Registered Nurse (RN - Hospital) - Home Health & Hospice

Jamestown Regional Medical Center • Jamestown, ND

4d • $31 - $46 • Onsite

About The Position

Coordinates and delivers comprehensive nursing care to home health and hospice patients in a community-based setting. Provides patient and family education, supports interdisciplinary collaboration, and promotes high standards of professional nursing practice. This is a casual position requiring a minimum of 12 hours per six-week schedule, Monday through Friday, with weekends as needed. The role covers the Kulm and Edgeley area and includes an on-call rotation, including nights, weekends, and holidays.

Requirements

• Current RN licensure from the North Dakota State Board of Nursing.
• Completion of BLS CPR.
• Attend Crisis Prevention Intervention (CPI) training within the timeframe specified by the department orientation checklist.
• At least one year of Medical/Surgical nursing experience.
• Strong clinical judgment and critical-thinking skills to assess patient conditions, interpret clinical data, and develop and evaluate care plans.
• Ability to recognize changes in patient status, evaluate interventions, make timely decisions, and manage complex clinical situations.
• Ability to exercise independent clinical judgment, prioritize care, implement interventions, adjust care plans, manage symptoms, and escalate concerns when appropriate.
• Interpersonal skills for working with physicians, other departments, and residents in the community served.
• Ability to work with terminally ill patients and families coping with death and dying.
• Visual acuity for reading charts and working with medical devices; color perception for interpreting color-comparison testing procedures.
• Ability to meet the physical and sensory demands of home-based patient care, including mobility assistance, transfers, positioning, and frequent travel.
• Current unencumbered North Dakota driver’s license and appropriate automobile insurance.
• Must provide a vehicle for transportation to and from home visits.
• Must complete a comprehensive background check as a condition of employment.
• Must complete a urine drug screen within 30 days of hire.
• Punctual and regular attendance; report to work as scheduled and remain for the entire work schedule.

Nice To Haves

• Prior home health, hospice, or community health experience.

Responsibilities

• Provide skilled nursing care according to agency policies, professional standards, and applicable regulations.
• Assess patient conditions and nursing needs; develop, implement, and evaluate individualized care plans.
• Complete OASIS assessments (SOC, ROC, recertification, and discharge) accurately and within required timeframes.
• Evaluate patient eligibility and payer requirements, collaborating with the Home Health Manager or designee before admission.
• Administer medications, perform treatments, and complete medication reconciliation with patient and caregiver education.
• Educate patients and caregivers about disease processes, medication management, safety, and medical equipment.
• Conduct home safety, infection-control, and environmental assessments and implement appropriate interventions.
• Monitor responses to treatment and communicate changes in patient condition to physicians and interdisciplinary team members.
• Participate in interdisciplinary team meetings to coordinate patient-centered care.
• Provide hospice care, including symptom management, comfort-focused interventions, and end-of-life education and support.
• Support patients and families with coping, end-of-life needs, and awareness of bereavement resources.
• Delegate and supervise Home Health Aides in accordance with CMS Conditions of Participation and nursing standards of practice.
• Participate in the on-call rotation, including nights, weekends, and holidays.
• Use telehealth and remote patient monitoring as appropriate.
• Promote cost-effective use of supplies and ensure proper care and maintenance of equipment.
• Participate in staff orientation, education, and performance improvement activities.
• Maintain accurate, timely, and compliant clinical documentation.
• Respond appropriately to urgent and emergent situations in patients’ homes.
• Maintain a safe and clean working environment for patients and staff.
• Provide direction and supervision to LPNs and Home Health Aides and potentially oversee ancillary staff.
• Travel to patient homes using a personal vehicle.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed