Afterhours Registered Nurse

Gentiva Hospice•Fayetteville, NC

6d•Onsite

About The Position

The After Hours Registered Nurse provides direct hospice patient care and support to patients’ families after normal business hours on an on-call basis. The role manages an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff, and case manages assigned patient clinical records. Responsibilities also include after-hours availability, telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, visit synchronization, and other activities that support continuity of care and 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 with the interdisciplinary team, and maintains communication with physicians and families. The role maintains accurate patient records and reviews assigned clinical records for quality, standards of practice, and regulatory compliance. Work takes place in patients’ homes or institutional settings and in an automobile. The position is safety-sensitive and may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Requirements

Registered Nurse education and qualification.
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 a valid driver’s license.
Transportation available and maintained for work.
Ability to effectively operate nursing assessment tools, computers, facsimile equipment, a copier, and a cell phone or beeper.
Knowledge of terminally ill patients and their families, hospice, hospice services and interdisciplinary roles, community resources, general nursing practice, managed care principles, regulatory guidelines, and management principles.
Excellent patient assessment skills and good oral and written communication, documentation, and program management skills.
Sensitivity and tact when supporting terminally ill patients and families facing life-and-death issues; ability to support others in a crisis.
Flexibility to perform varied tasks and change tasks without loss of efficiency or composure.
Ability to communicate effectively with people of all socioeconomic backgrounds.
Responsible, mature, cooperative, and tactful conduct with coworkers and hospice team members.

Responsibilities

Provide direct hospice patient care and supportive care to 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 and support continuity of care through triage, care coordination, admission coordination, 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 with interdisciplinary team members to provide physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
Manage assigned patients and act as the primary liaison among physicians, patients, 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 services, standards of practice, and compliance with policies, procedures, and regulatory requirements.
Practice infection control measures and standard precautions.
Conduct routine supervisory visits of and with 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.
Perform routine visits during normal business hours when requested.
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 insurance for full-time associates
Dental insurance for full-time associates
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 insurance for full-time associates
Company-paid long-term disability insurance for full-time associates
Voluntary pet, critical illness, accident, and long-term care benefits