Per Diem Hospice Evening Admission Registered Nurse RN

A PLUS PRIME CARE HOSPICE INC•Merced, CA
•$57 - $60

About The Position

The Case Manager Registered Nurse plans, organizes, and directs hospice care, drawing on nursing experience and community health education to coordinate services for patients and families in their homes and communities. This per diem position covers late and evening admissions, primarily from Merced to Modesto, with availability to cover Stanislaus County. The nurse provides professional, patient-centered care using the nursing process and develops, implements, and revises care plans based on assessments of patients and families. The role includes completing hospice admission assessments, administering prescribed medications and treatments, educating and counseling patients and families, coordinating care with physicians and the interdisciplinary group, and maintaining accurate clinical documentation. The nurse also participates in on-call duties, including at least one company-observed holiday per year, and supervises hospice aides when required.

Requirements

  • Graduate of a National League of Nursing-accredited school of nursing.
  • Current California nursing license and current CPR certification.
  • At least one year of professional nursing experience within the last three years, or a baccalaureate degree in nursing from a National League for Nursing-accredited program and a current RN license.
  • Licensed driver with an automobile insured in accordance with state and/or organization requirements and in good working order.
  • Self-directed and able to work with minimal supervision.
  • Excellent observation, verbal and written communication, problem-solving, and basic math skills; nursing skills as specified by the competency checklist.
  • Ability to perform the physical demands of the position, including prolonged or considerable walking or standing; lifting, positioning, and transferring patients; lifting supplies and equipment; reaching, stooping, bending, kneeling, and crouching; and sufficient visual acuity and hearing to perform required nursing skills.

Nice To Haves

  • At least two years of experience, including at least one year in public health, home care, or hospice nursing, is preferred.

Responsibilities

  • Provide professional nursing care using the nursing process and in accordance with the state Nurse Practice Act.
  • Assess and regularly reevaluate patient status and patient and family/caregiver needs; develop, initiate, and revise plans of care as needed.
  • Use health assessment data to determine nursing diagnoses and establish goals and palliative nursing actions in collaboration with the patient and family.
  • Initiate preventive and rehabilitative nursing procedures and administer medications and treatments prescribed by the physician.
  • Counsel patients and families regarding nursing and related needs, and provide health care instructions based on assessments and plans of care.
  • Assist patients with activities of daily living and support self-sufficiency and comfort.
  • When assigned, coordinate patient admissions by completing initial, comprehensive, and ongoing assessments of the patient and family, including physical assessment and illness history; assessments may take place in a hospital under GIP.
  • Complete, maintain, and submit accurate clinical notes, including documentation of patient condition, care, and pain or symptom management changes and outcomes.
  • Communicate patient needs and condition changes to physicians and obtain or receive orders as required.
  • Coordinate the plan of care with community health-related persons and the hospice interdisciplinary group.
  • Teach patients and caregivers self-care techniques and provide medication, diet, and other physician-ordered instructions.
  • Maintain a safe environment and help provide continuity of care with patients, caregivers, and team members.
  • Work with the family/caregiver and hospice interdisciplinary group to address patients’ and families’ emotional needs.
  • Attend interdisciplinary group meetings.
  • Participate in on-call duties and work a minimum of one company-observed holiday per year; holiday assignments rotate annually.
  • Ensure equipment and other necessary items and services are arranged and available.
  • Supervise hospice aides and delegate responsibilities when required.
  • Maintain and develop professional knowledge and practice skills through continuing education and in-service classes.
  • Fulfill requested or accepted case assignments.
  • Participate in quality assessment and performance improvement teams and activities.
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