Afterhours Registered Nurse

Gentiva Hospice•Fayetteville, NC

8d•Onsite

About The Position

The After Hours Registered Nurse provides direct patient care to hospice patients and supportive care to their families after normal business hours on an on-call basis. The role manages an interdisciplinary group that includes Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff, and case-manages assigned patient clinical records. Duties also include after-hours availability, telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, visit synchronization, and other work needed to maintain continuity of care and meet operational needs. The schedule is Monday through Thursday overnight. The nurse assesses patients, helps develop and implement physician-prescribed hospice Plans of Care, educates patients and caregivers, coordinates services with the interdisciplinary team, and serves as a liaison among physicians, patients, families, and the hospice team. The nurse maintains clinical records, monitors the quality and regulatory compliance of care, supports staff scheduling and supervision, and participates in quality improvement activities. Work may take place in patients’ homes, institutional settings, and an automobile. This is a safety-sensitive position.

Requirements

Registered Nurse.
At least one year of RN experience in acute care hospital, oncology, long-term care, hospice, or home health; school internships and clinical hours may be considered in individual cases.
Current license to practice nursing in the state of requested employment.
Completion of required onboarding, orientation, competency validation, and ongoing competency requirements for the After Hours RN role.
CPR certification.
Current automobile insurance and valid driver’s license.
Must have and maintain transportation for work.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Knowledge of terminally ill patients and their families and understanding of hospice care and their special needs.
Knowledge of the roles of disciplines providing hospice services and of community resources.
Excellent patient assessment skills and good oral and written communication skills.
Documentation and program management knowledge; knowledge of general nursing practice and managed care principles; and thorough knowledge of regulatory guidelines, including Medicare, Medicaid, and JCAHO, and human resource management principles.
Sensitivity to life-and-death issues faced by people with terminal illness; tact in dealing with patients and families; and ability to support others in a crisis.
Flexibility to perform varied tasks and shift between tasks without losing efficiency or composure.
Ability to communicate effectively with people of all socioeconomic backgrounds and to demonstrate responsible workplace functioning, maturity, cooperation, flexibility, and tact with coworkers and hospice team members.
Ability to meet the requirements of a safety-sensitive position.

Responsibilities

Provide direct patient care to hospice patients and supportive care to their families after normal business hours on an on-call basis.
Manage an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff.
Case-manage assigned patient clinical records.
Provide after-hours availability, telephone triage response, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization.
Ensure care is provided and documented in accordance with the Plan of Care.
Perform initial and ongoing patient assessments.
Help develop and implement the Hospice Plan of Care with the physician and interdisciplinary group.
Educate patients, families, and caregivers about needs identified in the Plan of Care, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
Coordinate physical, psychosocial, educational, emotional, spiritual, and bereavement services with the interdisciplinary group.
Manage each patient’s care and act as liaison among physicians, patients and families, and the hospice team.
Report changes in patient condition to the Attending Physician and Hospice Physician.
Maintain contact with patients’ families or significant others to provide information, support, and continuity of care.
Maintain accurate and updated medical records, including interdisciplinary notes, Plans of Care, assessments, and other pertinent information.
Review and follow up on assigned clinical records to ensure quality care, adherence to standards of practice, and compliance with policies, procedures, and regulatory requirements.
Practice infection control measures and standard precautions.
Conduct routine supervisory visits with other team members at least monthly.
Monitor staff scheduling.
Maintain knowledge of pain and symptom management in the dying process.
Participate in the Quality Assessment and Performance Improvement Program.
May perform routine visits during normal business hours.
Attend staff meetings, complete required annual company training, promote company core values, and perform other assigned activities.

Benefits

Competitive pay
401(k) with company match
Career advancement opportunities
National and local recognition programs
Teammate Assistance Fund
Medical, dental, and vision insurance for full-time associates
Paid time off and seven paid holidays for full-time associates
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care
Education support and tuition assistance
Company-paid life and long-term disability insurance for full-time associates
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage