RN-Hospice Outpatient-ABQ

Presbyterian Healthcare Services • Pueblo, CO

23h • Onsite

About The Position

Responsible for direct patient care and case management of Hospice patients in outpatient settings. Ensures that end-of-life care is delivered within quality and utilization guidelines and is directed toward the achievement of desired clinical outcomes for patients and their families. Responsible for development, coordination and scheduling delivery of care through a multidisciplinary team to the patient in the home or community setting. The RN Case Manager assures completeness, timeliness and appropriateness of the patient care plan, its implementation, and ongoing evaluation. Assures communication with the multidisciplinary team, support services and community resources to ensure that plan of care goals are achieved in the most efficient and cost-effective manner possible. Ensures that documentation is timely, accurate, complete, and reimbursable. Is a patient advocate. Precepts newly hired nurses.

Requirements

• Associate Degree in Nursing
• Registered Nurse-NM
• Minimum one year in direct patient care setting or home health care.
• License to practice as Registered Nurse in the state of New Mexico
• Current drivers license and auto insurance.
• BLS required

Responsibilities

• Completes assessments that are timely, and appropriate of physical, mental, psychological/social (behavioral), functional, financial, treatment, resource, and spiritual needs of patients.
• Provides skilled nursing care services by planning, organizing, directing, coordinating, evaluating, and documenting all aspects of nursing care in accordance with physician/APC plan of care.
• Coordinates patient¿s care through collaboration with patient/care giver, multidisciplinary team, and physician/APC.
• Intervenes consistently with orders and changes interventions with orders to meet changes with patient/care giver needs.
• Evaluates each visit the effectiveness of interventions and the patient¿s response to intervention.
• Provide direct patient care by assessing patient for care needs, resources to meet needs and developing a hospice plan of care in conjunction with physician.
• Assures completion of required assessments according to regulations for hospice and QAPI measures.
• Coordinates implementation of the plan of care through a multidisciplinary home care team, community resources and physician/APC.
• Ensures plan of care is followed and that documentation complies with regulatory requirements.
• Maintains a department productivity standard for visits and caseload management.
• Demonstrates professional accountability for self-scheduling patient case load with appropriate frequency and duration, and concurrently updates schedule throughout the day as needed so that ongoing patient needs can be met.
• Assure patients on case load are notified timely of their visits, any unplanned schedule changes, and accommodate patient¿s preferred schedule as available.
• Precepts newly hired nurses, students and serves as a resource person and professional role model as needed.
• Maintain communication with the multidisciplinary team s and assures that orders for necessary care plan changes are obtained and communicated timely to the team.
• Initiates documentation in the home and completely records all care delivery so that receiving staff have record of care delivered in a timely manner per agency policy and procedures.
• Oversight and delegation of the plan of care within the care team as appropriate to LPNs and CNAs.
• Assumes professional responsibility for current nursing practice and clinical standards of care.
• Participates in agency continuous quality improvement (QAPI) and performance improvement project (PIP) activities as required.
• Assumes other leadership roles as required by the department.
• Responsible for holiday coverage, select weekend and evening coverage call for agency and patient home visits as required on a rotating basis.
• Performs other functions as required.

Benefits

• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system
• free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees