Afterhours Registered Nurse- Weekend

Gentiva Hospice•Alpharetta, GA

About The Position

The After Hours Registered Nurse provides direct patient care and supportive services to hospice patients and their families after normal business hours, on an on-call basis. The role includes telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, visit synchronization, and other activities needed to support continuity of care and operational needs. The RN manages an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff, and case manages assigned patient clinical records. The RN assures care is delivered and documented in accordance with each patient’s Plan of Care, assesses patients, helps develop and implement care plans with physicians and the Interdisciplinary Group, and educates patients, families, and caregivers about identified care needs. The RN coordinates with the hospice team and physicians, supports patients and families through physical, psychosocial, educational, emotional, spiritual, and bereavement needs, and maintains accurate clinical records. The position also includes supervisory visits, staff scheduling oversight, quality improvement participation, and compliance with infection control practices and applicable standards. Work takes place in patients’ homes and/or institutional settings and in an automobile. Potential exposures include infections, communicable diseases, odors, blood, excreta, and hazardous materials. This is a safety-sensitive position.

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.
Ability to maintain transportation for work.
Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper.
Knowledge of terminally ill patients and their families and understanding of hospice.
Ability to apply knowledge of the special needs of hospice patients and families and knowledge of the roles of hospice disciplines.
Excellent patient assessment skills and knowledge of community resources.
Good oral and written communication, documentation, and program management skills.
Knowledge of general nursing practice and managed care principles, regulatory guidelines (including Medicare, Medicaid, and JCAHO), and management principles.
Sensitivity to life-and-death issues faced by people with terminal illness; tact in working with patients and families; and ability to support others during a crisis.
Flexibility to perform varied tasks and move between tasks without loss of efficiency or composure.
Ability to communicate effectively with people of all socioeconomic backgrounds.
Responsible, mature, cooperative, and flexible workplace conduct, including tact in dealing with coworkers and hospice team members.

Responsibilities

Provide direct hospice patient care and supportive care to family members after normal business hours on an on-call basis.
Provide after-hours availability, telephone triage response, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization.
Manage an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff.
Case manage assigned patient clinical records.
Assure the highest quality of care and documentation 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 other Interdisciplinary Group members.
Educate patients, families, and caregivers about identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
Coordinate with the Interdisciplinary Group to provide physical, psychosocial, educational, emotional, spiritual, and bereavement support to patients and families.
Maintain primary control and professional management of each patient and serve as the primary liaison among the physician, patient or family, and hospice team.
Report changes in patient condition to the Attending Physician and Hospice Physician.
Maintain contact with patients’ families and/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 patient records to ensure quality services, standards of practice, and compliance with policies, procedures, and regulatory requirements.
Practice infection control measures and standard precautions.
Perform routine supervisory visits of and 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 eligible full-time associates
Generous paid time off and 7 paid holidays for eligible 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
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage