RN Home Health - We

Covenant Health•Knoxville, TN

8d•Remote

About The Position

Covenant Health HomeCare and Hospice is seeking a Registered Nurse for a full-time weekend position. This role involves providing professional nursing care to terminally ill patients, coordinating care with an interdisciplinary team to ensure optimal outcomes. The position requires working 12-hour shifts on Saturdays and Sundays, with on-call duties also required. Covenant Health is a large, nonprofit health system in East Tennessee, offering comprehensive benefits.

Requirements

Graduation from an accredited school of nursing.
Three (3) years of professional experience in a hospital or prior home health experience.
Must have and maintain Tennessee RN licensure.
CPR required.
Must have a valid Tennessee driver’s license Class D and state-mandated minimum insurance coverage.
Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.

Nice To Haves

Clinical experience pertinent to Hospice, including oncology, palliative, end-of-life care, etc. preferred.

Responsibilities

Conducts initial and ongoing assessment of the impact of the terminal illness on the patient’s physical, functional, psychosocial and environmental needs and activities of daily living.
Facilitates a palliative milieu in the home that promotes a smooth transition at time of death.
Implements the individualized plan of care and recommends revisions as necessary.
Provides symptom management focused care prioritizing comfort at end of life by reducing pain and suffering.
Consults with and educates the patient/family regarding the terminal diagnosis, disease process, self-care techniques, end-of-life care, and processes for dealing with issues of ethical concern.
Initiates appropriate preventive and rehabilitative nursing procedures, such as pressure ulcer prevention, pain crisis prevention, bowel impaction prevention, and care of the bed-confined patient.
Prepares clinical and nursing notes that reflect the progression of disease process at the end of life.
Coordinates all patient/family services and prioritizes needs with the interdisciplinary team.
Uses a case management approach and refers to other services as needed.
Acts as a liaison between the provider and patient/family.
Communicates orders received and processed to the family and informs the provider and other staff of changes in the patient’s needs.
Determines scope and frequency of services needed based on acuity and patient/family needs.
Updates POC as needed and adjusts visit calendar frequency.
Develops and oversees HHA POC individualized to the specific needs of the patient.
Supervises LPNs and Hospice/Home Health Aides providing services.
Assists in orienting new employees.
Provides specialized hospice training to other staff, family members, and informal caregivers.
Performs ongoing evaluation of patient/family response to education and care provided.
Assesses the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout care.
Advocates for respite care as needed.
Maintains working knowledge of Medicare guidelines and performs in compliance with such guidelines.
Follows appropriate admission, discharge, on-call, and death procedures as outlined by Covenant HomeCare policy.
Performs basic infection control techniques according to Covenant HomeCare policy.
Preplans appropriately including scheduling with patient/caregiver ETA to the home.
Demonstrates knowledge and competency in providing for age-specific, culture-specific, and religious-specific needs of the population served.
Demonstrates ability to perform skills on annual skills checklist.
Required travel to all counties served by Covenant Hospice.
Follows policies, procedures, and safety standards.
Completes required education assignments annually.
Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.