Afterhours Registered Nurse

Gentiva Hospice•Oxford, NC

11d•Onsite

About The Position

The After Hours Registered Nurse provides direct patient care to hospice patients and support to their families after normal business hours on an on-call basis. The RN manages an interdisciplinary group that includes Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff, and case-manages assigned patient clinical records. The role also supports continuity of care and operational needs through after-hours availability, telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization. The RN assesses patients, helps develop and implement physician-prescribed hospice Plans of Care, educates patients and caregivers, coordinates with the hospice team and physicians, and maintains accurate clinical records. The role includes routine supervisory visits, staff scheduling monitoring, participation in quality improvement, and occasional routine visits during normal business hours. Work takes 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.
Complete 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.
Must have and maintain transportation for work.
Ability to effectively operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone or beeper.
Knowledge of terminally ill patients and their families, hospice, hospice patient and family needs, roles of hospice disciplines, community resources, general nursing practice, managed care principles, and regulatory guidelines including Medicare, Medicaid, and JCAHO.
Excellent patient assessment skills and good oral and written communication, documentation, and program management skills.
Sensitivity to end-of-life issues; tact and ability to support patients and families during crisis.
Flexibility to perform varied tasks without loss of efficiency or composure, communicate effectively with people of all socioeconomic backgrounds, and work responsibly and cooperatively with coworkers and hospice team members.
Able to work in patients’ homes, institutional settings, and an automobile, with potential exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials.

Responsibilities

Provide direct patient care to hospice patients 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 telephone triage, clinical support, care coordination, admission coordination, triage follow-up, and visit synchronization.
Assure that 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 as prescribed by the physician and in coordination with the 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 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 liaison among the physician, patient or family, and hospice team.
Report changes in a patient’s 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 patient records to ensure quality services, adherence to 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 other team members at least monthly.
Monitor staff scheduling.
Maintain knowledge of pain and symptom management during 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, dental, and vision insurance for full-time associates.
Generous paid time off and seven paid holidays for full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for full-time associates.
Education support and tuition assistance for full-time associates.
Company-paid life and long-term disability insurance for full-time associates.
Voluntary pet, critical illness, accident, and long-term care benefits for full-time associates.