Registered Nurse - Hospice

Housecall Providers•Portland, OR

33d•$55 - $67•Hybrid

About The Position

The Hospice RN is responsible for the delivery of professional nursing services to hospice patients as indicated by the plan of care developed by the interdisciplinary team. Responsibilities include initial and on-going assessment of patients, developing and revising the plan of care, timely documentation, medication management, communication of assessments, planning and interventions and coordination of care among team members. The schedule is Thursday - Sunday (4) ten-hour days for hospice admissions primarily.

Requirements

Current unencumbered license as a registered nurse in the State of Oregon
Minimum 2 years’ Registered Nurse medical/surgical experience in an acute care setting and/or a combination of medical/surgical, home health, hospice experience or long-term care experience
1 year of experience in quality process improvement/QAPI may substitute for 1 year of Registered Nurse experience
Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
CPR certification at hire or within 6 months in position
Knowledge of Federal, State and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations
Ability to perform nursing related tasks in the area of specialty (e.g., case management, on-call triage management, visits, and/or phone calls in a home care setting
Practice within the scope of license, certification, or registration, where applicable, and as required by law and regulation
Must have general computer skills and a working knowledge of Electronic Medical Records systems, MS office, Outlook, and the internet
Excellent interpersonal skills
Ability to work both independently and collaboratively
Ability to work under pressure to meet deadlines
Ability to take initiative and utilize innovative techniques and ingenuity
Ability to interact with various departments throughout the organization
Ability to tolerate and manage stress and grief
Ability to work flexible hours, if needed
Ability to plan, prioritize and coordinate multiple projects or tasks
Ability to adhere to organizational standards, policies, and procedures
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, hear, and speak clearly for at least 6 hours/day
Ability to stand, walk, sit, and perform repetitive finger and wrist movement for at least 3-6 hours/day
Ability to lift, carry, push, pull, bend, climb stairs and/or pinch small objects for at least 3 hours/day
Ability to operate a motorized vehicle in all kinds of weather conditions

Nice To Haves

Bachelor of Nursing degree or higher
Certified in Hospice and Palliative Care (CHPN)
3-5 years in hospice triage, case management, admissions, night/weekend roles

Responsibilities

Perform initial and ongoing nursing evaluations of patients/family/caregiver and assist in the development/implementation of the plan of care.
Case management
Admissions
Initial hospice assessments
Medication management
Routine or focused nursing visits
Telephonic triage
Night/weekend coverage
Coverage for increased census or staffing shortages
Other duties assigned by the Hospice Leadership
Perform duties in compliance with Medicare Condition of Participation.
Responsible for coordinating and monitoring all care being provided and keep the physician and other team members from agency and community resources apprised of changes in patient’s condition so that adjustments can be made to the plan or care as needed, to improve quality of life.
Use clinical assessment skills and best practices to identify and provide effective care for patients, families, and caregivers.
Actively participate in IDT meetings for development and evaluation of the patient’s plan of care.
Develop and implement a plan of care for each assigned patient/family/caregiver unit and evaluation of that plan of care.
May assist patient/family/caregiver in determining of goals of care including completion of Advance Directives and POLST forms as needed.
Provide dietary counseling as needed.
Address advocacy needs for patients/families/and organization.
Facilitate formal and informal meetings with patients/caregivers/family member as needed.
Collaborate with the IDT during crisis management support and consultations with patient/family/caregiver or IDT team.
Provide information regarding the patient/family/caregivers psychosocial, spiritual, physical, and financial needs or difficulties to the IDT team or providers involved in the patient’s care.
Serve as liaison with hospitals, care facilities and appropriate agencies to promote interagency cooperation, developing and maintaining communication and facilitating referrals to meet patient needs throughout the continuum of care.
May participate in admission and on-call duties as assigned during the evenings and weekends.
Participate in continuing education of self and assist with orientation of other team members.
Collaborate with Housecall Providers program staff to enhance continuity of care as needed.
Responsible for documentation in the electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards per policies and procedures.

Benefits

medical insurance
dental insurance
vision insurance
life insurance
AD&D insurance
disability insurance
health savings account
flexible spending account(s)
lifestyle spending account
employee assistance program
wellness program
discounts
multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.)
retirement plan with employer contributions
PTO
Paid State Sick Time
paid holidays
volunteer time
jury duty
bereavement leave
401(k) contributions