About The Position

The After Hours Registered Nurse provides direct patient care to hospice patients and support to their families outside 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 includes after-hours availability, 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 position may also include routine visits during normal business hours. The RN assures that care is delivered and documented in accordance with the Plan of Care; conducts initial and ongoing patient assessments; and helps develop and implement the Hospice Plan of Care with the physician and Interdisciplinary Group. The RN educates patients, families, and caregivers about identified care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients. The RN coordinates physical, psychosocial, educational, emotional, and spiritual services, including bereavement support, and serves as the primary liaison among the physician, patient/family, and hospice team. The position monitors changes in patient condition, communicates them to the Attending Physician and Hospice Physician, maintains contact with families, and ensures accurate, updated medical records. The RN reviews assigned records for quality, standards of practice, and regulatory compliance; practices infection control and standard precautions; conducts monthly supervisory visits with team members; monitors staff scheduling; participates in quality improvement activities and staff meetings; completes annual company training; and performs other assigned activities. This is a safety-sensitive position. 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. The company describes itself as a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations and thousands of clinicians across 38 states.

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 as experience 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 valid driver’s license.
  • Must have and maintain transportation for work.
  • Ability to operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper effectively.
  • 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 service disciplines.
  • Excellent patient assessment skills and knowledge of community resources.
  • Good oral and written communication skills, documentation skills, and program management skills.
  • Knowledge of general nursing practice, managed care principles, regulatory guidelines (including Medicare, Medicaid, and JCAHO), and human resource management principles.
  • Sensitivity to life-and-death issues associated with terminal illness; tact and ability to support patients and families during crises.
  • Flexibility to perform varied tasks while maintaining efficiency and composure.
  • Ability to communicate effectively with people from all socioeconomic backgrounds and to demonstrate workplace responsibility, maturity, cooperation, and tact.

Responsibilities

  • 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 care needs, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
  • Coordinate comprehensive physical, psychosocial, educational, emotional, and spiritual services, including bereavement support.
  • Maintain primary control and professional management of each patient and serve as the primary liaison among the physician, patient/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 clinical records to ensure quality services, standards of practice, and compliance with policies, procedures, and regulations.
  • Practice infection control measures and standard precautions.
  • Conduct routine supervisory visits of and with other team members at least monthly.
  • Monitor scheduling of all staff.
  • Maintain knowledge of pain and symptom management during the dying process.
  • Participate in the Quality Assessment and Performance Improvement Program.
  • Provide after-hours availability, telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization.
  • May perform routine visits during normal business hours.
  • Attend staff meetings, complete required annual company training, promote company core values, and perform other activities as assigned.

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 benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.
  • $7,500 sign-on bonus.
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