Registered Nurse / RN - Hospice

Housecall Providers • Portland, OR

4d • $55 - $67 • Onsite

About The Position

The Hospice Registered Nurse is responsible for delivering professional nursing services to hospice patients according to the plan of care developed by the interdisciplinary team. The role includes initial and ongoing patient and family/caregiver assessments, developing and revising plans of care, medication management, timely and compliant documentation, communicating assessments and interventions, and coordinating care among team members and community resources. This is an RN Case Manager position scheduled for four ten-hour days.

The nurse may work in case management, admissions, initial hospice assessments, medication management, routine or focused nursing visits, telephonic triage, night/weekend coverage, or coverage for increased census or staffing shortages. The role may include admission and on-call duties during evenings and weekends as assigned. Work takes place in the community four to five days per week, requires at least weekly travel outside the workplace, and involves telephonic and in-person patient contact. The schedule may occasionally require more than eight hours in a day.

The position requires compliance with Medicare Conditions of Participation, applicable regulations, HIPAA, organizational policies, certification standards, and legal and ethical standards. Employment offers are contingent on satisfactory completion of a background check, immunization review, and drug screen, including THC/Marijuana.

Requirements

• Current, unencumbered registered nurse license in the State of Oregon.
• At least 2 years of Registered Nurse medical/surgical experience in an acute care setting, or a combination of medical/surgical, home health, hospice, or long-term care experience.
• One year of quality process improvement/QAPI experience may substitute for one 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 the position.
• Knowledge of Federal, State, and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations.
• Ability to perform nursing tasks in the area of specialty, such as case management, on-call triage, visits, or phone calls in a home care setting.
• Practice within the scope of license, certification, or registration, as applicable and required by law and regulation.
• General computer skills and working knowledge of Electronic Medical Records systems, MS Office, Outlook, and the internet.
• Excellent interpersonal skills and ability to work independently and collaboratively.
• Ability to work under pressure to meet deadlines; take initiative and use innovative techniques; and interact with departments throughout the organization.
• Ability to tolerate and manage stress and grief, and to work flexible hours if needed.
• Ability to plan, prioritize, and coordinate multiple projects or tasks; adhere to organizational standards, policies, and procedures; and work effectively with diverse individuals and groups.
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions; accept direction and feedback; and tolerate and manage stress.
• Ability to see, read, hear, and speak clearly for at least 6 hours per day.
• Ability to stand, walk, sit, and perform repetitive finger and wrist movements for at least 3–6 hours per day.
• Ability to lift, carry, push, pull, bend, climb stairs, and/or pinch small objects for at least 3 hours per day.
• Ability to operate a motorized vehicle in all kinds of weather conditions.
• Ability to travel outside the workplace at least weekly; personal vehicle may be used.

Nice To Haves

• Bachelor of Nursing degree or higher.
• Certification in Hospice and Palliative Care (CHPN).
• 3–5 years of experience in hospice triage, case management, admissions, or night/weekend roles.

Responsibilities

• Perform initial and ongoing nursing evaluations of patients, families, and caregivers, and assist in developing and implementing plans of care.
• Coordinate and monitor care, keeping the physician and agency and community team members informed of changes in patients’ conditions so care plans can be adjusted.
• Use clinical assessment skills and best practices to provide effective care for patients, families, and caregivers.
• Participate in interdisciplinary team meetings to develop and evaluate patient plans of care.
• Develop and implement a plan of care for each assigned patient/family/caregiver unit and evaluate its effectiveness.
• Assist patients, families, and caregivers in determining goals of care, including completing Advance Directives and POLST forms as needed.
• Provide dietary counseling as needed.
• Address advocacy needs for patients, families, and the organization.
• Facilitate formal and informal meetings with patients, caregivers, and family members as needed.
• Collaborate with the interdisciplinary team during crisis management and consultations with patients, families, caregivers, or team members.
• Communicate patients’ and families’ psychosocial, spiritual, physical, and financial needs or difficulties to the interdisciplinary team and providers involved in care.
• Liaise with hospitals, care facilities, and appropriate agencies to promote cooperation, maintain communication, and facilitate referrals across the continuum of care.
• Perform admissions and on-call duties during evenings and weekends as assigned.
• Participate in continuing education and assist with orienting other team members.
• Collaborate with Housecall Providers program staff to enhance continuity of care as needed.
• Document in electronic medical records, ensuring accuracy, completeness, and compliance with applicable regulations, certification standards, legal and ethical standards, and organizational policies and procedures.
• Perform other duties assigned by Hospice Leadership.

Benefits

• Competitive pay and bonus opportunity.
• Medical, dental, vision, life, AD&D, and disability insurance for eligible employees.
• Health savings account, flexible spending account(s), and lifestyle spending account.
• Employee assistance program and wellness program.
• Discounts and supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings.
• Retirement plan with employer contributions; 401(k) contributions are available to non-benefits-eligible employees.
• PTO and Paid State Sick Time for benefits-eligible employees, accrued based on hours worked/scheduled and primary work state.
• Paid holidays, volunteer time, jury duty, bereavement leave, and other offerings depending on eligibility.
• Paid State Sick Time, wellness and employee assistance program benefits, and other perks for non-benefits-eligible employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed