RN, Per Diem Float Team

Chapters Health System•Brooksville, FL

7d•Hybrid

About The Position

The Per Diem RN is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care to the patient/family unit. This role involves completing clinical admissions, explaining services, identifying admission objections, educating patients/families, obtaining consents, and initiating skilled nursing interventions. The RN also acts as a representative at assigned facilities, facilitates referrals, communicates with Admissions, obtains medical record information, develops relationships with case managers and physicians, and provides education on available services. Additionally, the RN provides care for GIP patients in hospitals, including daily visits, professional management, documentation, and efficient discharge. Responsibilities include managing direct patient care, coordinating the Plan of Care, educating patients and families, reporting changes in patient condition, evaluating hospice referrals, attending patient deaths, providing bereavement interventions, and supervising other nursing team members. During emergencies, the RN may be required to report to a designated company location to ensure continuity of services.

Requirements

Current license as RN in the state where the employee will be working
Active BLS for healthcare professionals from the American Heart Association or Red Cross
Minimum one (1) year nursing experience
Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
Mobile Driver - Valid driver’s license and automobile insurance per Company policy
Reliable transportation to meet visit schedule
Ability to use equipment with visual and auditory mechanisms
Ability to effectively communicate in English (verbal and written)
Flexible schedule to meet the needs of Hospice House patients
Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area
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 accommodation
Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs.
Some locations may require: Cross training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing
Satisfactorily complete competency requirements for this position
Represent the Company professionally at all times through care delivered and/or services provided to all clients
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse
Comply with Company policies, procedures and standard practices
Observe the Company's health, safety and security practices
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company
Use resources in a fiscally responsible manner
Promote the Company through participation in community and professional organizations
Participate proactively in improving performance at the organizational, departmental and individual levels
Improve own professional knowledge and skill level
Advance electronic media skills
Support Company research and educational activities
Share expertise with co-workers both formally and informally
Participate in Quality Assessment and Performance Improvement activities as appropriate for the position
Consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility.

Nice To Haves

Hospice or hospital experience preferred

Responsibilities

Assessing and identifying patient/family needs
Utilizing the nursing process
Coordinating the Plan of Care with the Interdisciplinary Group (IDG)
Providing palliative and supportive care to the patient/family unit
Completes clinical admissions for all Company services
Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
Identifies admission objections, concerns or other entry barriers and provides responses
Educates patient/family on admission requirements and addresses immediate needs
Completes informed consents and initial assessment according to regulations and Company policy
Provides information to Physicians and initiates Plan of Care to address patient’s immediate needs
Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
Obtains Physician orders
Completes documentation per Company policy
Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public
Communicates frequently with Admissions to ensure timely follow-up
When assignment is complete, informs Admissions and prepares for next assignment
Provides all necessary clinical communication timely using SBAR
Discusses any potential needs with after-hours staff
Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations
Obtains medical record information for the referral
Develops strong relationships with case managers, physicians, etc. at facilities
Works with Professional Relations Representatives (PRRs) to provide education on all available services
Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge
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
Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs
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
Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness
Attends patient deaths; prepares body for transport; oversees disposal of medications
Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff
Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines
Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others
Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses)
During times of emergencies (i.e. Hurricanes, etc.), the Triage RN may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency
Performs other duties as assigned