Completes documentation in accordance with agency timeliness policies.
Maintains and updates clinical knowledge and skills based on current nursing practice.
Adheres to departmental requirements for required training.
Identifies specific learning needs & goals and collaborates with nursing leadership in developing a plan to meet them.
Ensures that arrangements for equipment and other necessary items and services are available.
Participates in in-service programs and supervises, teaches and precepts other nursing personnel as assigned by House Director
Maintain strict adherence to the Continuing Care Confidentiality policy.
Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities.
Comply with all Continuing Care Policies.
Comply with behavioral expectations of the Continuing Care Division.
Maintain courteous and effective interactions with colleagues and patients.
Demonstrate an understanding of the job description, performance expectations, and competency assessment.
Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
Participate in departmental and/or interdepartmental quality improvement activities.
Participate in and successfully completes Mandatory Education.
Perform all other duties as needed or directed to meet the needs of the department.