Afterhours Registered Nurse

Heartland Hospice•De Pere, WI

3d•Onsite

About The Position

The After Hours Registered Nurse provides direct patient care to hospice patients and supportive care to their families after normal business hours on an on-call basis. The role includes telephone triage, clinical support, care coordination, admission-related coordination, triage follow-up, visit synchronization, and other activities that support continuity of care and operational needs. The RN manages an interdisciplinary group of Licensed Practical/Vocational Nurses, Certified Nursing Assistants, and support staff, and case manages assigned patient clinical records. The schedule is seven days on and seven days off. The RN provides care in patients’ homes and/or institutional settings and may use an automobile for work. The position is safety-sensitive and may involve exposure to infections, communicable diseases, odors, blood, excreta, and hazardous materials. Routine visits during normal business hours may be required. Heartland Hospice is part of Gentiva, a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations across 38 states.

Requirements

Registered Nurse education and qualification.
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 employment.
Completion of 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 operate nursing assessment tools, computers, facsimile equipment, copier, and cell phone/beeper.
Knowledge of terminally ill patients and their families and understanding of hospice care and their special needs.
Knowledge of the roles of disciplines providing hospice services, community resources, general nursing practice, managed care principles, and applicable regulatory guidelines, including Medicare, Medicaid, and JCAHO.
Excellent patient assessment skills and oral and written communication skills.
Knowledge of documentation and program management.
Sensitivity to end-of-life issues; tact in dealing with patients, families, coworkers, and hospice team members; and ability to support people in crisis.
Flexibility to perform varied tasks while maintaining efficiency and composure; ability to communicate effectively with people of all socioeconomic backgrounds; maturity, cooperation, and responsible workplace conduct.
Ability to perform the essential duties satisfactorily.

Responsibilities

Ensure the highest quality of 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 conjunction with the Interdisciplinary Group.
Educate patients, families, and other caregivers about needs identified in the Plan of Care, including medication administration, dressing changes, oxygen administration, hospice philosophy, and care of terminally ill patients.
Collaborate with the Interdisciplinary Group to provide 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 and family, and hospice team.
Report changes in patients’ conditions 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 current medical records, including interdisciplinary notes, Plans of Care, assessments, and other information relevant to patient care.
Review and follow up on assigned patient 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 of and with other team members at least monthly.
Monitor staff scheduling.
Maintain knowledge of pain and symptom management in the dying process.
Participate in the Quality Assessment and Performance Improvement Program.
Perform routine visits during normal business hours when asked.
Attend staff meetings.
Complete required annual company training and other assigned activities.
Promote the company’s core values consistently.
Provide after-hours availability, telephone triage response, clinical support, care coordination, admission-related coordination, triage follow-up, and visit synchronization.

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.
Paid time off and seven paid holidays for full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
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.