About The Position

The Per Diem RN assesses and identifies patient and family needs, uses the nursing process, coordinates the Plan of Care with the Interdisciplinary Group (IDG), and provides palliative and supportive care to the patient and family unit. The nurse provides and manages direct patient and family care, develops and updates individualized Plans of Care, educates patients, caregivers, families, and health professionals, reports changes in condition, and collaborates with the IDG and physicians. The position may also involve admissions, referral coordination, care for general inpatient (GIP) patients, discharge arrangements, and serving as the Company representative at assigned facilities. The RN may be required to cross-train to hospice house or field roles at some locations, and to report to a designated location or remain overnight during emergencies to maintain continuity of services. The role requires flexibility to meet patient needs and the ability to perform the physical and emotional demands of caring for terminally ill patients and their families.

Requirements

  • Current RN license in the state where the employee will work.
  • Active BLS certification for healthcare professionals from the American Heart Association or Red Cross.
  • At least one year of nursing experience; hospice or hospital experience is preferred.
  • Previous experience using an EMR/EHR system.
  • Valid driver’s license and automobile insurance in accordance with Company policy.
  • Reliable transportation to meet the visit schedule.
  • Ability to use equipment with visual and auditory mechanisms.
  • Ability to communicate effectively in English, verbally and in writing.
  • Flexible schedule to meet the needs of Hospice House patients.
  • Ability to manage the emotional stress of caring for terminally ill patients and their families.
  • Ability to access patient rooms and other areas of Hospice Houses, hospitals, assisted living facilities, and homes, including navigating stairs and narrow spaces and tolerating heat or lack of air conditioning.
  • Ability to perform the job’s essential functions and physical requirements, including lifting patients or equipment, bending, pushing, pulling, and kneeling, with or without reasonable accommodation.
  • For employees working at PACE: completion certification for Alzheimer’s Disease and Related Dementias Training through the Florida Department of Elder Affairs.
  • Satisfactory completion of the position’s competency requirements.
  • Consent to drug and/or alcohol testing after a conditional offer and ongoing compliance with the Drug-Free Workplace Policy.
  • For Florida affiliate employees: eligibility verification through the Florida Care Provider Background Screening Clearinghouse after a conditional offer and ongoing eligibility.

Nice To Haves

  • Hospice or hospital nursing experience.

Responsibilities

  • Assess and identify patient and family needs using the nursing process and coordinate the Plan of Care with the IDG.
  • Provide and manage direct care to patients and families, incorporating psychosocial, spiritual, cultural, physical, and biological components, with appropriate nursing interventions and follow-up.
  • Develop and coordinate individualized Plans of Care that reflect patients’ evolving needs.
  • Educate patients, families, caregivers, and health professionals about disease progression, palliative interventions, caregiving, the dying process, and safety practices.
  • Report changes in patients’ conditions to appropriate IDG members and other health professionals.
  • Participate with the IDG in evaluating hospice referrals and admissions for level-of-care appropriateness.
  • Attend patient deaths, prepare bodies for transport, and oversee disposal of medications.
  • Provide appropriate bereavement interventions to families and caregivers in conjunction with psychosocial staff.
  • Present concise and pertinent oral and written reports to the IDG and encourage input from all disciplines.
  • Communicate accurately and completely with physicians, staff, patients, families, and supervisors, using positive approaches.
  • Supervise patient care provided by LPNs, Hospice Aides, and contract nurses.
  • Complete clinical admissions, explain services, address questions and concerns, identify admission barriers, educate patients and families about requirements, complete informed consents and initial assessments, initiate the Plan of Care, obtain physician orders, and document according to policy.
  • Represent the Company at assigned facilities and facilitate referrals across service lines; communicate with Admissions, referring hospitals, physicians, facilities, patients, families, and the public.
  • Provide timely clinical communications using SBAR, discuss potential needs with after-hours staff, obtain medical-record information, and arrange safe discharges for eligible patients.
  • Build relationships with facility case managers and physicians and work with Professional Relations Representatives to educate others about available services.
  • Provide care for GIP patients in hospitals, including daily visits, professional management, documentation, and efficient discharge.
  • During emergencies, report to a company-designated location as required, potentially ahead of scheduled time or for overnight stays.
  • Represent the Company professionally; comply with applicable regulations and Company policies; maintain confidentiality; use resources responsibly; support quality improvement, education, research, community engagement, and professional development.
  • Perform other duties as assigned.
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