RN Admissions

Hospice Of San Joaquin•Stockton, CA

3d•Remote

About The Position

Hospice of San Joaquin is the oldest not-for-profit hospice of 40 years, serving San Joaquin and Stanislaus Counties. We are committed to leading in ensuring the quality of the journey from serious illness to end of life, honoring our mission by honoring life and ensuring patients and their Caregivers are the focus of everything we do. We are seeking a dynamic, skilled, self-motivated RN - Admissions who thrives in a fast-paced environment to support our mission. This is a Full-Time position. The Hospice Admission Nurse evaluates patient appropriateness for Medicare Hospice benefits, may explain legal consents, and obtains required consents. The role involves teaching patients and families how to access hospice nurse services 24/7, instructing in proper medication use, discussing End of Life Care, identifying patient needs, and collaborating with physicians, pharmacists, DME contractors, and administrative staff.

Requirements

A current license in the State of California as a Registered Nurse.
Two years experience as an RN.
Ability to set priorities, and organize work independently.
Skill in nursing practices with understanding and knowledge of Hospice care and commitment to the philosophy and goals of the program.
Ability to communicate effectively verbally and in writing.
Ability to learn and assimilate the Allscripts computer software program.
CPR Training.
Ability and willingness to drive own vehicle, have a valid California driver's license and have automobile insurance that meets State standards.
Ability to safely maneuver equipment (wheelchairs etc.) and assist family/caregivers with transferring and ambulating patients when necessary.
Physically able to walk, stand, stoop, sit and lift.
Good manual dexterity.
Visual/hearing ability sufficient to comprehend written/verbal information.
Able to tolerate driving in a car for long periods of time.
Able to negotiate steps and non-paved surfaces to reach patients.
Able to move patients and/or bend over a bed or wheelchair-bound patients while providing care.
Health Screening.
TB Screening.
Background Check.
Reference Check.
Drug Screening.

Nice To Haves

Hospice experience preferred.
Marketing experience a plus.
Hepatitis B Series offered.

Responsibilities

Evaluate patients for appropriateness for Hospice Medicare Benefit.
Provide skilled nursing assessment/delivery of direct care.
Work with IDT to develop plan of care.
Provide direction for social services, home health aides, and all contracted clinical care providers.
Ensure that patients/families receive quality palliative and supportive care in the home setting, skilled nursing facility, and assisted living home.
Coordinate care from hospital, skilled nursing facility, or assisted living home to home or another care setting.
Using clinical assessment skills, complete the initial nursing assessment; identify the physical, practical, physiological needs of the patient.
Assess patients within regulatory requirements.
Perform admission visits and follow up visits in a thorough and complete manner.
Work with social services to identify the emotional, psychological and spiritual needs of the patient.
Develop Plan of Care based on identified needs; Plan of Care reflects a problem-solving approach with defined, measurable outcomes.
Ensure quality, continuity of care as well as identifying patients goals.
Plan of Care will be shared with assigned RN Case Manager and Home Health Aide Coordinator.
Make recommendations to IDT for action/follow-up of newly referred patients.
Maintain up-to-date patient records in accordance with Medicare, MediCal, State home health Agency and Joint Commission standards.
Collaborate with physicians to determine need for a change of level of care (continuous home care, respite, attendant care, in-patient admission, or discharge from the Hospice Program).
Interventions reflect an advanced level of nursing practice and commitment to execution of IDT Plan of Care.
Follow universal precautions in delivering patient care.
Provide support to families in anticipation of patients expected death with coordination of services with administrative staff, physician, mortuary, pharmacy and DME supplier.
Prepare family to plan transition from care giving to bereavement, in coordination with IDT members.
Demonstrate creativity in meeting and teaching patient/family needs in the home environment.
Use expert nursing judgment and function as patient advocate in collaboration with IDT and primary physician, when seeking a change in optimal care setting for the patient, incorporating patient safety and family care giving ability.
Ensure continuity of care to patient/families by effectively collaborating and communicating with Social Services and other members of the IDT and the patient/family/caregivers.
Document that all required forms have been explained and signed by patient or patient representative.
Document all care provided, teaching, and supplies ordered/delivered.
Document telephone conversations related to patient’s admission.
Documentation completed within required time frame.
Communicate needs of “crisis” patients/families to the CCO to facilitate team discussion for necessary changes in patient’s Plan of Care.
Collaborate with MSW, HHA, MD, DME suppliers and other health care providers for patient’s care.
Refer additional services when indicated by patient condition.
Remain sensitive to caregiver ability to provide care and offer additional services as appropriate.
Support and teach patient/family/caregiver to facilitate the IDT Plan of Care.
Recognize the knowledge, skills and input of each discipline representative on the team and advocate for the most appropriate team member(s) intervention(s) with the patient/family.
Ensure the patient’s and family’s right to confidentiality in communications.
Meet minimum productivity requirements: Up to three admissions per shift and other visits as assigned.
Promote agency philosophy, mission statement and administrative policies to ensure quality of care.
Manage time efficiently utilizing ancillary staff to their fullest capacity to ensure that patients are provided the optimum level of care and service.
Accept other duties as assigned by Supervisor.
Ensure that patients/families/caregivers receive the education they need to understand the philosophy of Hospice care and the knowledge required to provide for the comfort and physical care needs of the patient.
Help Hospice of San Joaquin educate the community.
Responsible for coordinating physical care of patients by teaching primary caregivers, employed caregivers, and volunteer caregivers as appropriate.
Educate patients/families/physicians/referral sources and the community about the Hospice philosophy and Hospice’s services.

Benefits

Competitive hospice industry compensation
Benefits package with multiple plan offerings and generous employer contribution
401(k) Retirement plan with employer match
AFLAC insurance plans
Flexible Spending Account (FSA)
Fitness Center membership discount
Employee Assistance Programs (ESP)
Supportive work culture which encourages work-life balance
Paid Time Off (PTO)
Monthly mileage reimbursement
Employee Referral Program