Afterhours Registered Nurse

Gentiva Hospice•Oxford, NC

10d•Onsite

About The Position

The After Hours Registered Nurse provides direct care to hospice patients and support to their families after normal business hours on an on-call basis. The RN manages an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff to enhance hospice care quality, and case manages assigned patient clinical records. The role also supports continuity of care through after-hours availability, telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, visit synchronization, and other operational activities. The position provides and documents care in accordance with the Plan of Care; assesses patients; helps develop and implement hospice care plans with physicians and the interdisciplinary group; and educates patients, families, and caregivers about identified care needs. The RN coordinates physical, psychosocial, educational, emotional, spiritual, and bereavement support, serves as a liaison among physicians, patients, families, and the hospice team, and reports changes in patient condition to the Attending Physician and Hospice Physician. The role maintains accurate records, reviews assigned cases for quality and regulatory compliance, practices infection control, supervises team members, monitors staff scheduling, participates in quality improvement, attends meetings, completes required training, and performs other assigned activities. Routine visits during normal business hours may also be requested. The 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.
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.
Current CPR certification.
Current automobile insurance and a valid driver’s license.
Maintain transportation for work.
Ability to operate nursing assessment tools, computers, fax machines, copiers, and a cell phone or beeper effectively.
Knowledge of terminally ill patients and their families and understanding of hospice care.
Ability to apply knowledge of the special needs of hospice patients and families.
Knowledge of the roles of disciplines providing hospice services and of community resources.
Excellent patient assessment skills and good oral and written communication skills.
Knowledge of documentation, program management, general nursing practice, managed care principles, regulatory guidelines, and management principles.
Sensitivity to end-of-life issues and tact in dealing with patients and families; ability to support others during a crisis.
Flexibility to perform varied tasks while maintaining efficiency and composure.
Ability to communicate effectively with people from all socioeconomic backgrounds.
Responsible workplace conduct, maturity, cooperation, flexibility, and tact in working with coworkers and hospice team members.
Must meet applicable state-specific requirements where applicable.

Responsibilities

Provide direct hospice patient care and support 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.
Provide after-hours availability, telephone triage response, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization.
Ensure care is delivered 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 physical, psychosocial, educational, emotional, spiritual, and bereavement support with the interdisciplinary group.
Maintain professional management of each patient and act as liaison among physicians, patients, families, and the hospice team.
Report patient condition changes 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 current 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 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 if 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 eligible full-time associates.
Generous paid time off and seven paid holidays for eligible full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for eligible full-time associates.
Education support and tuition assistance for eligible full-time associates.
Company-paid life and long-term disability insurance for eligible full-time associates.
Voluntary pet, critical illness, accident, and long-term care benefits for eligible full-time associates.