Per -Diem RN

Chapters Health System•The Villages, FL

About The Position

The Per Diem RN assesses and identifies patient and family needs, uses the nursing process, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care to patients and families. The RN performs clinical admissions for Company services, obtains physician orders and medical record information, completes documentation, and coordinates referrals, consents, and safe discharge. The role may include care for General Inpatient (GIP) patients in hospitals and, at some locations, cross-training to hospice house or field positions of equal licensure and scope when census requires flexible staffing. The RN works with patients, families, physicians, facilities, case managers, Admissions, Professional Relations Representatives, and other IDG members. The role includes direct patient and family care, individualized care planning, education, clinical communication, supervision of other nursing team members, and participation in quality and performance improvement activities. During emergencies, the Triage RN may be required to report to a company-designated location ahead of schedule and stay overnight to maintain continuity of services. The position requires a current RN license in the state of employment, active BLS certification, prior EMR/EHR experience, a valid driver’s license and automobile insurance, and reliable transportation. The description notes hospice or hospital nursing experience as preferred. Employees working at PACE must complete specified Alzheimer’s Disease and Related Dementias training through the Florida Department of Elder Affairs. Physical requirements include walking, standing, sitting, reaching, lifting, bending, balancing, and, occasionally, pushing, pulling, crouching, kneeling, and climbing stairs. The position also involves access to patient rooms and homes, including navigating stairs and narrow spaces and tolerating heat or lack of air conditioning.

Requirements

Current RN license in the state where the employee will be working.
Active BLS for healthcare professionals from the American Heart Association or Red Cross.
Previous experience working with an EMR/EHR system.
Valid driver’s license and automobile insurance in accordance with Company policy.
Reliable transportation to meet the visit schedule.
Ability to use equipment with visual and auditory mechanisms.
Ability to communicate effectively in English, verbally and in writing.
Flexible schedule to meet the needs of Hospice House patients.
Ability to manage the emotional stress of caring for terminally ill patients and their families.
Ability to access patient rooms and other areas of Hospice House, hospitals, assisted living facilities, and homes, including navigating stairs and narrow spaces and tolerating heat or lack of air conditioning.
Ability to perform essential job functions and physical requirements, including lifting patients or equipment, bending, pushing, pulling, and kneeling, with or without reasonable accommodation.
For employees working at PACE: completion certification for Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
For Florida affiliate services: eligibility verification through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and ongoing eligibility.

Nice To Haves

A minimum of one year of nursing experience in hospice or a hospital setting is preferred.

Responsibilities

Assess and identify patient and family needs using the nursing process, and provide palliative and supportive care.
Coordinate the Plan of Care with the Interdisciplinary Group (IDG), ensuring it reflects the patient’s evolving needs.
Complete clinical admissions for Company services, explain services, address questions and barriers, educate patients and families, complete informed consents and initial assessments, and initiate care to address immediate needs.
Obtain physician orders and medical record information, and complete documentation according to Company policy.
Initiate skilled nursing interventions to prevent complications, alleviate symptoms, and maximize physical and emotional comfort.
Represent the Company at assigned facilities and facilitate referrals to all service lines, working with hospitals, physicians, facilities, patients, families, and the public.
Communicate frequently with Admissions about timely follow-up, assignment completion, and subsequent assignments.
Provide timely clinical communication using SBAR and discuss potential needs with after-hours staff.
Obtain service consents and arrange safe, efficient discharge for referred and eligible patients while meeting productivity expectations.
Build relationships with case managers, physicians, and facility contacts, and work with Professional Relations Representatives to educate them about available services.
Provide care for hospital GIP patients, including daily visits, professional management, documentation, and efficient discharge.
Provide and manage direct patient and family care as part of the IDG, incorporating psychosocial, spiritual, cultural, physical, and biological needs and appropriate follow-up.
Educate patients, families, caregivers, and health professionals about disease process and decline, palliative interventions, caregiving, the dying process, and safety practices.
Report changes in patient condition to appropriate IDG members or other health professionals.
Participate with the IDG in evaluating hospice referrals and admissions for level-of-care appropriateness.
Attend patient deaths, prepare bodies for transport, and oversee disposal of medications.
Provide appropriate bereavement interventions with psychosocial staff.
Present concise, pertinent oral and written reports to the IDG and encourage input from all disciplines.
Communicate accurately and completely with physicians, staff, patients, families, and supervisors, using positive approaches when working with others.
Supervise care delivered by nursing team members, including LPNs, Hospice Aides, and contract nurses.
During emergencies, report to a company-designated location as required to maintain continuity of services, potentially ahead of schedule and overnight.
Satisfactorily complete competency requirements for the position.
Represent the Company professionally; comply with applicable regulations, policies, procedures, safety and security practices; and protect confidentiality.
Use resources responsibly, participate in community and professional organizations, contribute to performance improvement and quality activities, develop professional and electronic-media skills, support research and education, and share expertise with coworkers.
Perform other duties as assigned.