The Field Care Advisor Nurse provides after-hours field visits to patients, families, and community partners. Establishes and maintains positive relationships with team members, patients/families, and referral resources.
Responsibilities
Makes after-hours visits to patients in their home, assisted living facility, nursing home, or hospital, anywhere within the assigned affiliate(s) territory.
Provides compassionate customer service to patients and families.
Assesses patient/family and identifies immediate needs and appropriate nursing interventions by phone and/or during visit.
Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
Demonstrates clinical skills regarding case management, application of company policy and procedure, physical assessment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships.
Prioritizes, consults, refers, and collaborates with other professionals to promote quality and continuity of patient/family care.
Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process, and safety practices.
Reports changes in the patient's condition to appropriate members of the IDG or other health professionals.
Attends patient deaths; prepares body for transport; oversees disposal of medications; and provides bereavement support.
Completes documentation per policy and procedure.
Acts as the Company representative at assigned facilities while facilitating referrals to all service lines.
Communicates frequently with Admissions to ensure timely follow-up.
Provides all necessary clinical communication timely using SBAR.
Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
Develops strong relationships with case managers, physicians, etc. at facilities.
Requirements
Current license as RN in the state where the employee will be working
Minimum of one (1) year nursing experience; hospice or hospital experience preferred
Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred
Mobile Driver - Valid driver's license and automobile insurance per Company policy
Reliable transportation to meet patients' needs
Excellent critical decision making and problem-solving skills
Excellent clinical and assessment skills
Ability to use equipment with visual and auditory mechanisms
Excellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines
Ability to effectively handle stressful situations professionally and calmly with exceptional customer service
Strong patient service skills
Information seeking / probing skills
Accurate knowledge transfer
Listening, understanding, and responding
Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits
Ability to work in a cooperative team environment
Able to exhibit a sense of urgency in daily work activities
Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills
Available to work shifts to accommodate extended hours of operation as scheduled
Ability to perform sedentary work with frequent interruptions
Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodations
Active BLS for healthcare professionals from the American Heart Association or Red Cross.